Assistant Vice President - Claims

Crawford•New Orleans, LA

About The Position

The Assistant Vice President of Claims manages the Service Center and satellite branch locations, ensuring high-quality service to clients through prompt claim investigations, timely resolutions, and effective staff and workflow organization. The role is accountable for claim quality, customer service, technical claim results, and branch office administration. It also supports corporate objectives, develops staff and managers, maintains compliance with company and client standards, and helps advance corporate revenue objectives.

Requirements

Twelve or more years of progressive technical claim experience, including supervisory and/or management experience.
Demonstrated sound judgment and discretion, with the ability to provide guidance and support on administrative and technical claim matters.
Demonstrated ability to successfully manage the work of others.
Effective and diplomatic oral and written communication skills.
Ability to promote a favorable company image to the public.

Nice To Haves

College degree or education equivalent to a college degree; industry-related work experience may also qualify.
Industry designation such as AIC, ARM, or CPCU.

Responsibilities

Manage and monitor new and pending claim volume to maintain appropriate staffing levels.
Monitor operations, productivity, staffing, and resource utilization; recommend changes to methods, procedures, organizational structure, or personnel as needed.
Prepare and submit an annual budget, establish expense controls, and review and approve expenses within budget limits.
Establish Service Center objectives that support corporate objectives.
Guide claim supervisors to support proper investigations and timely, equitable claim dispositions.
Approve reserve recommendations, establish reserves, recommend action on reserves exceeding authority, and review open files for reserve adequacy.
Periodically analyze claim files for accuracy, completeness, and quality of work.
Administer and communicate policies and procedures and ensure compliance with them.
Ensure staff follow Best Practices, SOPs, and carrier- and client-specific standards and objectives; oversee communication of performance standards and objectives.
Oversee performance appraisals and ensure performance reviews follow corporate guidelines; review results and develop plans to address areas for improvement.
Select, train, and develop an effective and efficient department; recommend or approve salary adjustments, promotions, transfers, and dismissals.
Develop managers and supervisors through coaching and feedback on planning, organizing, leading, and controlling.
Keep senior claim management informed about activities and problems, and refer matters beyond the role's authority or expertise for direction.
Keep the department informed about current problems, changes, and developments through periodic meetings.
Provide quality service to clients and carriers and ensure claim personnel understand client handling instructions and carrier requirements.
Ensure compliance with security procedures for client, carrier, and company funds and property.
Participate in sales presentations and meetings with current accounts in support of corporate revenue objectives.
Investigate local conditions that may affect claim handling and inform senior claim management.
Develop a thorough understanding of claim adjudication systems and organize workflow for maximum productivity.
Perform other related duties as required or requested.
Uphold the Crawford Code of Conduct.