Claims Manager I

Olympus Insurance Company • Jacksonville, FL

19d • Onsite

About The Position

The Claims Manager I will administer claims for homeowner’s property losses or damages in accordance with Florida Statutes and issued insurance policies and company guidelines.  This position will also maintain authority for reserves and payment of losses.  This position will supervise adjusters and additional staff within the claims department as assigned.

The responsibilities of this position will include oversight and direction in the intake, contact, investigation, evaluation and resolving of property claims encompassing all levels of complexity, including litigated claims within the company's contractual and legal obligations, while ensuring timely service to customers.

Requirements

• Bachelor’s degree and/or equivalent work experience.
• 5 plus years of experience adjusting Florida first-party, third-party and litigated property claims, including 3-5 years of Florida property claim management experience.
• Florida 620 All Lines Adjuster License required.
• 2 plus years of leadership experience
• Computer skills to include Microsoft Office Suites
• Proficiency with Xactimate and XactAnalysis
• Thorough knowledge of claims
• Administrative skills
• Excellent communication and interpersonal skills.
• Ability to obtain, organize and explain information.
• Ability to interpret insurance coverage, procedures, and policies.
• Strong analytical skills
• Leadership and management skills

Nice To Haves

• Insurance designation preferred but not required.

Responsibilities

• Reviews detail of property claims under policies for first-party, third-party, and litigated losses to determine coverage and applicable policy limits and exclusions. Identifies and resolves coverage issues, as soon as possible.
• Reviews and assigns claims to the appropriate adjuster and/or defense counsel, if applicable, determined by the details of the claim as reported during claim intake or reassignment.
• Directs and manages claims adjuster activities.
• Reviews adjuster reports for accuracy and determines details of loss and coverage.
• Directs and manages claims adjusters to appropriately utilize virtual technologies to investigate, document and resolve losses.
• Reviews estimated costs of repair, replacement, or compensation. Sets reserves in accordance with standard guidelines.  Compares loss to policy coverage and refers claims to the Director or Assistant Vice President if loss exceeds managers authority levels.
• Requests additional authority level from the Director or Assistant Vice President on a per file basis as required to fairly settle the claim if over the managers authority.
• Interfaces with carrier, claims adjusters, defense counsel, or covered parties. Communicates with agents regarding status of claim.
• Prepares for resolution of claim. Calculates settlement or payment and communicates with claims adjuster and customer. Authorizes payment or settlement of claims within provided guidelines or seeks authority from the Director or Assistant Vice President. Reviews reservation of rights letters, explanations, denial letters, or partial denial letters, as applicable.
• Resolves disputes regarding claims resolution. May reopen and re-evaluate claim, if necessary.
• Monitors performance, reviews open and closed claims to ensure that claims have been properly handled and moved towards resolution in a timely manner.
• Provides training to and development of claims adjusters.
• Acts as an expert resource to others in the claims department regarding coverage issues, reserves, exposure, settlement value, and strategy.
• Conducts performance reviews and administers disciplinary measures, when required.
• Submits monthly management reports and prepares special reports when requested.
• Participates in special projects or tasks as required.
• Responds to inquiries from various state or consumer-advocate entities.
• Responds to inquiries from various other departments with reaction to claim handling, processing, and coverage issues.
• Assists in the conducting of audits of vendors, primary/independent adjusters.
• Advise claim’s team on tasks related to the management of claims and monitor performance.
• Directs and controls the establishment of appropriate claim reserves to ensure that future claim costs are accurately assessed, and the company can determine its financial position.
• Provide information and support to claims leadership in the implementation of activities to reach department goals.
• Work with quality assurance personnel and assist as needed.
• Attendance and possible travel for business management meetings, and support of other business initiatives.
• Must be able and willing to work additional hours as part of the catastrophe response.

Benefits

• Employer-sponsored medical, dental, and vision plans
• Company-paid life insurance, short-term disability, and long-term disability
• 401(k) with company match
• Paid Time Off to include annual PTO, Holidays, Floating Holidays, and Volunteer Time Off
• Education Assistance Program and ongoing professional development opportunities
• Wellness Lunch N Learns
• Employee perks such as pet insurance, discount programs, and a welcoming office environment

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 11-50 employees