Claims Manager manages the operations of an insurance claims department to meet operational, financial, and service requirements. Oversees the intake and processing of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Being a Claims Manager manages appraisal and examination staff and processes. Assures timely and proper disposition of claims based on policy provisions. Additionally, Claims Manager recommends and implements best practices to ensure complete and thorough claim settlements, legal reviews, and investigations following company policies and insurance industry regulations. Determines the value of settlements for escalated claims. Manages negotiations of settlements and administration of claims in litigation. Typically requires a bachelor's degree. Typically reports to a director. The Claims Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Claims Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)
Description
Position Summary:
Looking for a detail-oriented, proactive individual with a passion for assisting clients and ensuring their peace of mind during challenging times. In this role, you will play a pivotal part in facilitating the claims process, providing exemplary service to our clients, and acting as a liaison between our agency, our clients, and our insurance carriers.
As a Claims Analyst, your responsibilities will include:
Promptly reporting loss information to the appropriate insurance company upon receipt.
Delivering courteous, same-day service to clients, advising them on loss settlement processes.
Vigilantly following up with insurance companies to ensure timely and accurate loss settlements.
Responding to customer inquiries within 24 hours, addressing their questions about loss statuses.
Adhering to established systems, procedures, and insurance company regulations.
Generating regular claim reports for management as needed.
Monitoring reserves and closing amounts with carriers on a regular basis.
Notifying relevant parties of severe losses or reserves exceeding $25,000.
Managing the maintenance of loss history, including recording payments and claim closures.
Coordinating activities between clients and claims adjusters as necessary.
Cultivating relationships with claims managers and supervisors from represented carriers.
Ensuring timely forwarding of legal notices to appropriate company personnel.
Extending courtesy and assistance to third parties reporting claims.
Documenting all significant conversations related to exposures and coverages.
Performing additional duties as assigned by management.
Requirements
To succeed in this role, you should possess:
Self-starter mentality with excellent verbal and written communication skills.
A comprehensive understanding of insurance coverages and claims procedures.
Proficiency in using personal computers, including Microsoft Word and Excel.
College education or equivalent insurance experience recommended.
California Claims knowledge or experience (preferred)
Workers' compensation knowledge is a plus.
Physical Demands and Work Environment:
Fast-paced, multi-tasking environment.
Extended periods of sitting at a desk and working on a computer.
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