Regional Claims Manager jobs in Middlesex, NJ

Regional 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 Regional Claims Manager manages appraisal and examination staff and processes. Assures timely and proper disposition of claims based on policy provisions. Additionally, Regional 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 top management. The Regional Claims Manager typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Regional Claims Manager typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)

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Claims Program Manager
  • Crum & Forster
  • EATONTOWN, NJ FULL_TIME
  • Crum & Forster Company Overview

    Crum & Forster (C&F)  with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A" (Excellent) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry.

     

    Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the October 2022 Great Place to Work® Award for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion.

     

    C&F is part of Fairfax Financial Holdings, a global, billion dollar organization.  For more information about Crum & Forster, please visit our website: www.cfins.com.

    Job Description

    Since 2000, Crum & Forster’s Accident & Health division (A&H) has offered a diverse portfolio of specialty insurance and reinsurance products nationwide. We place a strong focus on product development and creative distribution methods, along with excellent client service and support.

     

    In addition to our robust domestic portfolio, which spans both special risk and medical solutions, A&H works on an international basis through various partnerships. Our global capabilities provide our partners with even broader flexibility in underwriting solutions.

     

    The qualities and capabilities of Crum & Forster Accident & Health demonstrate our philosophy of building meaningful, long-term partnerships and our dedication to providing alternative strategies in an ever-changing insurance market.

     

    The Operations department of the Crum & Forster Accident & Health segment is looking for a multi-talented individual to join the Operations team. This Program Manager will work as part of the claims team to proactively manage a team of Specialists assigned to manage a portfolio of claim clients (Third Party Administrators and Managing General Underwriters) while performing oversight and enhancing the client relationship by identifying and resolving process issues in all phases of the client’s and company’s operations.  This individual will interact internally with Underwriting, Actuarial, Compliance, IT, and externally with the divisions business partners.

     

    The position is based in Eatontown, NJ or fully remote.

     

     

    What you will do for C&F:

     

     

    Relationship Management:

    • Act as an Audit Coordinator, by scheduling, coordinating & monitoring annual audits
    • Be the first-level review of all required reports drafted by Program Management Team members
    • Have oversight of Program Team member functions including:
      • Assist in the creation of a relationship-based culture through a broad set of activities which include managing a diverse portfolio of products and administrators on an ongoing basis
      • Serve as a “next-step” liaison to administrative, operations, and underwriting areas of the company, on an ongoing basis
      • Utilize sensitivity tactics to address relevant issues with distressed customers in a  professional manner, on an ongoing basis
      • Participate in team member’s meetings with clients and address all open issues no less often than monthly
      • Address technical issues and coordinate with IT team to seek resolutions as needed
      • Assign or assist with the Program Management Team’s onboarding of new clients as needed
      • Establish long term customer relationships through prompt and courteous service

    Risk Management

    • Assist in Due Diligence of new program administration business, which includes onsite reviews and assessment, while providing Management an operational assessment of prospective partners
    • Assist in annual reviews of administrators to ensure compliance with company requirements, while identifying gaps in process and/or areas for potential improvement at both the administrator and company level
    • Monitor claims activity to identify any outliers, no less often than quarterly
    • Identify processing, system and/or operational issues within client or company operations in order to ensure claims are paid consistent with policy terms

    Reporting/Trend Analysis

    • Prepare monthly reporting packages, including but not limited to, inventory reporting, first level (TPA customer service & turnaround) statistics, and referral analysis (turnaround times, volume breakdowns) for review by AVP and Senior Level Management
    • On a monthly basis, provide an analysis of all claims related litigation/regulatory inquiries to identify all trends and exposure
    • On no less than a quarterly basis, provide an analysis of all claims referrals logs to identify trends and recommendations for authority level adjustments as necessary

    Legal/Regulatory

    • Refer to and assist as necessary, all small claims litigation to the Legal team
    • Review all attorney correspondences and coordinate responses with administrator 
    • Assist Compliance in reviews of claims-related regulatory inquiries

    Best Practices/Process Documentation

    • Draft initial documents for internal Claims Best Practices including:
      • Standards – both C&F and regulatory
      • Procedures
      • Workflow
    • Review and update above practices, on no less than a quarterly basis
    • Oversee the Program Management Teams review of TPA Best Practices, to ensure all Claims administrators are informed of and in adherence to applicable state unfair claims practices laws

    Training & Development

    • Continue development of product knowledge on the Program Management Team
    • Assist in the development of Program Management Team to think bigger picture and outside the “claims audit box”
    • Utilize actual situations (i.e. distressed administrators) as an educational and development tool for Program Management Team members
    • Other duties as assigned

     

     

    What you will bring to C&F:

     

    • Bachelor’s Degree from an accredited university/institution
    • 8 years’ experience of relevant Medical Stop Loss or Medical Excess experience
    • Strong PC skills including Excel, Word, Outlook, Power Point
    • Experience in specialty products such as Employer Stop Loss, Travel, Short Term Medical, Medical Travel, Workers Compensation and/or Occupational Accident is preferred
    • Ability to establish a good rapport with all customers
    • Demonstration of a high level of service delivery and ability to do what is necessary to ensure customer satisfaction, while handling service failures and prioritizing customer needs
    • Ability to analyze relevant aspects of a situation before reaching a conclusion, with no hesitation to take action when required
    • Ability to explore, develop and implement new methods and processes, which increase efficiency and effectiveness, in order to attain achievement of both individual and organizational goals
    • Strong attention to detail with a focus on accuracy when completing all projects
    • Ability to provide a sustained effort and dedication to getting the job done well, while working continuously to produce superior work, regardless of obstacles or setbacks
    • A display of personal concern, interest, pride and accountability in all areas of responsibility
    • Ability to effectively handle multiple tasks in a fast paced environment
    • Ability to work both independently and in a team environment
    • Strong organization and time management skills with exceptional attention to detail
    • Ability to clearly present information through the spoken or written word, as well as read and interpret complex information with moderate supervision

     

     

    Crum & Forster is committed to ensuring a workplace free from discriminatory pay disparities and complying with applicable pay equity laws. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. The annualized base pay for the advertised position, located in the specified area, ranges from a minimum of $87,000.00 to a maximum of $145,000.00. The actual compensation is determined by various factors, including but not limited to the market pay for the jobs at each level, the responsibilities and skills required for each job, and the employee’s contribution (performance) in that role. To be considered within market range, a salary is at or above the minimum of the range. You may also have the opportunity to participate in discretionary equity (stock) based compensation and/or performance-based variable pay programs.

     

    #LI-AV1

    #LI-Remote

    What C&F will bring to you

    Competitive compensation package

    Generous 401K employer match

    Employee Stock Purchase plan with employer matching

    Generous Paid Time Off

    Excellent benefits that go beyond health, dental & vision. Our programs are focused on your whole family’s wellness, including your physical, mental and financial wellbeing

    A core C&F tenet is owning your career development, so we provide a wealth of ways for you to keep learning, including tuition reimbursement, industry-related certifications and professional training to keep you progressing on your chosen path

    A dynamic, ambitious, fun and exciting work environment

    We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community.

     

     

    At C&F you will BELONG

     

    We value inclusivity and diversity. We are committed to equal employment opportunity and welcome everyone regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you require special accommodation, please let us know.

  • 1 Month Ago

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Regional Property Manager
  • Shamco Management
  • Edison, NJ FULL_TIME
  • Shamco Management is a Multifamily Real Estate Management Company, with over 2600 apartments, seeks a Property Manager to join our team. The Property Manager will be responsible for ensuring the effic...
  • 9 Days Ago

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Hospice Regional Clinical Manager
  • Ascend Hospice & Palliative Care NJ
  • Cranford, NJ FULL_TIME
  • Great new Career Opportunity in Hospice! Now Hiring – Regional Manager The Regional Manager is responsible, as the leader/manager of all regional Staff including the regional Interdisciplinary Teams (...
  • Just Posted

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Regional Dietary Manager
  • Epic Healthcare
  • Plainfield, NJ FULL_TIME
  • Epic Healthcare - Because a placement with us is EPIC!!! NOW HIRING: Regional Dietary Manager We are looking for a Dietary Manager with management experience and excellent organizational skills. The D...
  • 12 Days Ago

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Regional Housekeeping Manager
  • Edgewood Properties
  • South Plainfield, NJ FULL_TIME
  • Overview Since its founding in 1992, Edgewood Properties has established itself as a leading real estate development and property management company. With corporate headquarters in New Jersey, the com...
  • 13 Days Ago

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Manager HR - Regional
  • GEODIS
  • Edison, NJ FULL_TIME
  • Manager HR - Regional The Manager HR – Regional acts as a strategic business partner to operations leadership and is responsible for leading and executing on programs relating to all phases of human r...
  • 15 Days Ago

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0 Regional Claims Manager jobs found in Middlesex, NJ area

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Lower Middle Market Underwriter
  • Chubb
  • Plainfield, NJ
  • Job Description The Lower Middle Market New Business Production Underwriter position is a high-impact role that is 100% ...
  • 3/18/2024 12:00:00 AM

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Claims Adjuster - Auto Damage
  • Progressive Insurance
  • Rutherford, NJ
  • Join Forbes' 2023 Best Employer for Diversity! As an auto damage claims adjuster, you'll serve as Progressive's point of...
  • 3/18/2024 12:00:00 AM

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Regulatory Compliance Manager
  • The Judge Group
  • Trenton, NJ
  • Our client is currently seeking a Regulatory Compliance Manager for their operations in the Philadelphia, PA metro area....
  • 3/18/2024 12:00:00 AM

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Associate Actuary/Analyst Commercial Lines (Morristown or Remote)
  • Crum & Forster
  • Morristown, NJ
  • Crum & Forster Company Overview: Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and stand...
  • 3/17/2024 12:00:00 AM

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Claims Analyst lll, General Liability
  • AIG
  • Parsippany, NJ
  • Who we are American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of...
  • 3/17/2024 12:00:00 AM

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MULTI-LINE ADJUSTER - NEW JERSEY
  • Property Claim Professionals
  • Trenton, NJ
  • A dynamic organization supplying quality claims outsource solutions to insurance carriers, countrywide is seeking multi-...
  • 3/17/2024 12:00:00 AM

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Claims Specialist - Cyber
  • AXA XL
  • New York, NY
  • Claims Specialist Atlanta, Georgia; Chicago, Illinois; Los Angeles, California; New York, New York Our Claims team sets ...
  • 3/17/2024 12:00:00 AM

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Claims Adjuster - Auto Damage
  • Progressive Insurance
  • New Brunswick, NJ
  • Join Forbes' 2023 Best Employer for Diversity! As an auto damage claims adjuster, you'll serve as Progressive's point of...
  • 3/15/2024 12:00:00 AM

Middlesex is a borough in Middlesex County, New Jersey, United States. As of the 2010 United States Census, the borough's population was 13,635 reflecting a decline of 82 (-0.6%) from the 13,717 counted in the 2000 Census, which had in turn increased by 662 (+5.1%) from the 13,055 counted in the 1990 Census. Middlesex was incorporated as a borough by an act of the New Jersey Legislature on April 9, 1913, from portions of Piscataway Township, based on the results of a referendum held on May 6, 1913.[21] The borough's name derives from Middlesex, England.[22][23] According to the United States C...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Regional Claims Manager jobs
$179,283 to $251,074
Middlesex, New Jersey area prices
were up 1.5% from a year ago

Regional Claims Manager in Tucson, AZ
As a Regional Contract Claims Manager, located in our Broomfield, CO office, you will have responsibility for claims management within your assigned region.
December 13, 2019
Regional Claims Manager in Las Cruces, NM
Paul Martin of Colorado seek an unspecified amount of damages against defendants Shelly Reams, former administrator of the Wyoming Aeronautics Commission; members of the Cheyenne Regional Airport Board; Dave Haring, manager of the Cheyenne airport; and Great Lakes Aviation.
February 18, 2020
Regional Claims Manager in Passaic, NJ
Aligning performance of regional teams, to support delivery of the wider Third-Party Claims Targets & Objectives.
January 16, 2020