Claims Manager - Accident and Sickness

Glatfelter Insurance Group. • Spring Garden Township, PA

9d • Onsite

About The Position

Glatfelter Insurance Group is seeking a Claims Manager for our Accident and Sickness department. This claims management position has primary responsibilities for managing and coordinating all elements of the Accident and Sickness team. The position is responsible for providing day-to-day oversight, direction, and supervision of assigned associates and accountability for strategic planning, budgeting, and coordination with other GIG organizational functions relating to Accident and Sickness programs. This position is required to be onsite at our Leader Heights, York, PA office.

Requirements

• 5+ years of experience in Accident and Sickness insurance claims and prior supervisory experience
• Secondary school diploma or equivalent.
• Effective verbal and written communication skills.
• Efficient time management skills.
• Strong interpersonal and leadership skills.
• Advanced knowledge of insurance policy forms, pertinent coverages, and claims handling processes and procedures.
• Advanced understanding of technical subject matter appropriate to assigned specialty/line(s) of business.
• Quality focus and attention to detail.
• Ability to perform calculations, prepare reports, and maintain files.
• Must be proficient with the use of computer applications (standard Microsoft products), keyboard/typing, and telecommunication tools and technology
• Develop proficiency in the use of GIG/GCM computer systems and applications.
• Develop a comprehensive knowledge and understanding of GCM processes and procedures as well as GIG culture, products, and services within an appropriate period of time.
• Obtain required adjuster licenses within an aggressive timeframe and maintain licensure renewals by obtaining required continuing education credits.
• Complete required training as assigned to enhance knowledge, expand technical understanding, and develop skills.
• Must have completed or complete the IIA Supervisory Management program or equivalent within an aggressive period of time.
• Demonstrate ability to take ownership of assigned tasks and complete tasks timely/accurately.

Nice To Haves

• College degree
• Associate in Claims designation

Responsibilities

• Proactive supervision of assigned staff to ensure compliance with applicable state regulatory requirements, departmental standards, and designated financial authority.
• Upholding and promoting the highest standards of customer satisfaction and service to insureds, agents, regional directors, and other interested parties while fulfilling obligations to protect the insured’s interests and the company’s assets.
• Adhering to and promulgating GCM standards of communication including investigation and handling status and final determinations to insureds and claimants in compliance with regulatory requirements and departmental standards. This includes verbal communications, written correspondence, internal reports, and issuance of formal denial, disclaimer, and reservation of rights letters.
• Representing GIG through continuous countrywide contact with insureds, carriers, agents, claimants, auctions, and vendors, etc. May include field work, trial attendance, mediation, or other travel.
• Maintaining and enforcing standards for claim file integrity to document activity, preserve evidence in an organized fashion, capture accurate claims data, and provide an appropriate basis for all claims handling decisions. May include internal and external technical reporting as needed.
• Facilitating the handling of claims within designated financial authority and escalating claims in excess of designated authority to senior management in a timely fashion and in accordance with departmental processes and standards.
• Other duties may include training, mentoring or other staff development or supervisory support functions.
• Performance of quality assurance processes including QFR and file audit.
• Administration of Associate attendance and compensation system.
• Execution of the performance evaluation process. Includes the delivery of performance feedback and coaching as needed.
• Ongoing development of vendor and technical educational resources.
• Development and implementation of ongoing staff training, development, engagement, teambuilding, and work process enhancement initiatives.
• Supporting assigned Team Leaders in addressing performance, disciplinary, or other personnel related concerns with assigned staff with the assistance of senior management and the human resources department.
• Strategic planning, budgeting, and process development processes.
• All specialized tasks and duties necessary to ensure the prompt and efficient processing of assignments within designated staff’s span of control, line(s) of business and area of specialization.
• Other duties as assigned.

Benefits

• 17 paid holidays (which includes a personal holiday and mental health and wellness day)
• Variety of leaves for personal, health, family, and volunteer needs
• Tuition reimbursement program for eligible associates

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: High school or GED