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Workers Compensation Program Manager Jobs in Texas

is position is for an established and productive professional individual contributor in Risk Consulting with demonstrated experience in defining and deploying risk strategies and programs for clients.

is position is for an established and productive professional individual contributor in Risk Consulting with demonstrated experience in defining and deploying risk strategies and programs for clients.

Workers Compensation Billing

Dallas, TX · On-site

$19 - $25.75/hr

... managing and processing workers compensation claims, ensuring accurate billing, and maintaining compliance with relevant regulations. This role requires strong knowledge of billing procedures ...

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Workers Compensation Program Manager information

What are the key skills and qualifications needed to thrive as a Workers Compensation Program Manager, and why are they important?

To thrive as a Workers Compensation Program Manager, you need expertise in insurance claims management, regulatory compliance, and risk assessment, typically supported by a bachelor’s degree in business, human resources, or a related field. Familiarity with claims management software, OSHA reporting systems, and certifications like ARM (Associate in Risk Management) or WCCA (Workers’ Compensation Claims Administration) are commonly required. Strong analytical skills, attention to detail, and effective communication are essential soft skills for coordinating stakeholders and resolving claims efficiently. These competencies are crucial to minimize organizational risk, control costs, and ensure legal compliance in workplace injury cases.

What are some common challenges faced by Workers Compensation Program Managers, and how can they be effectively addressed?

Workers Compensation Program Managers often face challenges such as balancing cost control with employee advocacy, staying updated on regulatory changes, and managing complex claims efficiently. Effective communication with stakeholders—including employees, insurance carriers, and healthcare providers—is crucial to resolving claims swiftly and fairly. Leveraging data analytics and maintaining up-to-date knowledge of legal requirements can help anticipate issues and streamline processes. Building strong relationships across departments and fostering a culture of safety also contribute to program success.

Can a hernia be covered under workers' comp?

A Workers Compensation Program Manager understands that hernias can be covered under workers' compensation if they result from a work-related injury or strain. Coverage typically depends on medical evidence linking the hernia to the employment activity and timely reporting of the injury. Proper documentation and medical assessments are essential for claim approval.

What profession has the highest workers' compensation rate?

Workers Compensation Program Managers typically work in administrative and managerial roles, but professions with the highest workers' compensation rates often include construction trades, logging, roofing, and roofing contractors due to the high risk of falls, heavy machinery, and physical labor. These high-risk occupations tend to have elevated insurance premiums and workers' compensation rates to cover potential injuries.

What is a compensation program manager?

A workers compensation program manager oversees the administration of workers' compensation insurance programs within an organization. They coordinate claims processing, ensure compliance with regulations, and work to minimize costs while supporting injured employees. Strong knowledge of insurance policies, claims management, and relevant laws is essential for this role.

What is a Workers Compensation Program Manager?

A Workers Compensation Program Manager is a professional responsible for overseeing an organization’s workers compensation program, ensuring compliance with relevant laws and regulations, and managing claims processes. They work to minimize workplace injuries, coordinate employee return-to-work programs, and collaborate with insurance providers, healthcare professionals, and internal teams. Their goal is to protect both the company and its employees by administering claims efficiently, reducing costs, and promoting workplace safety.

What is the difference between Workers Compensation Program Manager vs Claims Adjuster?

AspectWorkers Compensation Program ManagerClaims Adjuster
CredentialsRelevant certifications (e.g., CPCU, ARM), industry experienceAdjuster licenses, insurance certifications
Work EnvironmentOffice-based, management of programs and policiesField or office-based, handling individual claims
Employer & Industry UsageInsurance companies, large corporations, government agenciesInsurance carriers, third-party administrators

The Workers Compensation Program Manager oversees the entire workers' compensation program, focusing on policy development, compliance, and strategic management. In contrast, Claims Adjusters handle individual injury claims, assessing damages and settling cases. Both roles require industry-specific knowledge and certifications but differ in scope and responsibilities.

What is the highest paying manager position?

In the workers' compensation field, the highest paying manager position is typically the Director of Workers' Compensation or Senior Program Manager, with salaries often exceeding $120,000 annually depending on the organization and location. These roles require extensive experience, leadership skills, and knowledge of claims management and regulatory compliance.
What are popular job titles related to Workers Compensation Program Manager jobs in Texas? For Workers Compensation Program Manager jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Workers Compensation Program Manager jobs in Texas look for? The top searched job categories for Workers Compensation Program Manager jobs in Texas are:
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$115K - $125K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago


Job description

CEVA Logistics provides global supply chain solutions to connect people, products, and providers all around the world. Present in 170+ countries and with more than 110,000 employees spread over 1,500 sites, we are proud to be a Top 5 global 3PL.

We believe that our employees are the key to our success. We want to engage and empower our diverse, global team to co-create value with our customers through our solutions in contract logistics and air, ocean, ground, and finished vehicle transport. That is why CEVA Logistics offers a dynamic and exceptional work environment that fosters personal growth, innovation, and continuous improvement.

At CEVA Logistics, we Rise in Motion.  Your career is always on the move, growing as fast and as far as your ambition takes you. Join a global team of nearly 200 nationalities, shaping the future of global trade, moving essential goods, forging new paths, and pushing boundaries to serve an ever-changing world. The pace is fast, the challenges are real, but the rewards are greater: growth, purpose, and the chance to make a meaningful impact. This is more than a job. It's a journey on which you rise. 

Pay Range: $115,000 - $125,000

YOUR ROLE:

The Workers Compensation Claims Manager is responsible for the oversight and positive performance of CEVA's Third Party Administrator (TPA) as they adjust, manage and administer our workers' compensation claims portfolio insured through traditional Workers Compensation insurance lines, monopolistic states' coverages, Qualified Self-Insurer's programs and through our Captive. The position requires their management be derived through the use of data, analytics and reporting to produce quantifiable and measurable outcomes.

This position will be located at our Houston, TX headquarters campus and reports to the Director of Litigation, NORTAM.

 

WHAT ARE YOU GOING TO DO?

  • Oversight and management through the use of data and analytics of TPA adjuster activities to guarantee compliance with CEVA Service Instructions
  • Regular data gathering and intelligence reporting on relevant claims KPI's including but not limited to financials and claims metrics.
  • Direction of TPA adjustment process through litigation and settlement as necessary
  • Review of actuarial data for forecasting budgetary needs and monitoring trends and changes that might affect collateral and program retentions.
  • Creation of improved workflows and processes to enable CEVA Risk Management and field representatives to effectively report incidents and ensure delivery to TPA's.
  • Analysis of monthly and quarterly reporting derived from captive activities.
  • Prepare and direct claims file reviews and claims file audits.
  • Conduct and as needed, create cost reduction/mitigation initiatives that are quantifiable and measurable.
  • Work with CEVA internal leadership and department to create and/or improve Return to Work, experience mod investigations, insurance carrier inspections, etc. and act as a subject matter expert to advise and counsel as needed in the loss prevention and mitigation experience.

 

WHAT ARE WE LOOKING FOR?

  • High level of proficiency in Microsoft Office Products
  • Demonstrated success in managing litigation, claims negotiations in workers compensation, employers' liability, BRC reviews and mediations.
  • Capability to effect change in processes and workflows with successful documentation of procedures to streamline the claims handling process.
  • Utilize and/or establish metrics, analytics and benchmarking through multiple sources to establish loss trends and claim costs that prioritize resources and steps needed to improve the claims experience.
  • Strong understanding of actuarial activities that drive forecasting and budgeting in a collaborative way with CEVA's Finance Dept. stakeholders.
  • Ability to develop and foster strategic partnerships and relationships with CEVA departmental partners, brokers, and TPA that are collaborative and inclusive.
  • Other duties as assigned.

Qualifications

  • Strong interpersonal, communication and time management skills
  • Proficiency in data gathering, analytics, measurement, and reporting.
  • Experience using data and metrics to drive improvement.
  • At least five years' experience in claims handling, principally in liability lines of business
  • Extensive experience in managing a TPA, or career experience as a senior-level adjuster within a TPA.
  • Exposure to or experience with claims handling through alternative finance programs
  • Ability to work cross-functionally and establish credibility to successfully execute program requirements and either establish or change parameters in workflows and processes.
  • Proven track record of working with Safety Departments and programs with the goal of improved reporting and reduction in claims costs.
  • Advanced technical skills, especially in Microsoft Office products.

Preferred

  • All Lines Adjuster License
  • Property and Casualty (P&C) License
  • Industry designations a plus
  • Degree in Finance, Business, Economics, or related degree preferred.
  • Proficient in Claims Management Software (Riskonnect, Luminos, etc.)

 

WHAT DO WE HAVE TO OFFER? 

With a genuine culture of recognition, we want our employees to grow, develop and be part of our journey. We offer a benefits package with a focus on your wellbeing. This includes competitive Paid Time Off, 401(k), health insurance and an employee benefits platform that offers discounts on gym memberships and a diverse range of retail, travel, car, and hospitality brands, including important offerings like pet insurance. 

We are a team in every sense, and we support each other and work collaboratively to achieve our goals together. 

It is our goal that you will be compensated for your hard work and commitment, so if you'd like to work for one of the top Logistics providers in the world then let's work together to help you find your new role.

 

ABOUT TOMORROW

We value your professional and personal growth. That's why we share plenty of career opportunities for you to thrive within CEVA. This role can be the first step on your career path with us. You can stay in the same family, find a new family to grow in (an almost limitless number of options) or find your own path. Join CEVA for a challenging and rewarding career.

CEVA operates in a multicultural, global environment and is a richly diverse organization operating seamlessly as one company. We aim to attract, motivate and retain the best people in our industry, whatever their background.  We share the same passion to deliver world-class solutions to our customers. We have the best supply chain professionals in the industry and develop this talent in an inspiring work environment.

CEVA Logistics is proud to be an equal opportunity work place and an affirmative action employer.  All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status or any other characteristic.  We are an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individual with Disabilities.

Please note:  Legitimate CEVA Logistics recruitment processes include communication with candidates through recognized professional networks, such as LinkedIn or via an official company email address: firstname.lastname@cevalogistics.com. We recommend that you do not respond to unsolicited business propositions and/or offers from people with whom you are unfamiliar.

Information provided is true and accurate.  False statements or information will result in the application voided.
Outstanding benefits for employee and family including multiple health plans(company contribution to health savings account), prescription, dental and vision coverage.
Company paid life insurance, accident insurance, short- and long-term disability coverage and employee assistance plan.
Voluntary benefits including additional life insurance, AD&D coverage, buy-up short- and long-term disability, critical illness, identify theft & legal plan.
401(k) with company match.
Flexible Paid Time Off programs including company paid holidays.
Tuition reimbursement program.