Supervisor Claims - Medical Management Unit

Title: Supervisor Claims - Medical Management Unit

Location: Austin, TX,  United States

Full time

job requisition id

R0002394

Job Description:

We're excited you're considering joining a great place to work!

Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect and is proud to be an equal opportunity employer. All qualified applicants are encouraged to apply and will receive consideration for employment without regard to age, race, color, national origin, religion, sex, gender identity, sexual orientation, genetic information, veteran status, or any other basis protected by local, state, or federal law.

About this Position

At Texas Mutual Insurance Company, one of the Best Companies to Work for in Texas, we are committed to creating a stronger, safer Texas. We are looking for a dynamic and experienced Supervisor of Medical Management Claims to lead our Austin Corporate Office medical management unit. In this critical leadership role, you will bring medical knowledge and specialized expertise in medical management. You will also combine this with supervisory skills to oversee the daily operations of claims processing. Your comprehensive understanding of musculoskeletal injuries, orthopedic conditions, pain management, surgical procedures, diagnostic imaging, pharmacy management, and rehabilitative medicine will be an invaluable resource as it will help your team navigate complex medical management decisions. You will ensure injured workers receive appropriate and quality medical care and this care must be consistent with the highest standards of workers' compensation best practices. You will guide a dedicated team of claims professionals, providing coaching, mentoring, and targeted development opportunities that build medical knowledge, technical competency, and team excellence. As a leader within our Claims Division, you will collaborate with medical directors, nurse case managers, utilization review professionals, treating physicians, and medical specialists. You will improve medical outcomes, align unit operations with divisional goals, monitor performance metrics, and improve programs that promote our mission. Additionally, you have a desire to make a meaningful difference in the lives of injured Texas workers. We invite you to join our team and help us build a stronger, safer Texas.

Working for Texas Mutual brings many benefits. This job offers the opportunity for a flex-hybrid work environment. You'll also have the opportunity to work from anywhere in the U.S. for two weeks each year, in addition to vacation, personal and sick time. Giving back to the community is at the heart of what we do. You can volunteer during the workday with organizations that are most meaningful to you. Located in heart of Mueller, you will enjoy a modern office surrounded by parks, restaurants and shopping, our on-site fitness center and more

Responsibilities & Qualifications

Your Goals:

• Manage the daily operations of claim processing following the Texas Workers' Compensation Act, rules of the DWC, and internal procedures.

• Provide guidance to staff regarding claim handling and desired outcomes.

• Recruit, retain and coach employees.

• Contribute to the development of division goals, procedures, and budgets.

Required Qualifications:

• Bachelor's degree or equivalent education, training, or experience.

• At least 4 years of experience (Texas preferred) or equivalent education, training, or experience.

• Texas workers' compensation or all lines adjuster's license.

Preferred Qualifications

• Industry-related designation.

Texas Mutual Pay Transparency

The base pay range is based on the market evaluation of the job and may include pay for multiple levels. Individual base pay within the range is determined by a variety of factors, including experience, performance, education, and demonstration of skills and competencies required for each role. Your recruiter can discuss the full value of our total compensation package with you, including our generous bonus plans and flex-hybrid work model.

Base Pay Range: $102,485.35 - $126,599.55 Per Year

Flex-Hybrid Work Environment:

Texas Mutual's flex-hybrid schedule allows you to bring your best self to work by working remotely and collaborating in the office based on business needs. All Texas Mutual employees are required to have Texas residency and travel to their designated office as needed.

Our Benefits:

• Annual performance bonus and merit-based pay increase

• Lifestyle Savings Account ($1,000 per year)

• Automatic 4% employer contribution to retirement plan

• 401k plan with 100% employer match up to 6%

• Student loan repayment matching in 401k plan

• Three weeks' time off for vacation

• Nine paid holidays and two personal days each year

• Day one health, Rx, vision and dental insurance

• Life and disability insurance

• Flexible spending account

• Pet insurance and pet Rx discounts

• Free on-site gym, fitness classes, and health and wellness resources

• Free identity theft protection

• Free student loan repayment and refinancing consultation

• Professional development and tuition reimbursement

• Employee referral bonus

• Free onsite snacks