Claims Manager
About The Position
The Claims Manager will oversee all daily functions of the Claims Department and liaise between Upper Management and the Claims Department. This role requires strong knowledge of standard property and casualty insurance statutes, regulations, and practices, as well as casualty/liability claims adjusting, including analyzing and coordinating the disposition of claims. The manager will also be responsible for hiring and training claims department staff, advising senior management on potential exposures and problems, and reviewing problem files such as insureds disputing denials or complaints filed with the Insurance Department. Additionally, the role involves recommending and assigning attorneys, keeping all parties updated, directing claims staff on coverage issues, reviewing daily checks, and working with accounting on claim payments and fund availability. The Claims Manager will also handle incoming phone calls, review and distribute mail, prepare yearly staff performance evaluations and goal setting, encourage continuing education for the claims team, run monthly Bordereaux reports, perform peer reviews for London contracts, review adjuster performance and E&O certificates, interview adjusting firms, review London contracts for compliance, prepare claim files for audits, and comply with subpoenas.
Requirements
- Strong knowledge of standard property and casualty insurance statutes, regulations and practices
- Casualty/liability claims adjusting including analyzing and coordinating disposition of claims
- Good supervisory practices
- Good analytical skills for interpreting laws and regulations as a basis for decision-making
Responsibilities
- Oversee all daily functions of the Claims Department
- Liaise between Upper Management and Claims Department
- Strive to provide excellent customer service to our associates, agents, adjusters, attorneys and all who require our assistance
- Hiring and Training of claims department staff
- Advise CEO/Underwriter/Branch Manager of any potentially large exposures and/or any problems that may arise beyond the normal everyday occurrences
- Report all E&O exposures to CEO with full details and claim file
- Review problem files: ie: Insured’s disputing denials, complaints filed with the Insurance Department and/or London Complaint Department
- Recommend and assign attorneys as appointed by London to defend losses or request coverage opinions
- Keep all parties involved updated
- Direct claims staff with coverage issues
- Review daily checks prepared by the claims team
- Work with accounting to determine availability of funds for weekly claim payments
- Handle incoming phone calls
- Review all incoming mail and distribute accordingly for processing
- Prepare yearly staff performance evaluations and goal setting for claim staff
- Encourage the claims team to pursue continuing education and recommend training when needed
- Run monthly Bordereaux reports and work with accounting to tie out payments
- Perform Peer Reviews for the London contracts
- Review adjuster performance and keep records of E&O certificates
- Interview adjusting firms to determine if they are compatible with our needs
- Review London contracts to be sure we are in compliance with the contracts
- Review adjuster panels for each contract
- Prepare our claim files for annual audits
- Comply with Subpoenas served on Jimcor, document production
Benefits
- Paid Time Off Days
- Paid Holidays
- Hybrid Work Schedule
- Retirement Plan with Employer Match
- 100% Single Employer Paid Medical
- Dental
- Vision
- Life Insurance
- Education Assistance
- Various Voluntary Benefits
- Wellness Program Including Mental Health Support
- Employee Assistance Program (EAP)
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
