Risk Claims Manager

Risk Claims Manager

SALARY RANGE: $85K–95K Salary is based on education and years of experience.

Essential Job Duties

• Personally investigate and manage the company's claims.
• Work with insurance companies to set claim reserves.
• Identify claims that require escalation to the insurance company during intake and gather all relevant information needed for claim resolution.
• Directly manage property damage, auto damage, and workers' compensation claims; handle serious losses, retain and direct defense counsel, and attend mediations and depositions as needed.
• Provide excellent customer service when speaking with insureds/claimants by phone.
• Prepare statistical reports of claims activity and submit reports/findings as requested; lead claim file reviews as requested.
• Ensure the company takes appropriate measures to minimize claim losses and comply with government regulations.
• Create a positive and productive work atmosphere by communicating and behaving professionally and collaboratively with all employees.

Minimum Requirements

• At least seven (7) years of extensive claims experience in a senior-level, individual-contributor claims role.
• Extensive knowledge of liability claims administration, including litigation avoidance.
• A thorough understanding of complex medical treatments, treatment outcomes, tort, venue, and jurisdictional matters, along with highly developed investigative and analytical skills.
• Demonstrated success exercising independent decision-making, problem-solving, and effective negotiation skills.
• Ability to collaborate effectively with cross-functional teams.
• Excellent verbal and written communication, presentation, interpersonal, and analytical skills.
• Proficiency with word processing and spreadsheet software; Microsoft Windows, Word, and Excel preferred.
• Knowledge of statistical process control desirable.