3200-Claims Operations - Manager, SIU & Appraisals

Summary: Under limited supervision and with significant independent judgment, supervises and coordinates the activities of the special investigation unit and the appraisers by performing the following duties:

Essential Duties and Responsibilities:

• Directs and manages the investigation and appraisal claims functions including:

• Oversees the management of all claims as assigned by function

• Approves reserves and payments within authority level

• Manages investigations of a litigated SIU claim and best practice/quality review

• Manage adjusting vendor programs that provide claims services as assigned, such as direct repair programs, ISO, independent adjusters, and desk audit.

• Manages Special Investigation Unit monthly reporting, compliance, anti-fraud plan, vendor management and expenses. Also oversees the following:

• Department Fraud Education

• New Hire SIU training

• Manages Appraiser monthly reporting, vendor management and expenses.

• Functions as a Supervisor of a business unit, either directly or through subordinate leaders, including but not limited to:

• Recommends and communicates goals. Directs operations to ensure the achievement of required results

• Develops, recommends, and implements operational plans and procedures

• Trains, coaches, and leads staff

• Prepares and/or reviews performance appraisals. Conducts performance review meetings

• May recommend and/or implement employment actions, including employment/termination, corrective action, promotions/demotions, salary changes, etc.

• May serve as a contributing member of project team(s), or leader of project team(s), coordinating resources to ensure achievement of project activities

• Performs other duties as assigned

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience: Level 5: Bachelor's degree (B.A.) from four-year college or university; or four to six years related experience and/or training; or equivalent combination of education and experience.

A minimum requirement for this position is the ability to work legally in the United States. No visa sponsorship/support is available for this position, including for any type of U.S. permanent residency (green card) process.