Under general direction, supervises the investigation, management, and timely disposition of Liability claims within account, carrier and/or company guidelines, and assists the VP and/or Assistant VP of Claims in managing the Service Center.
Supervises the investigation, management, and timely disposition of Liability claims.
Assists the VP and/or Assistant VP of Claims in managing the Service Center.
Establishes and communicates performance standards and objectives.
Conducts performance appraisals and administers corrective action for performance deficiencies.
Recommends/approves salary adjustments, promotions, transfers, and dismissals.
Administers all company human resource policies and procedures.
Counsels team members on educational and job opportunities.
Keeps staff informed of current trends, changes, or new developments in the department and company.
Reviews, analyzes, and assigns losses to the appropriate claim examiner.
Ensures workloads are balanced and in line with defined staffing models.
Makes recommendations to improve productivity and ensure timely closures.
Reviews files daily to provide instruction for further requirements needed.
Assists with reserve recommendations and approvals.
Coaches personnel on investigations, damage/medical evaluations, and settlement techniques.
Ensures staff adheres to compliance standards and protocols for large loss reporting guidelines.
Attends and prepares staff for claim reviews with clients, carriers, and brokers.
Keeps VP/Assistant VP of Claims informed of activities and problems.
Performs other related work as required or requested.
Works within the Risk Tech Claim System and all ancillary systems.
Organizes workflows of the Risk Tech Claim System to provide maximum productivity.
May assist in the training of new and existing staff in the operation and use of the Risk Tech claim system.
Bachelor's degree or equivalent experience required.
Five or more years of progressive experience as a Claim Examiner or equivalent.
Demonstrating the technical expertise to handle the most complex cases.
Previous supervisory experience desirable.
Excellent verbal and written communication skills.
Analytical ability.
Good mathematical aptitude.
Good organizational and interpersonal skills.
Ability to effectively manage, supervise, and develop employees.
Thorough knowledge of services being delivered by branch office.
In-depth knowledge of insurance coverages, practices, and negotiating skills.
Familiarity with legal, medical, and technical disciplines.
Industry designations preferred but not required (IIA, AIC, AEI, and/or CPCU).
Where applicable, has passed state licensing requirements for line(s) of insurance handled.