Investigations Manager - Claims

CoventBridge Group

1d

About The Position

CoventBridge is seeking an experienced Investigations Manager – Claims. The Investigations Manager is part of the Operations Team and provides supervision and direction of investigative field staff to ensure a highly motivated, quality-focused investigative team to complete investigations of insurance claims filed for a variety of coverage to include worker’s compensation, general liability, property and casualty, disability, life and health care. This position will report directly to the Sr Investigations Manager.

Requirements

• Proficient in Property & Casualty lines of business
• Ability to cultivable and build relationships
• Ability to prioritize, organize, & multi task
• Have excellent communication skills, both written and verbal
• Be analytical and methodical in your approach to problem solving
• Be able to act quickly and decisively
• Proficient in Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, as well as web-hosted services (i.e. GoToMeeting)
• Proficient with AOE/COE and other business lines
• Minimum of 1 year with CoventBridge Group and at least 6 months in your current role
• Recommendation from direct supervisor
• A Bachelor's Degree in Criminal Justice or closely related field with at least three (3) years of insurance claims investigative experience with at least one (1) year focused on non-surveillance field tasked based investigations
• Or any combination of education and experience appropriate to demonstrate the competencies necessary to perform the essential job functions

Responsibilities

• Review all new assignments to include pre-investigative work, client supplied documents and SLAs to ensure all necessary information is present. Contact the client for any clarification and relay expectations to field investigators
• Review and process daily updates to clients
• Conduct quality control reviews of investigative work in assigned area of operation by ensuring client special handling instructions are followed, and case objectives and due dates are met
• Ensure effective production and performance management within team by monitoring workloads
• Communicate effectively with investigative field staff and client regarding progress of assigned cases, and recommendations for further initiatives
• Monitor the progress and quality of the investigation from beginning to end to ensure the service level requirements are met, quality achieved and investigative planning is followed
• Manage challenging caseload with high degree of customer focus
• Approve payroll, expenses and time off for direct reports
• Review and process investigator submitted work product. Focus on quality and compliance with customer expectations
• Evaluate staff performance and work closely with Human Resources to ensure proper handling of employee topics
• Review, act on, and respond to SARs (Service Action Requests) in a timely manner
• Conduct regularly scheduled calls with your staff

Benefits

• Medical, Dental, Vision plans
• Life, LTD and STD paid by the employer
• 401(k) with company match up to 4%
• Paid Time Off and company paid holidays
• Tuition assistance after 1 year of service

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 251-500 employees