Claims Management Specialist

SWBC

. Coordinate and manage workers' compensation claims from initial injury reporting through resolution and closure .

Posted 9/28/2026full-timeRemote • Texas • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing workers' compensation claims, including coordination with various stakeholders and adherence to regulatory requirements. Proficient in analyzing claims data and providing guidance on return-to-work programs and safety practices.

Highest-signal resume keywords

Workers' Compensation Claims ManagementBilingual (Spanish)Claims Documentation and ReportingCustomer Service and Relationship ManagementKnowledge of OSHA Regulations

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ManagementReturn-to-Work ProgramsClaims Resolution PracticesClaims AnalysisWage Reporting

Soft Skills

Strong Organizational SkillsProblem SolvingClear Written CommunicationAttention to Detail

Certifications & Qualifications

Relevant Certifications

Industry Keywords

Risk ManagementInsuranceWorkplace Safety PracticesAccident Prevention Programs

About the role

Key responsibilities & impact

Coordinate and manage workers' compensation claims from initial injury reporting through resolution and closure
Serve as the primary liaison between client companies, injured employees, insurance carriers, claim adjusters, medical providers, payroll, HR, and internal stakeholders
Educate clients and injured employees on workers' compensation procedures, reporting requirements, return-to-work programs, available resources, and responsibilities
Provide customer service and guidance regarding required protocols, next steps, and claim-related obligations
Coordinate claim documentation, wage reporting, claim-related communications, and return-to-work activities
Monitor claim progress and collaborate with carriers, adjusters, employers, and medical providers to facilitate efficient claim resolution
Review claim status with carriers and adjusters
Participate in client claim reviews
Assist with collecting and analyzing claims history, loss trends, and risk-related information
Maintain accurate claim records, documentation, and reporting
Perform other duties as assigned

Requirements

What you’ll need

Bachelor’s degree in Human Resources, Risk Management and Insurance, or related field from an accredited four-year college or university preferred
Minimum of four (4) years of experience in claims management or related field required
Working knowledge of workers' compensation claims processes, return-to-work programs, and claim resolution practices
Knowledge of OSHA regulations, workplace safety practices, and accident prevention programs preferred
Bilingual (Spanish) language ability required
Strong organizational skills with the ability to manage multiple priorities, meet deadlines, and maintain attention to detail
Ability to analyze information, solve problems, and exercise sound judgment
Clear and concise written communication
Strong customer service and relationship management skills
Ability to sit and stand for long periods of time performing sedentary activities
Maintain necessary certifications
Must pass pre-employment drug testing
Must be a non-tobacco user, as allowed by law

Benefits

Comp & perks

Competitive overall compensation package
Work/Life balance
Employee engagement activities and recognition awards
Years of Service awards
Career enhancement and growth opportunities
Leadership Academy and Mentor Program
Continuing education and career certifications
Variety of healthcare coverage options
Traditional and Roth 401(k) retirement plans
Lucrative Wellness Program