Employment
Claims Manager – Job Description
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• Screening & distribution of incoming mail.
• Instruct and direct staff regarding proper claims handling and processing.
• Authorize all high value and investigative authority requests above the claims representative authority level.
• Conduct scheduled and periodic file reviews to ensure compliance with company standards.
• Attend to claims queries which escalate to management level or are in need of management intervention.
• Recognize and communicate all state and regulatory issues to staff members.
• Train and monitor team member’s performance and provide leadership to the team.
• Develop and manage a panel of service providers necessary for efficient claims handling.
• Liaise with service providers and monitor service levels.
• Liaise with brokers / clients.
• Liaise with staff and internal departments and monitor service levels.
• Loss ratio monitoring.
• Claims reporting on a monthly basis.
• Excellent organizational, time management & personal computer skills.
• Demonstrated decision making & problem solving skills.
• Ability to work under pressure.
• HR assistance to new appointments and interviews.