AVP Claims Manager

Core Specialty Insurance Services•Cincinnati, OH

2d•Hybrid

About The Position

- Direct oversight and handling of Security Guard Services Claims. A ddress all claim issues by gathering information necessary to make informed and responsible decisions to bring claims to appropriate resolution. Key Accountabilities/Deliverables: Ensure compliance with established claim handling guidelines regarding coverage, investigation, liability, damages, evaluation and resolution. Establish reserves pursuant to established reserving protocols and reserve authority procedures Responsible for coaching, developing and motivating direct reports. Responsibilities include but are not limited to: recruitment and selection; employee appraisals and proactively addressing employee grievance and performance issues. It is important that these duties are carried out in accordance with Company policies and practices and in conjunction with HR Act as claims contact for reinsurance placements Adhere to the StarStone Panel Counsel Program and Litigation Guidelines Provide claims underwriting support Comply with Team and Individual Service Levels and Key Performance Indicator (“KPI”) metrics set by Claims Operations Manager Undertaking general office administrative duties as and when required Proactively expanding and maintaining awareness of market, industry Responsible for coaching, developing and motivating direct reports. Responsibilities include but are not limited to: recruitment and selection; employee appraisals and proactively addressing employee grievance and performance issues. It is important that these duties are carried out in accordance with Company policies and practices and in conjunction with HR. In addition to the above key responsibilities, you may be required to undertake other duties from time to time as the Company may reasonably require Technical Knowledge and Understanding: Possess a comprehensive understanding and knowledge of state and federal laws (including legislation) applicable to Casualty claims. Possesses an in-depth understanding of the policy language/coverage applicable to Primary Casualty Business Group. Computer skills – good working knowledge of MS Office, Excel Previously utilized an electronic claim system

Requirements

College degree or equivalent work experience
A minimum of 5 years’ experience in the legal or Insurance profession dealing specifically with civil litigation involving Casualty Claims including General Liability, or the technical claims analysis, and resolution of primary and excess claims.
Applicants must be authorized to work for any employer in the U.S.
Possess a comprehensive understanding and knowledge of state and federal laws (including legislation) applicable to Casualty claims.
Possesses an in-depth understanding of the policy language/coverage applicable to Primary Casualty Business Group.
Computer skills – good working knowledge of MS Office, Excel
Previously utilized an electronic claim system

Responsibilities

Direct oversight and handling of Security Guard Services Claims
Address all claim issues by gathering information necessary to make informed and responsible decisions to bring claims to appropriate resolution
Ensure compliance with established claim handling guidelines regarding coverage, investigation, liability, damages, evaluation and resolution
Establish reserves pursuant to established reserving protocols and reserve authority procedures
Responsible for coaching, developing and motivating direct reports
Act as claims contact for reinsurance placements
Adhere to the StarStone Panel Counsel Program and Litigation Guidelines
Provide claims underwriting support
Comply with Team and Individual Service Levels and Key Performance Indicator (“KPI”) metrics set by Claims Operations Manager
Undertaking general office administrative duties as and when required
Proactively expanding and maintaining awareness of market, industry