Claims Manager

Claims Manager

Employer: City of El Paso

Salary: $76,593.71 - $114,890.57 Annually

Location: Various Locations within the City of El Paso, TX

Job Type: Civil Service

Job Number: 12094-0326

Department: Risk MGMT

Opening Date: 03/26/2026

Closing Date: Continuous

FLSA: Exempt

Requirements

MOS Codes: None

Education and Experience: Bachelor's Degree or higher in Business or Public Administration, Finance, Risk Management, Insurance, or a related field, and four (4) years of professional experience administering workers' compensation, property and casualty insurance claims, self-insurance, or captive insurance programs, including two (2) years of supervisory experience.

Licenses and Certificates: Valid Texas Class "C" Driver's License or equivalent from another state by time of appointment. Workers' Compensation Adjustor's license is required within one (1) year of appointment. Property & Casualty Adjuster License required within one (1) year of appointment.

Associate in Risk Management from the Insurance Institute of America and/or Certified Claims Examiner Certification from the State of Texas is preferred.

General Purpose

Under the direction, manages the City of El Paso insurance programs including workers' compensation, property/casualty, and subrogation/recovery claims.

Typical Duties

Identify, assess, and mitigate risks associated with human, physical, and liability claims. Administer and coordinate claims processing and implement strategies to prevent, control, and/or transfer risks through claims management processes and procedures, self-insurance, commercial insurance, and/or other financial instruments. Coordinate with internal business partners to establish a framework and methodology to mitigate reported incurred and/or incurred but not yet reported losses.

Manage all claims, with varying degrees of complexity, to full and successful resolution.

Manage and administer non-tort claims and seek recovery of damages. Administer medical/case management, claims strategy, negotiation, and adjudication of claims within the level of authority. Initiate and monitor claims investigations, and accept or deny claims.

Monitor and ensure the accuracy of claims financial data maintained in the Risk Management Information System (RMIS). Set financial reserves for claims and conduct periodic internal reserve audits. Represent the City of El Paso at settlement conferences, hearings, arbitrations, mediations, and trials.

Negotiate settlements on behalf of the City within the limits of authority. Administer the return-to-work/transitional duty program for injured workers. Manage third-party administrator processes on workers' compensation claims.

Provide all tort notices to the City Attorney's Office upon receipt.

Claims administration: Establish processes, policy, and priorities, developing and implementing procedures on claims processing and maintenance of claims data, program integrity, and controls. Conduct periodic claims reviews and management meetings with departments, third-party claims examiners/adjusters, and City Attorney's Office. Advise supervisor on annual claims program budget needs.

Communicate claims management philosophy, case strategy, and financial implications to management. Review and finalize workers' compensation regulatory reports and ensure compliance with reporting requirements. Maintain current knowledge of changes to workers' compensation, property/casualty, and subrogation/recovery statutes, and act as an in-house resource for departments.

Provide education and training to employees on claims matters, especially workers' compensation response and policies/procedures. Manage and coordinate recoverable claims to successfully subrogate and facilitate insurance recoveries. Assist with Total-Cost-of-Risk analysis, insurance, and self-insured cost forecasting, and data analysis including reviewing and providing input on data trends and variances.

Serve on special project teams and assignments.

Supervise assigned staff: Assign, schedule, guide, and monitor work. Appraise employee performance and review subordinate supervisors' appraisals. Provide training and development.

Counsel, motivate, and maintain harmony. Identify and resolve staff differences, conflicts, and deficiencies. Interview applicants.

Recommend hiring, discipline, termination, promotion, or other employee status changes. Enforce personnel rules and regulations and work behavior standards firmly and impartially.

Benefits

LIFE AND HEALTH INSURANCE: The City of El Paso is a self-insured entity with a third-party administrator for Medical and Pharmacy benefits. Basic Life Insurance Coverage is available at no cost to eligible employees. Additional Life Insurance and coverage for your dependents are also available.

Employees can select optional Dental, Vision, and Short Term Disability coverage. Employees also have the option to participate in a Health Savings Account or Flexible Spending Account (healthcare and/or dependent care for daycare expenses). All of these insurance and coverage options can be configured within a month of your new employee orientation date.

An Employee Assistance Program (EAP) with access to mental health sessions, therapy, and more is available at no cost. A trained counselors are also available to help you and your dependents cope with life's stressors so that you can live a happy productive lifestyle. The City's Wellness Program seeks to promote better health and wellness amongst the workforce through various programs and incentives in which employees may choose to participate in, to include wellness education, fitness tests, biometric screenings, group fitness, health coaching and so much more!

Keep Learning, Growing & Reinventing Yourself! The City of El Paso's Tuition Assistance Program encourages employee personal and professional development by sharing educational costs with those employees who have successfully completed their original probation, and in turn retain a skillful workforce. Each year, employees can obtain Tuition Assistance for Degree, Certifications, Continuing Education, and Books & Equipment.

ELIGIBILITY FOR VACATION LEAVE: All regular employees who are regularly scheduled to work on an average, a minimum of twenty (20) hours per week, who have held a position in the City Service for a period of six months from date of employment, shall be eligible for vacation allowance as hereinafter set forth. Part-time employees shall accrue vacation leave at a pro-rated amount of full-time entitlement based on the number of hours that they are scheduled to work. Employees covered by collective bargaining agreements shall accrue vacation as provided in the applicable agreement.

Regular employees in the City Service shall accrue vacation credit at the following rates per pay period, calculated from the date of employment of each employee:

For 0 - 5 years of service (12 days): 40 hour per week employees - 3.70 hours per biweekly pay period

For >5 to 15 years of service (17 days): 40 hour per week employees - 5.24 hours per biweekly pay period

For >15 or more years of service (20 days): 40 hour per week employees - 6.16 hours per biweekly pay period

SICK LEAVE WITH PAY: Employees shall be entitled to accrue sick leave with pay in accordance with the Rules of the Civil Service Commission.

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