Claims Manager

Claims Department Manager

Oversee all daily functions of the Claims Department. Liaise between Upper Management and Claims Department.

Essential Duties and Responsibilities :

• Strive to provide excellent customer service to our associates, agents, adjusters, attorneys and all who require our assistance.
• Hiring and training of claims department staff.
• Advise CEO / Underwriter / Branch Manager of any potentially large exposures and / or any problems that may arise beyond the normal everyday occurrences.
• Report all E&O exposures to CEO with full details and claim file.
• Review problem files : ie : Insured's disputing denials, complaints filed with the Insurance Department and / or London Complaint Department.
• Recommend and assign attorneys as appointed by London to defend losses or request coverage opinions.
• Keep all parties involved updated.
• Direct claims staff with coverage issues.
• Review daily checks prepared by the claims team.
• Work with accounting to determine availability of funds for weekly claim payments.
• Handle incoming phone calls.
• Review all incoming mail and distribute accordingly for processing.
• Prepare yearly staff performance evaluations and goal setting for claim staff.
• Encourage the claims team to pursue continuing education and recommend training when needed.
• Run monthly Bordereaux reports and work with accounting to tie out payments.
• Perform Peer Reviews for the London contracts.
• Review adjuster performance and keep records of E&O certificates.
• Interview adjusting firms to determine if they are compatible with our needs.
• Review London contracts to be sure we are in compliance with the contracts. Review adjuster panels for each contract.
• Prepare our claim files for annual audits.
• Comply with subpoenas served on Jimcor, document production.

Qualifications / Requirements :

We offer a total compensation package which includes salary (80k-95k) plus a full comprehensive benefits package. Package includes Paid Time Off Days, Paid Holidays, Hybrid Work Schedule, Retirement Plan with Employer Match, 100% Single Employer Paid Medical, Dental, Vision, Life Insurance, Education Assistance, Various Voluntary Benefits, Wellness Program Including Mental Health Support and an Employee Assistance Program (EAP) and More.