Medical Claims Review Manager jobs in Queens Village, NY

Description

Who we're looking for:

We're looking to build the best teams possible with highly motivated and engaged employees. We have an exciting opportunity for a Claims Manager to join The Douglaston Companies. If you are looking to work in a collaborative and supportive environment, but also be challenged in your role, we welcome you to apply!

This role is located in Douglaston,Queens.

Claims Manager will oversee all insurance losses that potentially affect The Companies’ assets & assist with mitigating those exposures that can produce financial loss and minimize the effect on The Companies’ profits working directly with the VP of Risk Management in the undermentioned responsibilities.

Essential duties and responsibilities:

• Manage The Companies’ insurable losses including timely reporting of all occurrences that can lead to claim(s), possess ability to interpret complex coverage issues, assess risk transfer potential & develop info required to successfully address tender issues, maintain electronic loss files, monitoring all losses including reserves through a rigorous diary system, and reporting developments on losses to intercompany stakeholders;
• Oversee all on site claims investigations by traveling to various constructions sites and properties, including, meeting with staff, remediation contractors, insurance adjusters, and reporting findings to intercompany stakeholders;
• Manage various direct relationships with our claims handling service (TPA), carriers, defense counsels, brokers so as to be fluent with their systems, be able to request loss runs & report losses, and be able to hold periodic claim reviews & audits needed to effectuate file closings;
• Prepare, create and run monthly and quarterly loss reports for all coverage lines from multiple sources for various intercompany stakeholders;
• Review and audit outstanding claims, expedite claims processing when applicable (including review of loss runs), and track & control legal expenses to assure cost-effective resolution;
• Coordinate with Human Resources & carriers on employee related claims, including return to work and where occasionally appropriate attend off-site trainings, company depositions, mediations, trials, as needed;
• Maintain various Subcontractor/Consultants/Vendor insurance tracking logs for all projects & properties;
• Proactively help mitigate future claims by assisting VP of Risk Management in vetting various trade, vendor, consultant insurance policies to ensure that any future claims can be properly tendered back to responsible downstream parties;
• Assist VP of Risk Management in preparing all underwriting insurance renewal submissions & appropriately deal with any info considered personal and confidential;
• Monitor & improve Risk Management department intranet site and assist in supervising Insurance & claim administrators, interns, etc; and
• Perform other tasks as assigned.

Qualifications

Qualifications, Skills, and Abilities:

• Minimum of 5 years of related work experience required, preferably in a construction and property management fields;
• Superior time management & organizational skills required with proven track record of prioritizing and managing multiple responsibilities simultaneously under tight deadlines;
• Excellent written & verbal communication skills and detail oriented with strong attention to following set procedures & protocols but remaining flexible to changes, if need be;
• Superior customer service skills and active listening skills;
• Self-starter and team player who can work independently & as part of a larger team; and
• Ability to travel to various project sites and buildings within the 5 boroughs as needed.

What else can you expect from The Douglaston Companies?

• Health:We proudly offer a full suite of health benefits! Thats medical, dental, vision, FSA, HSA, and even pet insurance for your furry family, to name a few. We also provide Life Insurance employer paid (basic with option to purchase more), Enhanced Short-Term Disability and Long-Term Disability coverage!
• Wealth:great pay, 401(k) plan with a very generous employer match and vesting schedule because your retirement is just as important to us as it is to you!
• Development:virtual courses, tuition reimbursement, lunch and learns and wellness programs.
• Balance:paid time off, 8 company holidays, hybrid work schedule with 4 days in the office and 1 remote (subject to your location and role). We offer a fun-fast paced culture thats a perfect mix of high performance.

COVID-19 Vaccination Requirement

In accordance with the NYC commissioner of healths recommendation, The Douglaston Companies strongly encourages COVID-19 vaccinations. Disclosing COVID-19 vaccination status at time of employment or anytime thereafter is voluntary and not required for employment purposes.

Salary Range:

$100,000-$150,000/ yr.

Who we are:

Douglaston Development, Levine Builders, and Clinton Management are a dynamic privately held group of companies with a unique owner-builder-manager advantage, known collectively as The Douglaston Companies.

The Douglaston Companies started with the founding of Levine Builders in 1979 with just two people. Standing by our core values of integrity and ethics for the past four decades the firm has grown to 200 employees. By providing general contracting and construction management services, Levine Builders has built, renovated, and rehabilitated thousands of residential units and millions of square feet of commercial, hotel, office buildings, retail centers, religious, educational, and healthcare facilities.

With the later establishment of Douglaston Development as the driving engine of the organization, the two companies worked in unison to leverage each others expertise to develop and build most complex projects while also growing and thriving in challenging markets.

In 2002, Clinton Management was founded to manage the expanding portfolio of developments created by Douglaston Development and constructed by Levine Builders. Clinton Management oversees a broad portfolio of moderate-income housing, luxury apartments, commercial, and retail properties.

Each affiliate company works together to cohesively acquire property, develop it to its full potential, and manage it efficiently, assuring that each investment achieves and maintains maximum value and profitability while strengthening the community in which the assets are located.

The Douglaston Companies is proud to be an Equal Opportunity Employer. We do not discriminate based upon race, religion, color, gender, gender identity or expression, sexual orientation, genetic information, national origin, ancestry, medical condition, disability, marital status, caregiver status, pregnancy, citizenship, age, military or veteran status, or other applicable legally protected characteristics.