NO FAULT SUPERVISOR

HEREFORD INSURANCE COMPANY•New York, NY

1d•Onsite

About The Position

The No Fault Supervisor is responsible for the effective and efficient use of departmental resources and available tools in protecting exposures and handling incoming claims in accordance with company protocols, regulatory/statutory requirements, and established quality guidelines. This role involves establishing processes, procedures, and departmental structure to consistently support objectives and goals, employing means to verify compliance, and executing on appropriate delegation of responsibilities. The supervisor will hold direct reports accountable, provide feedback, and implement performance improvement processes. Responsibilities include reviewing and evaluating performance, participating in merit and performance evaluations, communicating vision and objectives, disseminating information, obtaining and maintaining reports and metrics, rewarding desired behaviors, and developing the claims department and individuals. Specific duties include onboarding new hires, identifying and executing training initiatives, assessing performance, managing performance issues, delivering performance reviews, executing departmental initiatives (action plans, project plans, quality, inventory, productivity, customer service, regulatory compliance), implementing efficient workflows, evaluating and changing processes, ensuring clear communication and accountability, conducting monthly one-to-ones and unit meetings, providing reports, participating in strategic planning, involving business partners, delegating responsibility, identifying and using resources, and validating compliance through file reviews. Substantive duties include queue management (Processor, Vendor, Index, TOA), payment review and approvals, assigning payment tasks, coordinating coverage for work volume, reviewing comp transfer tasks, providing coverage notes, monitoring and ensuring proper handling of Proof of Mailing (POM), co-sharing POM signing, coordinating notarization, developing the Fraud Team, reviewing and processing OS counsel fees, translation services, and service of process billing, maintaining and reporting on DJ actions, identifying and transferring fraudulent files, reviewing post commencement DJ matters for settlement, reviewing and signing DJ related affidavits, and reviewing post DJ files with counsel for fraud defenses.

Requirements

Effective and efficient use of departmental resources and available tools.
Handling incoming claims in accordance with company protocols, regulatory/statutory requirements, and established quality guidelines.
Establishing processes, procedures, and departmental structure.
Verifying compliance and consistent execution by direct reports.
Delegating responsibilities and holding direct reports accountable.
Providing feedback and employing performance improvement processes.
Reviewing and evaluating performance.
Participating in performance evaluations.
Communicating vision, objectives, goals, action plans, project plans, responsibilities, and results.
Disseminating information to direct reports and senior management.
Obtaining, running, developing, and maintaining reports and metrics.
Rewarding and recognizing desired behaviors.
Developing the claims department and individuals.
Onboarding new hires.
Identifying training needs and executing training initiatives.
Assessing performance of direct reports.
Identifying and managing performance issues.
Conducting performance reviews.
Developing and executing action plans and project plans.
Executing departmental objectives (quality, inventory, productivity, customer service, regulatory compliance).
Implementing efficient and effective workflows and supporting structures.
Evaluating and changing processes and workflows.
Ensuring effective exchange of information and communication.
Conducting and documenting monthly one-to-ones.
Conducting monthly unit meetings.
Conducting roundtables.
Providing monthly or ad hoc reports.
Participating in monthly one-to-ones with No Fault Claims Manager.
Participating in strategic planning.
Involving and informing business partners.
Delegating responsibility.
Identifying and using available tools and resources.
Identifying the need for additional resources.
Validating compliance through tracking and review of metrics and file reviews.
Completing 2 file reviews per person per month.
ADP management.
Performance Management.
Queue Management (Processor, Vendor, Index, TOA).
Payment review and approvals.
Assigning payment tasks (Lit/Arb).
Coordinating coverage for work volume.
Reviewing comp transfer tasks.
Providing coverage notes and assigning transfers.
Monitoring and ensuring proper handling of POM.
Co-sharing POM signing and coordination of notarization.
Developing the Fraud Team.
Reviewing and processing OS counsel fees, translation services, and service of process billing.
Maintaining and reporting on spreadsheet of assigned DJ actions.
Identifying, assigning, and transferring fraudulent and abusive files.
Reviewing post commencement DJ matters for settlement.
Reviewing and signing DJ related affidavits.
Reviewing post DJ files with staff counsel and outside counsel for fraud defenses.

Responsibilities

Effective and efficient use of departmental resources and available tools in protecting exposures and handling incoming claims in accordance with company protocols, regulatory/statutory requirements, and established quality guidelines.
Establishing processes, procedures, and departmental structure to consistently support objectives and goals.
Employing and executing on appropriate means to verify compliance and consistent and compliant execution by direct reports.
Appropriately delegating responsibilities and holding direct reports accountable for their responsibilities.
Providing proper feedback and, when necessary, employing a fair and consistent performance improvement process.
Reviewing and evaluating performance.
Participating in midyear and year-end employee merit and performance evaluations.
Effective, efficient, consistent, strategic, and clear communication of vision, objectives, goals, action and project plans, responsibilities of direct reports, and results.
Providing performance feedback.
Effective and efficient dissemination of information to direct reports and senior management as necessary to support business operations.
Obtaining, running, developing, and maintaining appropriate reports and metrics in support of stated objectives and goals.
Appropriately rewarding and recognizing desired behaviors.
Executing on the development of the claims department as a team and developing individuals pursuant to a structured plan.
Successful onboarding of new hires.
Providing appropriate reward and recognition of desired behaviors and using reward and recognition to assist and support achieving desired goals.
Identification of training needs and execution on training initiatives.
Accurate assessment of performance of direct reports.
Timely and proper identification of performance issues and timely execution of compliant performance improvement processes including coaching, feedback documentation, and where applicable, the delivery of warnings and participation in termination process.
Delivery of midterm and yearly performance reviews including participation in rating and ranking process.
Execution on departmental initiatives including the development of action plans and project plans to carry out proper execution of initiatives.
Execution on departmental objectives including quality, inventory, productivity, and customer service objectives as well as regulatory compliance requirements.
Implementation of workflows and supporting structure that are efficient and effective to ensure the continuing success of initiatives and objectives.
Evaluation of and appropriate changes to process and workflow to maximize optimal compliant performance.
Identification of and execution on effective exchange of information and communication in a structured, clear, and consistent manner to ensure accountability and optimal performance.
Conducting and documenting monthly one-to-ones with claims professionals documenting strengths, weaknesses, and opportunity areas in performance.
Taking part in conducting monthly unit meetings with documented minutes covering general topics of workflows, trends, and imparting timely information in advance of initiatives and changes.
Conducting roundtables under appropriate circumstances.
Providing requested monthly or ad hoc reports.
Participating in a monthly one-to-one with the No Fault Claims Manager.
Participating in strategic planning to create new initiatives or advance existing initiatives and/or departmental objectives.
Identification of the need to involve and inform business partners of appropriate information and awareness of effects of unit work on upstream and downstream partners.
Appropriate, effective, and efficient delegation of responsibility to support advancing objectives and initiatives and to foster the growth and development of direct reports.
Identification of, as well as proper and creative use of, the available tools and resources necessary for success of objectives, initiatives, and directives.
Where appropriate, the proper identification of the need for additional resources.
Validation of compliance by the tracking and review of appropriate validation metrics and file reviews.
Completion of 2 file reviews per person per month.
ADP management.
Performance Reviews.
Performance Management.
Queue Management: Responsible to monitor and ensure proper handling, productivity, and quality, as well as backup for the Processor Queue, Vendor Queue, Index Queue, and TOA Queue.
Payments: Responsible for payment review and approvals.
Responsible to assign payment tasks which includes Lit/Arb.
Coordinate adequate coverage for work volume.
Workers Comp: Review comp transfer task.
Provide coverage notes and assign transfers accordingly.
Proof of mailing: Monitor and ensure proper handling of POM.
Co-share POM signing & coordination of notarization.
Fraud Team: Executing on the development of the Fraud Team and developing individuals pursuant to a structured plan.
Participating in the strategic planning required in moving the department toward desired results.
Review and processing of OS counsel fees / translation services and service of process billing related to DJ actions.
Maintenance of and reporting on spreadsheet of assigned DJ actions showing assignments and commencements of such actions.
Assist in the identification of and assignment and transfer of fraudulent and abusive files.
Review post commencement DJ matters for settlement where appropriate.
Review and sign DJ related affidavits relating to DJ and default actions.
Review post DJ files with staff counsel and outside counsel for fraud defenses.