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Claims Manager

Job in Waco, McLennan County, Texas, 76796, USA
Listing for: Cornerstone Caregiving
Full Time position
Listed on 2026-03-02
Job specializations:
  • Insurance
    Risk Manager/Analyst
  • Management
    Risk Manager/Analyst
Salary/Wage Range or Industry Benchmark: 100000 - 125000 USD Yearly USD 100000.00 125000.00 YEAR
Job Description & How to Apply Below

The Claims Manager will oversee and lead Cornerstone’s claims function, managing a team responsible for all unemployment, auto, and workers’ compensation claims. This leader will ensure timely processing, documentation accuracy, risk mitigation, and compliance with relevant laws and carrier requirements. The ideal candidate is a strong communicator, highly organized, and skilled in strategic decision-making with a passion for continuous improvement and cross-department collaboration.

Responsibilities

Leadership & Oversight
  • Lead, coach, and develop all Claims Specialists (Unemployment, Auto, General Liability, Theft, Workers’ Compensation).
  • Serve as the Company’s expert regarding processing and handling of claims, including advising Claims Specialists and other key internal stakeholders on best strategy for next steps and resolution of complex claims
  • Set team goals, KPIs, and performance expectations and track progress.
  • Create and implement process improvements that enhance accuracy, speed, and outcomes.
Claims Management
  • Maintain visibility and accountability over the full lifecycle of all claims.
  • Monitor ongoing cases, ensuring timely follow-up, documentation, and resolution.
  • Review and approve escalated claims decisions and settlement recommendations.
  • Ensure compliance with state and federal regulations, insurance policies, and internal standards.
  • Work closely with HR, Operations, Safety, Legal, and Insurance Carriers.
  • Provide reporting and insights to leadership regarding trends, costs, and risk exposure.
  • Build strong relationships with carrier partners and external stakeholders to improve claims handling processes.
Data & Reporting
  • Analyze claims trends, identify root causes, and recommend proactive solutions.
  • Maintain accurate records and generate monthly/quarterly claims reports.
  • Use data to guide decisions that reduce claim volume, cost, and workplace risk.
  • Track and report on current and historical claims data that will give the Company the ability to take on more risk by increasing deductibles and reducing premiums.
Qualifications Required
  • 3–5+ years of claims experience (preferably in healthcare, insurance, or related field).
  • Experience managing or mentoring others.
  • Working knowledge of unemployment, auto, general liability, theft, and/or workers’ compensation claims.
  • Strong analytical skills with attention to detail and accuracy.
  • Confident, independent leader with ability to make tough decisions
  • Excellent written and verbal communication skills.
Preferred
  • Experience in high-growth or multi-state operations.
  • Claims certification(s) or insurance-related coursework.
  • Previous work with insurance carriers or TPAs.
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