Dallas Independent School District
Job Description - Manager (226 Days) (RTP20250710-016)
Job Description
Description
Manage the Workers' Compensation Self-Insurance program, ensuring adherence to Texas Workers' Compensation Laws and internal protocols.
Manage the third-party administrator (TPA) for our Workers' Compensation program to ensure compliance with Workers' Compensation laws, district agreements, and internal procedures.
Audit claim files of TPA regularly to track compliance with internal and state requirements.
Manage workers’ compensation claim payments processed both in-house and through the Third-Party Administrator (TPA) to ensure accuracy, timeliness, and compliance.
Annually contribute to the preparation of the workers’ compensation program budget.
Oversee the annual actuarial analysis process to evaluate claim liabilities, forecast costs, and support strategic decision-making for the workers’ compensation program.
Collaborate with the TPA and legal counsel for litigated workers’ compensation cases.
Manage and evaluate the performance, utilization, and effectiveness of all vendors involved in the workers’ compensation program to ensure alignment with organizational goals and regulatory requirements.
Stay informed and monitor all proposed legislation that may affect workers’ compensation claims.
Manage and adjust procedures to always ensure full compliance with the Texas Workers’ Compensation Law.
Develop and maintain close communication with medical providers providing services for injured employees and serve as the liaison between medical providers, injured employees, and TPA
Develop and produce reports upon request from the District’s Risk Management Information System.
Conduct site visits to Third-Party Administrator (TPA) offices and 504 Health Care Program facilities to ensure compliance, evaluate performance, and support program effectiveness.
Develop, implement, and manage cost containment programs to improve efficiency and reduce overall workers’ compensation expenses.
Develop, implement, and monitor workers’ compensation claim reporting forms, procedures and activities.
Monitor returned checks to ensure claimants receive payments timely and collect subrogation checks to deposit in the appropriate line code.
Manage records of workplace injuries and illnesses through the Fiscal Year for U. S. Department of Labor Bureau of Labor Statistics.
Manage information submitted through electronic filings to the Division of Workers’ Compensation.
Administer and monitor the Return-to-Work (RTW) program, ensuring compliance with district policies and promoting successful employee recovery and reintegration.
Monitor and analyze claim trends, identify areas of risk, and recommend loss prevention strategies.
Develop and manage Request of Proposals (RFPs) and contracts for the workers’ compensation program.
Directly supervise and manage the Workers’ Compensation Coordinator, and two (2) Workers’ Compensation Specialist.
Responsible for interviewing, hiring, and training employees; planning, assigning, and managing work; appraising performance.
Participate with the District’s Benefits Review Committee as needed. Qualifications
Bachelor's degree from an accredited university required; concentration in business or public administration with accounting, insurance, or risk management emphasis preferred
Valid Texas workers compensation adjusters license required; Associate in Risk Management (ARM) Certification and/or CSRM preferred
Five years' directly related experience handling or managing workers' compensation claims/programs.; prior supervisory experience preferred
Demonstrated knowledge of Texas workers’ compensation code, medical fee guidelines, and electronic data interchange
Demonstrated knowledge of principles, trends, methods, and procedures pertaining to risk management, risk insurance, accident prevention and loss control programs, insurance regulations, and self-funded programs
Demonstrated knowledge of laws pertaining to work related injury or illness, school district liability, and public safety
Demonstrated ability to interpret policy, procedures, and data
Demonstrated ability to respond to common inquiries or complaints from employees, board members or members of the general public
Demonstrated effective interpersonal skills to interact with all levels of employees, staff members and the general public
Demonstrated ability to coordinate multiple projects and assignments; high degree of flexibility required
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Manage the third-party administrator (TPA) for our Workers' Compensation program to ensure compliance with Workers' Compensation laws, district agreements, and internal procedures.
Audit claim files of TPA regularly to track compliance with internal and state requirements.
Manage workers’ compensation claim payments processed both in-house and through the Third-Party Administrator (TPA) to ensure accuracy, timeliness, and compliance.
Annually contribute to the preparation of the workers’ compensation program budget.
Oversee the annual actuarial analysis process to evaluate claim liabilities, forecast costs, and support strategic decision-making for the workers’ compensation program.
Collaborate with the TPA and legal counsel for litigated workers’ compensation cases.
Manage and evaluate the performance, utilization, and effectiveness of all vendors involved in the workers’ compensation program to ensure alignment with organizational goals and regulatory requirements.
Stay informed and monitor all proposed legislation that may affect workers’ compensation claims.
Manage and adjust procedures to always ensure full compliance with the Texas Workers’ Compensation Law.
Develop and maintain close communication with medical providers providing services for injured employees and serve as the liaison between medical providers, injured employees, and TPA
Develop and produce reports upon request from the District’s Risk Management Information System.
Conduct site visits to Third-Party Administrator (TPA) offices and 504 Health Care Program facilities to ensure compliance, evaluate performance, and support program effectiveness.
Develop, implement, and manage cost containment programs to improve efficiency and reduce overall workers’ compensation expenses.
Develop, implement, and monitor workers’ compensation claim reporting forms, procedures and activities.
Monitor returned checks to ensure claimants receive payments timely and collect subrogation checks to deposit in the appropriate line code.
Manage records of workplace injuries and illnesses through the Fiscal Year for U. S. Department of Labor Bureau of Labor Statistics.
Manage information submitted through electronic filings to the Division of Workers’ Compensation.
Administer and monitor the Return-to-Work (RTW) program, ensuring compliance with district policies and promoting successful employee recovery and reintegration.
Monitor and analyze claim trends, identify areas of risk, and recommend loss prevention strategies.
Develop and manage Request of Proposals (RFPs) and contracts for the workers’ compensation program.
Directly supervise and manage the Workers’ Compensation Coordinator, and two (2) Workers’ Compensation Specialist.
Responsible for interviewing, hiring, and training employees; planning, assigning, and managing work; appraising performance.
Participate with the District’s Benefits Review Committee as needed. Qualifications
Bachelor's degree from an accredited university required; concentration in business or public administration with accounting, insurance, or risk management emphasis preferred
Valid Texas workers compensation adjusters license required; Associate in Risk Management (ARM) Certification and/or CSRM preferred
Five years' directly related experience handling or managing workers' compensation claims/programs.; prior supervisory experience preferred
Demonstrated knowledge of Texas workers’ compensation code, medical fee guidelines, and electronic data interchange
Demonstrated knowledge of principles, trends, methods, and procedures pertaining to risk management, risk insurance, accident prevention and loss control programs, insurance regulations, and self-funded programs
Demonstrated knowledge of laws pertaining to work related injury or illness, school district liability, and public safety
Demonstrated ability to interpret policy, procedures, and data
Demonstrated ability to respond to common inquiries or complaints from employees, board members or members of the general public
Demonstrated effective interpersonal skills to interact with all levels of employees, staff members and the general public
Demonstrated ability to coordinate multiple projects and assignments; high degree of flexibility required
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