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SORM | Claims Supervisor |

CAPPS, Inc.
Austin, TX Full Time
POSTED ON 3/9/2025
AVAILABLE BEFORE 6/8/2025

Job Description

GENERAL DESCRIPTION

Work includes active participation in establishing Claims Operations Department goals and objectives; developing department guidelines, procedures, policies, rules, and regulations; developing schedules, priorities, and standards for achieving department goals; evaluating department activities; and coordinating department activities. Plans, assigns, and supervises the work of others.

ESSENTIAL POSITION FUNCTIONS

  • Oversees the work of assigned unit within Claims Operations Department
  • Participates in the preparation of program management and productivity reports and studies
  • Confers with staff on department issues and problems to identify and implement solutions
  • Plans, implements, coordinates, monitors, and evaluates programs
  • Participates in establishes department goals and objectives; and develops and approves schedules, priorities, and standards for achieving goals
  • Participates in the development of department goals and objectives evaluation activities
  • Provides technical assistance in a department area
  • Plans, assigns, and supervises the work of others
  • Communicates openly and honestly with colleagues and customers
  • Takes personal responsibility for the quality and content of assigned units' work product
  • Prioritizes unit and individual workload to ensure deadlines are met and productivity maximized
  • Ensure equal collaboration and contribution among unit and claims department
  • Development of claims adjusters, explaining claims processes, deadlines and overall claims handling in an understandable manner.
  • Maintain and retain claims staff, along with working to keep team morale at a positive state
  • Review claims from adjusters on the team to ensure quality of claims handling.
  • Performs related work as assigned
  • Maintains relevant knowledge necessary to perform essential job functions
  • Attends work regularly in compliance with agreed-upon work schedule
  • Ensures security and confidentiality of sensitive and / or protected information
  • Complies with all agency policies and procedures, including those pertaining to ethics and integrity

Qualifications :

MINIMUM QUALIFICATIONS

  • Education : Graduation from high school or equivalent
  • Five years full-time reviewing, adjusting, or processing workers' compensation claims experience
  • Knowledge of Division of Workers' Compensation appeals process
  • Knowledge of medical terminology
  • Knowledge of Texas Workers' Compensation law and claims administration
  • Skill in working under pressure and meeting deadlines
  • Skill in working effectively with a diverse of customers
  • Skill in handling multiple tasks, prioritizing, and meeting deadlines
  • Skill in effective oral and written communication [Writing sample required at time of application and administered at the time of interview]
  • Ability to be an independent worker within a team environment
  • Skill in exercising sound judgment and effective decision making
  • Ability to make timely, informed decisions that take into account the facts, goals, constraints, and risks
  • Ability to interpret and appropriately apply complex rulings regarding Texas Workers' Compensation law and claims administration
  • Ability to receive and respond positively to constructive feedback
  • Ability to work cooperatively with others in a professional office environment
  • Ability to provide excellent customer service
  • Ability to provide a positive work environment for claims staff
  • Ability to complete assignments with attention to detail and accuracy
  • Ability to arrange for personal transportation for business-related travel
  • Ability to work more than 40 hours as needed and in compliance with the FLSA
  • Ability to lift and relocate 30 lbs.
  • Ability to travel (including overnight travel) up to 5%
  • PREFERRED QUALIFICATIONS

  • Graduation from an accredited four-year college or university
  • Management experience
  • Advanced knowledge of medical and pharmaceutical terminology
  • Advanced knowledge of general accepted medical procedures
  • Associate in Claims or other related insurance certification
  • TO APPLY

    All applications for employment with the State Office of Risk Management must be submitted electronically through www.WorkInTexas.com. A State of Texas application in WorkInTexas (WIT) must be completed to be considered OR Submit a State of Texas Application for Employment to : Attn : Elaina Middleton, State Office of Risk Management, P.O. Box 13777, Austin, TX 78711-3777. Military Crosswalk information can be accessed at

    THE SORM IS AN EQUAL OPPORTUNITY EMPLOYER

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