Claims Manager

Action Behavior Centers

• Reviews workers’ compensation claim forms for completeness and accuracy.
• Evaluates injury reports and works with the carrier to assess compensation and to determine the anticipated cost of each claim.
• Reviews and explains the workers compensation process, medical treatment, hospitalization, and surgery to teammates.
• Coordinates payment of medical bills, disability compensation, and temporary income benefits with injured teammate and payroll.
• Maintains records, files, and databases of claims; prepares summary reports of collected data.
• Provides supervisors and employees with information and training regarding workers’ compensation benefits.
• Explains proper management of workers’ compensation claims to staff.
• Directs safety resources to the centers trending upward to proactively manage claims.
• Live ABC mission + values and maintain compliance with all company policies and procedures.
• Perform other duties as assigned by supervisor

• High school diploma or equivalent required.
• At least five years related experience with workers’ compensation claims required.
• Completion of a certificate course in workers’ compensation administration or similar training required.
• Workers Compensation claims adjuster license in Texas preferred.

• Extensive knowledge and understanding of applicable workers’ compensation laws, procedures, and regulations.
• Extensive knowledge of medical and technical terminology used in workers’ compensation cases.
• Excellent verbal and written communication skills with the ability to deliver presentations to explain rules and policies.
• Proficient with Microsoft Office Suite or related software.
• Excellent organizational skills and attention to details.

• Prolonged periods sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.
• Ability to travel to various worksites to provide training.