Claims Manager

Risk Strategies

23d

About The Position

The Claims Manager will handle all insurance claim matters presented by clients of Risk Strategies Group and manage the operations/workflows of the Claims Department staff. Your Impact Setup and submit new claims to insurance carrier and place on follow-up activity diary, review and verify coverage, notify Account Executives on any coverage issues and new claim, request claims documentation to substantiate loss, inspect large losses when necessary, advise Account Executives, Producers and Management with status and settlements Review lawsuits submitted by clients prior to filing with carriers. Advocate for client on coverage issues: Reservation of Rights, Disclaimer and Denial Letters Oversee daily activities of Claims Department direct reports. Conduct performance evaluations and provide guidance and training for department personnel. Audit claim department personnel’s claim files to ensure compliance with industry standards and internal workflows set by National Director of Claims. Conduct and/or attend client claim reviews as requested by client. Meet with other team leaders to discuss claim needs, performance and implement changes Assess, analyze and implement changes in procedure/processes within the department in order to better serve the growing clientele and their specific needs Oversee and assist on claim issues within the department; including but not limited to: Denial Rebuttals, Coverage Issues, E/O issues that arise or large claim assistance. Manage department individuals including issues with department personnel, training needs, discipline of employees. Create and cultivate a positive work environment for all employees. Manage department absence schedules keeping in mind no loss in service shall occur. Risk Strategies is the 9th largest privately held U.S. brokerage firm offering comprehensive risk management advice, insurance and reinsurance placement for property & casualty, employee benefits, private client services, as well as consulting services and financial & wealth solutions. With more than 30 specialty practices, Risk Strategies serves commercial companies, nonprofits, public entities, and individuals, and has access to all major insurance markets. Risk Strategies has over 200 offices and more than 5,400 employees as part of the Accession Risk Management Group family of companies. Industry recognition includes being certified a Great Place to Work in 2023 and on the Inc. 5000 list as one of America's fastest growing private companies. Risk Strategies is committed to being good stewards for our company, culture, and communities by having a strong focus on Environmental, Social, and Governance issues. At Risk Strategies Company, base pay is one part of our total compensation package, which also includes a comprehensive suite of benefits, including medical, dental, vision, disability, life, and retirement savings, The total compensation for a position may also include other elements dependent on the position offered. The expected base pay range for this position is between $84,200 - $125,000. The actual base pay offered may vary depending on multiple individualized factors, including geographical location, education, job-related knowledge, skills, and experience. Pay Range: 84,200 - 125000 Annual The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for this role. Risk Strategies is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics. Learn more about working at Risk Strategies by visiting our careers page: www.risk-strategies.com/careers. Personal information submitted by California applicants in response to a job posting is subject to Risk Strategies' California Job Applicant Privacy Notice. Risk Strategies is the 9th largest privately held US brokerage firm offering comprehensive risk management advice, insurance and reinsurance placement for property & casualty, employee benefits, private client services, as well as consulting services and financial & wealth solutions.

Requirements

Valid P&C Brokers license
10+ year of hands on multi-line claims handling experience
Minimum of 3+ years of claims supervisory experience
Advanced knowledge of property/casualty coverage
Demonstrate proficiency in computer applications, esp. Microsoft Office
Client advocacy and negotiation skills
Verbal and written communication skills
Exceptional organization and time-management skills

Responsibilities

Setup and submit new claims to insurance carrier and place on follow-up activity diary
Review and verify coverage
Notify Account Executives on any coverage issues and new claim
Request claims documentation to substantiate loss
Inspect large losses when necessary
Advise Account Executives, Producers and Management with status and settlements
Review lawsuits submitted by clients prior to filing with carriers.
Advocate for client on coverage issues: Reservation of Rights, Disclaimer and Denial Letters
Oversee daily activities of Claims Department direct reports.
Conduct performance evaluations and provide guidance and training for department personnel.
Audit claim department personnel’s claim files to ensure compliance with industry standards and internal workflows set by National Director of Claims.
Conduct and/or attend client claim reviews as requested by client.
Meet with other team leaders to discuss claim needs, performance and implement changes
Assess, analyze and implement changes in procedure/processes within the department in order to better serve the growing clientele and their specific needs
Oversee and assist on claim issues within the department; including but not limited to: Denial Rebuttals, Coverage Issues, E/O issues that arise or large claim assistance.
Manage department individuals including issues with department personnel, training needs, discipline of employees.
Create and cultivate a positive work environment for all employees.
Manage department absence schedules keeping in mind no loss in service shall occur.