3200-Claims Operations - Manager, SIU & Appraisals

Frankenmuth Insurance Company

13d

About The Position

Under limited supervision and with significant independent judgment, the Manager, SIU & Appraisals supervises and coordinates the activities of the special investigation unit and appraisers. The role directs and manages investigation and appraisal claims functions, oversees assigned claims, approves reserves and payments within the applicable authority level, and manages investigations of litigated SIU claims and best-practice and quality reviews. The manager oversees adjusting vendor programs that provide claims services, including direct repair programs, ISO, independent adjusters, and desk audits. The role manages Special Investigation Unit monthly reporting, compliance, the anti-fraud plan, vendor management, and expenses, and oversees department fraud education and new-hire SIU training. It also manages Appraiser monthly reporting, vendor management, and expenses. As a business-unit supervisor, either directly or through subordinate leaders, the manager recommends and communicates goals, directs operations, develops and implements operational plans and procedures, and trains, coaches, and leads staff. The role prepares or reviews performance appraisals, conducts performance review meetings, and may recommend or implement employment actions. It may also contribute to or lead project teams and perform other duties as assigned.

Requirements

Ability to perform each essential duty satisfactorily; reasonable accommodations may be made for individuals with disabilities.
Bachelor’s degree from a four-year college or university; or four to six years of related experience and/or training; or an equivalent combination of education and experience.
Ability to work legally in the United States; visa sponsorship or support is not available, including for a U.S. permanent residency (green card) process.

Responsibilities

Direct and manage investigation and appraisal claims functions.
Oversee the management of assigned claims.
Approve reserves and payments within the applicable authority level.
Manage investigations of litigated SIU claims and best-practice and quality reviews.
Manage assigned adjusting vendor programs that provide claims services, including direct repair programs, ISO, independent adjusters, and desk audits.
Manage SIU monthly reporting, compliance, the anti-fraud plan, vendor management, and expenses.
Oversee department fraud education and new-hire SIU training.
Manage Appraiser monthly reporting, vendor management, and expenses.
Recommend and communicate goals, and direct operations to achieve required results.
Develop, recommend, and implement operational plans and procedures.
Train, coach, and lead staff.
Prepare and/or review performance appraisals and conduct performance review meetings.
May recommend and/or implement employment actions, including hiring, termination, corrective action, promotions, demotions, and salary changes.
May contribute to or lead project teams, coordinating resources to achieve project activities.
Perform other duties as assigned.