Job#: 3057543 Job Description: Claims Manager
Location: Birmingham, AL (On-site)
Role Overview
This organization is seeking a dedicated and experienced claims professional to lead and stabilize the workers' compensation claims operations. The successful candidate will guide a team of adjusters, ensuring consistent claims handling, technical accuracy, and adherence to established regulatory guidelines. This position plays an essential part in strengthening team capabilities, fostering system adoption, and optimizing daily claims operations across the regional footprint.
Key Responsibilities
- Lead, mentor, and develop a regional team of workers' compensation claims adjusters to foster professional growth and operational consistency.
- Oversee the delivery of workers' compensation claims, ensuring proper claims-handling practices, quality assurance, and technical accuracy.
- Conduct regular file reviews and audits to maintain compliance with established best practices and regulatory requirements.
- Monitor key performance indicators, state reporting, and vendor utilization to drive operational efficiency.
- Provide technical expertise and strategic direction on complex or litigated claims.
- Promote consistent adoption of internal claims systems and process workflows, troubleshooting issues with technical partners as required.
- Respond to customer inquiries and state regulatory reporting requests in a professional and timely manner.
Required Qualifications
Education: A bachelor's degree is preferred, although equivalent professional experience will be considered.
Experience: A minimum of 10 years of claims experience is required, with specialized expertise in workers' compensation claims and team leadership.
Technical Skills: Proven leadership capability with hands-on claims knowledge, familiarity with workers' compensation claims systems, and the ability to drive process adoption and regulatory compliance are required.
Preferred Qualifications
- Possession of a current Adjuster's License, or a documented history of holding one.
- Strong knowledge of Tennessee workers' compensation regulations and multi-state claims handling.
- Demonstrated experience in settlement management, litigated claims, and comprehensive reporting processes, including EDI and Medicare reporting.
Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing in Talent Satisfaction in the United States and Great Place to Work in the United Kingdom and Mexico.
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Everforth Apex Benefits Overview: Everforth Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our 'Welcome Packet' as well, which an Everforth Apex team member can provide.
Everforth Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.
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