Senior Claims Manager

Elevate Human Capital, LLC • Houston, TX, United States • $200k - $250k / year • 3h ago

EHC is currently looking for a Senior Claims Manager for a client in the south Houston, TX area.

Job Overview:

The Claims Manager is responsible for the oversight of all claim processing and management activities for the corporate Risk Management Department. This position directs the Property, Casualty, and Workers Compensation insurance programs while providing guidance and support to ensure timely, accurate, and efficient claim processing.

Essential Duties and Responsibilities:

Oversee disputes and related claims, including but not limited to auto, general liability, workers compensation
Develop and implement corporate claims, insurance and risk policies, programs and services; ensures efficient and effective use of resources; manage process and performance to obtain optimal outcomes involving claim
Manage and ensure claims are reported in timely manner to applicable insurance carriers, and delegate or prepare claim documentation and report claim directly to applicable insurance carriers as applicable
Engage with Operations, Safety, and Legal teams to ensure initial investigation is conducted and documented via written report; determine and immediately assign third-party incident investigator as necessary
Participate in crisis response team activities; provide guidance on steps to strategically manage crisis and claim processes
Create and control files for all claims records and documentation
Manage payments to relevant party/parties, per standard operating procedures for each claim type
Analyze loss data for claim settlement and reserves and make recommendations to senior leadership; ensure claim loss reserve performance and practices are accurate, consistent and timely
Prepare periodic reports, such as loss or benchmark reports, as directed using data management systems
Manage the legal strategy and documents produced for litigation and mediation statements for assigned claims
Attend trials, mediations, and arbitrations for assigned claims, as required
Participate in and advise on safety, environmental, operations, and/or legal meetings
Deliver timely performance feedback to senior leadership and execute and/or contribute to performance appraisals during annual performance cycle
Promote and ensure service excellence internally and through vendor relationships
Responsible for vendor relationships, including vendor performance management
Management of risk exposures, insurance submissions and reviews
Other duties and responsibilities as required

Qualifications:

BA/BS/BBA preferred (degree in Risk Management & Insurance, Finance, Actuarial Science, or related field a plus)
Minimum 10 years of professional insurance claims experience, and in-depth expertise in claims, insurance, coverage, and industry practices
Experience and comprehension of auto, general liability, workers compensation, and employment practices liability claims processes, including most probable outcomes based on facts and jurisdiction
Subject matter expert in insurance policies, and claims documents and practices
Familiar with state and local insurance and claims regulations
Relevant negotiation and influencing skills; process and critical thinking skills with sound judgement decision-making
Analytical and adept at processing and breaking down data into actionable information
Self-starter with project management skills and capable of managing concurrent complex projects and tasks successfully to completion
Interpersonal and team building skills with ability to work across organizational levels, both internal and external
Professional written and verbal communication, and effective presentation skills
Proficient in computer skills, Microsoft suite of applications, MS Outlook, and insurance-based risk management information systems
Demonstrated ability leading to obtain high quality outcomes with tight time frames and cost-effective use of resources
Demonstrates integrity and strives for excellence in work
Knowledge of transportation and facilities operations and practices