CLAIMS MANAGER

Primary Responsibilities

• Oversee the entire claims process, including the review, analysis, and resolution of claims across multiple areas of coverage.
• Supervise and provide guidance to claims analysts, coordinators, and other team members, fostering professional growth and maintaining high performance standards.
• Develop and implement strategies to enhance claims management efficiency and accuracy.
• Collaborate with internal personnel, external personnel, and legal teams to resolve disputes and manage escalated claims.
• Ensure compliance with local, state, and federal laws, as well as industry regulations and agency policies.
• Monitor claims data and generate reports to provide insights for management and drive informed decision-making.
• Lead initiatives to identify and mitigate fraud or errors within the claims process.
• Establish and maintain strong relationships with claimants, insurers, and a variety of assorted.
• Stay updated on industry trends and regulatory changes to proactively adapt claims practices and policies.

Minimum Qualifications

• Bachelor’s degree in business administration, insurance, finance, risk management, or a related field.
• Minimum of 8 years of experience in claims coordination, claims management, customer service, or related fields.
• Proven track record of successfully supervising teams and managing complex claims processes.
• Experience in specialized claims areas (e.g., healthcare, property and casualty, or workers’ compensation) may be required.
• Professional certifications such as Certified Claims Professional (CCP), Chartered Property Casualty Underwriter (CPCU), Associate in Claims (AIC), or equivalent may be required.