General Summary: Responsible for the supervision, training and development of Claims Department staff, relaying and supporting senior management objectives, ensuring that best practices and the claims processing guidelines are followed on a continual and comprehensive basis, providing financial monitoring/management, and evaluating and improving departmental processes.
Essential Duties & Responsibilities:
- Must display leadership through individual actions and collaboration with other senior claim staff, modeling cooperative and appropriate behavior for staff through action.
- Ensure that claims technical and administrative aspects of claims handling, including case summaries, diary maintenance, reserve adequacy, trial management and other necessary duties are completed timely and professionally.
- Use company provided tools and systems such as diary, notes, and SAP reports.
- Ensure that staff is focused on data integrity and accuracy in maintaining all aspects of claims handling.
- Provide opportunities for growth and feedback for high performing as well as staff in need of guidance.
- Identify/utilize high-potential staff in departmental projects.
- Develop training action plans to address any deficiencies identified during file audits.
- Continually evaluate the claim process and assist in developing process strategy with a goal of improving process efficiency.
- Maintain regular and prompt communication with all external and internal business partners.
- Review required management reports for accuracy, grammar, and relevant information.
- Assist senior management with claims payment forecast and provide monthly highlights to senior claims management.
- Maintain individual diary of noteworthy files within their team and hold regular strategy round tables with claims management and/or counsel.
- Maintain appropriate open/close ratio.
- Other duties as assigned.
Education & Qualifications:
- 4-year college degree required; attorney preferred.
- Technical competency and leadership necessary for supervisory position; 3+ years of supervisory experience preferred.
- Compelling mix of professional achievement, prior leadership experience and professional credentials.
- Strong interpersonal skills, sound judgement, overall understanding of all aspects of insurance including, coverage, liability and damage analysis, reinsurance, and claims file management.
- Ability to effectively communicate with others in a professional manner.
- Must demonstrate ability to maintain an effective working relationship with all external and internal business partners.
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