The University of Texas System Administration
JOB DESCRIPTION
|
The University of Texas System Administration JOB DESCRIPTION |
| Effective Date: September 1, 1996 |
| Job Title | Claims Office Leader |
| Job Code Number | 9593 |
| FLSA Category | Exempt |
| Job Purpose | To oversee the daily Workers’ Compensation Insurance (WCI) activity and to ensure compliance with state and university guidelines in administering the University’s self-insured WCI program. |
| Education and experience required including training, registration, and licensure. | High school diploma or GED equivalent and 7 years workers’ compensation experience. A Type 03 Texas adjuster licensure within three months from beginning date of employment. |
| Supervision provided to others. | Yes |
Job Functions |
|
Number |
Description |
1. |
Develop and supervise employees |
2. |
Oversee the daily management of claims by reviewing and adjusting WCI claims in accordance with established policy and applicable Workers’ Compensation laws and Commission rules. |
3. |
Prepare for and participate in administrative hearings in the dispute resolution process. |
4. |
Oversee the activities of the third party medical audit company. |
5. |
Assist in training area component representatives, regarding filing requirements. |
This job description in no way states or implies that these are the only duties to be
performed
by the employee occupying this position. The incumbent is expected to perform other duties
necessary for the effective operation of the department. Any qualifications to be
considered as
equivalents in lieu of stated minimums require prior approval of Human Resources.
| This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code §51.215. |