Manager, P & C Claims (Workers Compensation & General Liability)

About the role

Responsible for the management of assigned claims operation(s) to ensure that investigation and adjudication of claims meet established performance standards and objectives. Position may be assigned to multiple lines of business, contracts, and specialty claims operations.

Responsibilities

• Provides management and oversight of claims to ensure performance standards are maintained including investigation and adjudication of claims, file documentation and management, reserving practices, pursuit of recovery and other account specific or contractual requirements.
• Develops and maintains effective working relationships with external business partners to include insureds, agents, self-insured clients, vendors, defense firms, and other business partners for assigned lines of business, contracts or specialty claims operations.
• Responsible for development and maintaining effective working relationships with other operational and support areas.
• Responsible for development of claims staff, vendors, and contractors to ensure quality claims handling and outcomes. May include identification of training needs, implementation of educational programs, process changes, performance management, and audit functions.
• Completes requests for proposal, bids, and due diligence efforts on potential new jurisdictions, contracts, or specialty claims programs. Responsible for effective implementation and management of new business opportunities.
• Aids claims senior management team in achieving both departmental and corporate strategies and goals.

Requirements

• Theoretical knowledge of laws, regulations and contract language.
• Evaluates issues and develops recommendations.
• Handles confidential and sensitive information.
• Investigates assigned claims.
• Proposes claims adjustments and refunds.
• Works claims caseloads.

Qualifications

• Preferred: Prior management experience directly related to position assignment (i.e. WC, Liability, TPA, or specialty operations).
• Preferred: Strong decision-making skills and an ability to work independently with limited direction while leading others.

Skills and Abilities

• Analyzes laws, regulations and contract language.
• Evaluates issues and develops recommendations.
• Handles confidential and sensitive information.
• Investigates assigned claims.
• Proposes claims adjustments and refunds.
• Works claims caseloads.

Benefits

• We offer our employees great benefits and rewards.
• Subsidized health plans, dental and vision coverage.
• 401k retirement savings plan with company match.
• Life Insurance.
• Paid Time Off (PTO).
• On-site cafeterias and fitness centers in major locations.
• Education Assistance.
• Service Recognition.
• National discounts to movies, theaters, zoos, theme parks and more.