Adjudication, Analysis Skills, Best Practices, Business Skills, Claims Management, Claims Processing, Coaching, Communication Skills, Cost Control, Customer Support/Service, Establish Priorities, Industry/Trade Analysis, Insurance Claims, Leadership, Metrics, Microsoft Office, Multitasking, Negotiation Skills, People Management, Performance Management, Presentation/Verbal Skills, Problem Solving Skills, Profit & Loss, Project/Program Management, Staff Development, State Laws and Regulations, Team Lead/Manager, Time Management
SUMMARY:
Manages a claims staff and is accountable for business results through cost effective and timely resolution of claims within an area. Manager works within assigned limits of broad authority requiring a high degree of technical complexity and coordination. Has multiple product line responsibility.
PRIMARY RESPONSIBILITIES:
- Manages the work activities and staff of the functional area and has full management responsibility for the performance and development of subordinate staff.
- Manage team performance by checking claim reports and communicating results.
- Contributes to profitability by effective implementation of claim handling best practices to manage loss cost and claim expenses.
- Ensures claim files are handled in accordance with company guidelines.
- Participates in the development of claims training.
- Makes recommendations on claims policy and procedures and drives claims initiatives.
- Reviews and manages investigations of claims, liability and damages.
- Manages the negotiation of claims settlement packages including setting reserves and authorizing payment or refers claims to appropriate location for adjudication.
- Manages project teams and may be responsible for special projects and presentations.
- Ensures communications with appropriate parties regarding the handling and/or disposition of claims.
- Keeps current on state/territory regulations and issues, industry activity and trends; May participate in industry trade groups.
KEY QUALIFICATIONS:
- Bachelor's degree or equivalent experience
- Professional designations preferred
- Minimum eight years claims experience handling auto and/or general liability claims
- Management experience strongly preferred
- Proven ability to drive results, lead by example and effectively coach and develop claims staff
- Solid ambitious drive to excel in metrics and customer service satisfaction
- Technical expertise, claims resolution skills and knowledge of insurance and claims principles, practices and procedures
- Strong communication, negotiation and presentation skills; Ability to effectively interact with all levels of leadership
- Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects
- Ability to deal with ambiguous situations and issues
- Creativity in resolving unique and challenging business problems
- Ability to achieve business goals and objectives
Knowledge of Microsoft Office Suite and other business-related software
SUMMARY:
Manages a claims staff and is accountable for business results through cost effective and timely resolution of claims within an area. Manager works within assigned limits of broad authority requiring a high degree of technical complexity and coordination. Has multiple product line responsibility.
PRIMARY RESPONSIBILITIES:
- Manages the work activities and staff of the functional area and has full management responsibility for the performance and development of subordinate staff.
- Manage team performance by checking claim reports and communicating results.
- Contributes to profitability by effective implementation of claim handling best practices to manage loss cost and claim expenses.
- Ensures claim files are handled in accordance with company guidelines.
- Participates in the development of claims training.
- Makes recommendations on claims policy and procedures and drives claims initiatives.
- Reviews and manages investigations of claims, liability and damages.
- Manages the negotiation of claims settlement packages including setting reserves and authorizing payment or refers claims to appropriate location for adjudication.
- Manages project teams and may be responsible for special projects and presentations.
- Ensures communications with appropriate parties regarding the handling and/or disposition of claims.
- Keeps current on state/territory regulations and issues, industry activity and trends; May participate in industry trade groups.
KEY QUALIFICATIONS:
- Bachelor's degree or equivalent experience
- Professional designations preferred
- Minimum eight years claims experience handling auto and/or general liability claims
- Management experience strongly preferred
- Proven ability to drive results, lead by example and effectively coach and develop claims staff
- Solid ambitious drive to excel in metrics and customer service satisfaction
- Technical expertise, claims resolution skills and knowledge of insurance and claims principles, practices and procedures
- Strong communication, negotiation and presentation skills; Ability to effectively interact with all levels of leadership
- Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects
- Ability to deal with ambiguous situations and issues
- Creativity in resolving unique and challenging business problems
- Ability to achieve business goals and objectives
Knowledge of Microsoft Office Suite and other business-related software