Large Loss Bodily Injury Manager

  • National General Insurance
  • Farmers Branch, TX, United States

Job Description

Primary Purpose:

Serve as the manager of the Large Loss Unit and as the Casualty Process Lead. Responsible for the appropriate resolution of the Claim Department's highest exposure and complex claims with primary focus on the maximizing of internal resources to attain quality and good faith claims handling in a cost effective manner. Work closely with the operational leadership, audit and training managers to assure the existence and execution of high quality casualty process and standards. Responsible for embedding a strategy focused on proactive handling and prompt conclusion with the appropriate identification, methods, analysis and resolution of bodily injury claims.

Essential Duties and Responsibilities:

Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.

  • Directly manage Large Loss Supervisors and serve as the primary source of direction for unit on claims policies and procedures
  • Provide guidance, mentoring, and counseling on policy and coverage interpretation and serve as subject matter expert for Claims, Operations, Product and Pricing, and other departments
  • Ensure that claims are handled consistent with state legal and regulatory requirements and the company's Claims Handling Guidelines and Litigation Management Guidelines
  • Design best practices for bodily injury claims handling
  • Collaborate with appropriate team members to document best practice in the Claims Handling Guidelines, which will be the repository of standardized file handling procedures throughout the department
  • Lead process development, experimentation, and deployment of national processes designed to improve overall casualty outcomes, specifically related to medical and injury
  • Confirm that the current metrics that are being utilized to manage and monitor bodily injury claims handling are appropriate
  • Measure and analyze metrics on an ongoing basis; where positive trends are identified, leverage those to develop department best practices, and where negative trends are identified, works with the operational leadership, auditing and training managers to identify reasons and implement corrective action
  • Ensure the accurate and complete utilization of the liability and injury evaluation software and serve as the subject matter expert for these tools
  • Work with all subject matter experts, partners and national experts to best understand trends and dynamics to best drive performance
  • Work with product organization in identifying state and national casualty trends to get ahead of the workload and other impacts product growth can have on a claims organization
  • Sometime lead or otherwise collaborate with the training department on module creation and rollout

Minimum Skills and Competencies:

The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Bachelor Degree or in-lieu of degree equivalent education, training and work-related experience
  • 10+ years of related work experience in a personal lines property and casualty insurance company
  • 5 years of experience managing bodily injury/large loss/litigation claims
  • Demonstrate expert knowledge of claims policies and procedures for resolving said claims
  • Proven success in bodily injury claims handling, specifically in the areas of damage evaluation, workflow, and trends
  • Demonstrate ability to develop efficient, customer-centric processes, leveraging headcount
  • Demonstrate understanding of global company knowledge and impact of decisions
  • Primary responsibility for monitoring and controlling allocated/unallocated expenses and payment severity
  • Proven success in the following competencies: analysis and reporting, business planning and management, customer focus, influence management, problem solving and decision making, information and technology proficiency, emotional intelligence, leadership, and technical industry expertise
  • High degree of initiative, mature judgment, and discretion
  • Ability to resolve conflicts and empathize with others
  • Ability to and comfort with negotiating
  • Self-motivated and able to work with minimal supervision
  • Ability to represent the department and contribute to the strategy of executing the company objectives
  • Must possess effective verbal and written communication skills
  • Organization, customer service and time management skills are critical for this position
  • Solid understanding of insurance concepts
  • Ability to find answers to more complex issues and is source of direction/assistance for other members of the Claims Department
  • Solid understanding of insurance industry and organizational relationships of the company
  • Understanding of the functions of other departments
  • Comfort and skill with public speaking and presentation

Desired Skills:

  • Obtain and maintain appropriate licensing, educational and/or examination requirements (Adjuster License, MBA)
  • Successful completion of one or more professional designations: CPCU, AIC
  • Basic knowledge in Microsoft Office (Word, Excel, Outlook, PowerPoint)
  • Bilingual/ Multilingual


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