General Liability Manager

About the role

Store Support Center – We are searching for an experienced General Liability Manager for our Store Support Center located at 600 Citadel Drive, Commerce, CA, 90040. The primary role of the Claims Manager, General Liability is to manage and support the company’s claims management programs and processes, including management of the work of the third‑party claims’ administrators and related claims consultants.

Responsibilities

• Investigating, evaluating, reserving, negotiating and resolving assigned General Liability Bodily Injury, Property Damage and Subrogation claims.
• Providing quality claim handling throughout the claim life cycle (customer contacts, coverage/CRT, investigation, evaluation, reserving, litigation management, negotiation, resolution and subrogation) including maintaining full compliance with internal and external quality standards and state specific regulations.
• Providing consulting and training resources and serving as a contact and technical resource to the field and business partners.
• Providing quality customer service and ensuring file quality and timely liability analysis.
• Directly investigating each claim through prompt and strategically‑appropriate contact with appropriate parties such as store employees, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential.
• Interviewing witnesses and stakeholders; taking necessary statements, as strategically appropriate.
• Actively engaging in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as nurse consultants, social media checks, SIU investigators, medical canvas and other experts.
• Verifying the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damage documentation.
• Maintaining claim files and documenting claim file activities in accordance with established procedures.
• Utilizing diary management system to ensure that all claims are handled timely.
• Establishing and maintaining proper indemnity and expense reserves.
• Recommending appropriate cases for discussion at roundtable.
• Attending and/or presenting at roundtables/authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense.
• Actively and enthusiastically sharing experience and knowledge of creative resolution techniques to improve the claim results of others.
• Applying the Company's claim quality management protocols and Best Practices to all claims; documenting the rationale for any departure from applicable protocols with or without assistance.
• Developing and employing creative resolution strategies.
• Being responsible for prompt and proper disposition of all claims within delegated authority.
• Negotiating disposition of claims with claimants.
• Recognizing and implementing alternate means of resolution.
• Managing and overseeing in‑house/attorney represented and litigated claims.
• Developing litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers.
• Applying litigation management through the selection of counsel, evaluation and direction of claim and litigation strategy.
• Tracking and controlling legal expenses to assure cost‑effective resolution.
• Attending depositions, mediations, arbitrations, pre‑trials, trials and all other legal proceedings, as needed.
• Representing the company as a technical resource, attending legal proceedings as needed, acting within established professional guidelines as well as applicable state laws.
• Actively providing mentoring and coaching to less experienced staff to increase the technical expertise and improve bench strength.
• Sharing accountability with business partners to achieve and sustain quality results.
• Evaluating all claims for recovery potential; directly handling recovery efforts and/or engaging and directing company resources for recovery efforts.
• Being responsible for oversight and management of all claims management processes – settlement of claims, claims reporting, claims activity management, claim investigation and resolution.
• Interfacing regularly with third party claims administrators and insurance carriers’ claim teams to ensure that the claims management processes operate efficiently and effectively.
• Working with the third‑party administrator to ensure that they maintain compliance with all required claims handling instructions, regulations, and laws.
• Providing relevant internal and external reporting of claims data to operating, financial and executive management.
• Supporting internal budgeting and accounting processes related to claims to ensure that the company’s claims related expense payments and balance sheet accruals are timely and accurate.
• Providing support to the actuarial claims’ valuation process on an ad hoc basis to support explanations about changes in claims values.
• Leveraging data analytics to facilitate optimal outcomes.
• Performing other duties as assigned.

Qualifications

• Bachelor's degree (B.A.) from a four‑year college/university or equivalent combination of education and experience and minimum of five years related experience and/or training.
• Experience should include work in a high‑volume claims environment or working for a third‑party administrator or insurance carrier claim department.
• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
• Ability to clearly write reports, business correspondence, and procedure manuals.
• Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the public.
• Spanish speaker required.

Pay

The salary range for this position is $80,000.00 to $130,000.00. The actual starting pay will be determined by a number of qualifications; including, experience and relevant skills.