MD Claims Manager

Primary Purpose:

Supervise and direct the investigation and disposition of all assigned claims within an autonomous unit. Train, develop, and provide technical guidance to Claims Representatives.

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.

• Supervise, evaluate performance, and recommend salary changes for personnel
• Actively participate in interview and selection of new personnel and assist with other staffing decisions
• Responsible for proper assignments of claims
• Maintain service standards, reporting procedures, statutory compliance, and the efficient operation of assigned area
• Provide continuous training to personnel
• Direct resolution of problems, complaints, and general public relation issues which arise concerning claims service
• Extend coverage, reserve, and settlement authority on losses which exceed individual levels
• Maintain current knowledge of changes in respective area and help develop and implement policies and procedures which impact claims processing
• Assist in monitoring and controlling allocated and unallocated expenses and payment severity
• Assist and or direct special projects and request
• Coordinate internal communication to establish new field offices and manage the daily operations of field offices as needed
• Analyze budget variances and assist leadership with development of annual budget process

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's Degree or in-lieu of degree equivalent education, training and work-related experience
• Obtains and maintain appropriate licensing or educational requirements
• Proficient in Microsoft Office (Word, Excel, Outlook, PowerPoint)
• Ability to interpret research and opinions to establish claims action plans
• High degree of initiative, mature judgment, and discretion
• Must possess effective verbal and written communication skills
• Solid understanding of Insurance Laws and how they relate to claims
• Solid understanding of the Insurance Industry
• Effective leadership skills
• Ability to work independently, remotely and as a self-starter as needed
• Must be customer focused

Desired Skills:

• Capability of consistently handling aggregate file exposures of a least $40,000
• Understanding of global company knowledge, totality of impact decisions, and leadership abilities
• Successful completion of one or more professional designations: CPCU, SCLA, PLSC, CCLS, LPCS, AIC, AIM
• Advanced Educational degree
• Advanced negotiation skills
• Proficient in Insurance Software Programs (i.e. Xactimate, Homeowner Line Insurance programs, other estimating software, etc.)
• Experience in multi-line adjusting

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