Casualty Claims Manager

MSIG Holdings•Warren, NJ

1d•$150,000 - $170,000•Hybrid

About The Position

MSIG USA continues to grow! Company Overview: MSIG USA is the US-based subsidiary of MS&AD Insurance Group Holdings, Inc. , one of the world’s top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business’s unique risks. Summary/Job Purpose: Provide oversight and technical advisement for casualty claims. Oversees the bundled auto physical damage TPA business including technical claim oversight. Responsible for the direct oversight of coverage issues to ensure timely recognition and referral in full compliance with MSMM Coverage Guidelines . Ensures compliance with all MSMM claim handling procedures, guidelines and manuals and other special unit procedures, as developed. Provides timely claim handling and service, timely compliance with case reserve practices, Fair Claim Practices Acts, and other compliance policies as adopted by MSMM.

Requirements

Bachelor's degree (B. A.) from four-year college or university
10+ years related claims experience including 5+ years at a management / supervisory level
Advanced claim technical training
Proven leadership ability at the field management level
Excellent verbal and written communication skills
Effective interpersonal skills and superior problem solving and decision making skills

Responsibilities

Review and assign all new loss notices to ensure the timely assignment of new claims to the appropriate claims staff.
Manage and direct activities of claim representatives to ensure full compliance with MSMM Claim Handling Guidelines and jurisdictional requirements.
Manage open claim files, including completion of supervisory diary to ensure adequacy of investigation, case reserving, evaluation, and reporting.
Manage expenses in accordance with claims handling procedures.
Ensure Home Office Claim Staff is timely informed of all new and continuing developments on claims being reportable under published guidelines.
Monitor and maintain required licensing and certification/designation as stipulated by respective state agencies.
Provide technical and managerial oversight to the assigned staff by encouraging the timely, professional and appropriate handling of all reported claims in accordance with applicable contract provisions, legal regulations and guidelines, and company claim handling policies and procedures.
Ensure compliance of Laserfiche file documentation and claim system documentation as required by company claim manuals and procedures.
Conduct and register formal quality assurance audits for all assigned staff in the appropriate audit database to track compliance with MSMM Claims Handling and Regulatory requirements.
Complete documented reviews of all open liability claims every 30-45 days to ensure timely and appropriate disposition of all reported claims.
Participate in the preparation and approval of agreed litigation plans.
Direct and monitor litigated matters to determine future course of handling and appropriate methods of resolution.
Participate in Home Office audits and/ monthly claim reviews to ensure compliance to Company Claim Handling Guidelines.
Direct, guide and develop staff, including providing ongoing performance feedback and coaching to maximize individual contributions to achieve desired business results within the department and company.
Communicate to assigned claims staff information regarding policy, plans, trends, results and objectives of the company and industry to ensure a proactive approach towards full participation and compliance with internal and industry standards.
Develop, implement and monitor claim staff training to ensure compliance with continuing education requirements as well as established business and career development goals.
Services the claim needs of our customers including insureds, claimants, brokers, etc., in accordance with company policy and procedures, and attends client visitations with underwriters and other parties to conduct presentations and reviews.
Maintains ongoing communication with all customers throughout the claims process in an effort to provide timely and appropriate claim status as appropriate and/or required by statutory regulations.
Organize and/or participate in on-site and teleconference claim reviews, client visits, and service presentations as required.
Additional projects as assigned.
Responsible for providing leadership and maintaining an enthusiastic and appropriately trained claims staff ensuring they have appropriate knowledge and skill set while adhering to regulatory requirements and Company Claims Practices, Policies and Procedures.
Directly supervises 6 non-supervisory employees.
Carries out management responsibilities in accordance with the organization's policies and applicable laws.
Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Delegates work assignments; Matches the responsibilities to the staff’s knowledge and expertise; Gives authority to work independently; Sets expectations and monitors delegated activities; Provides appropriate structure for career development and prove recognition for results