Liability Claims Manager

Tristar Insurance • Philadelphia, PA

4d • $115,000 - $145,000 • Onsite

About The Position

Under minimal supervision, manages and directs the activities of a claims unit to ensure high-quality claim handling, client service excellence, and compliance with applicable state laws, regulations, and company policies and procedures.

Requirements

• High School Diploma or GED required.
• Five (5) to ten (10) years of progressively responsible claims management or claims handling experience.
• Equivalent combinations of education and experience may be considered.
• Strong technical knowledge of liability claims handling, statutory regulations, and medical terminology.
• Ability to effectively manage multiple priorities, work within a diary system, and meet strict deadlines.
• Strong analytical, problem-solving, and decision-making skills.
• Proficiency in Microsoft Office applications, including Word, Excel, Outlook, and Teams.
• Excellent written and verbal communication skills, including the ability to communicate complex claim matters to clients, claimants, vendors, and staff.
• Demonstrated leadership and employee development skills with the ability to manage individuals with varying levels of experience and expertise.
• Strong interpersonal and relationship-building skills.
• Excellent customer service and client management skills.
• Ability to maintain confidentiality and exercise sound judgment in sensitive situations.

Nice To Haves

• Bachelor’s degree in business administration, Risk Management, Insurance, or a related field preferred.

Responsibilities

• Directly supervises Claims Examiners and Claims Assistants, including monitoring attendance, performance, coaching, performance evaluations, and disciplinary matters.
• Reviews and addresses scheduled claim activities, including initial reviews, periodic reviews, delays, denials, and other claim-related issues.
• Reviews and approves reserve changes, settlements, awards, and payments within authority limits.
• Conducts file reviews to ensure compliance with company policies, client requirements, and applicable laws and regulations.
• Coordinates, conducts, and documents training sessions related to legislative changes, company procedures, and best practices.
• Conducts and documents internal and external educational sessions.
• Ensures appropriate staffing levels are maintained to support workload demands and service expectations.
• Supervises and approves daily check runs and payment registers.
• Responds to claimant, client, and vendor concerns and resolves issues as appropriate.
• Monitors vendor performance and effectiveness to ensure service quality and compliance.
• Ensures client service instructions and account-specific requirements are consistently followed.
• Provides operational coverage for examiner vacancies resulting from vacations, leaves of absence, or open positions.
• Prepares, reviews, and evaluates monthly client reports and management information.
• Facilitates internal, external, and client audits.
• Partners with Corporate Operations, Sales, and Client Services teams in support of RFPs, implementations, and client service initiatives.
• Participates in client claim reviews and stewardship meetings.
• Provides account management support for accounts that do not have an assigned Account Manager.
• Monitors branch expenses and approves invoices and related expenditures in accordance with company guidelines.
• Performs other duties as assigned.

Benefits

• Medical, Dental & Vision insurance
• Life & Discount Insurance
• 401(k) plan
• Paid time off
• Paid holidays
• Referral Bonus

What This Job Offers

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