Workers' Compensation Claim Manager

2 weeks ago

Portland, Maine, United States The Ladders Full time
MEMIC is seeking an experienced manager to join our team in Maine. This position requires 2x a week in the Portland office.

The Claim Team Manager's primary responsibility is to oversee the specific team business activities while developing and implementing strategies related to the quality and function of the claim operation in an efficient, cost-effective manner. The Claim Team Manager will conduct quality and performance reviews to validate the quality of claim work product, and appropriate claim staff competencies; there is a responsibility of implementation of necessary remediation, performance management and skill development of individual contributors. The Claim Team Manager will be accountable for maintaining reports and records relative to quality and claim file progress that pertain to the claim team and programs, as well as reporting this information in an acceptable format to parties of interest. The Claim Team Manager will work collaboratively with the MEMIC Underwriting and Loss Control departments to support MEMIC's growth plans and servicing needs by interacting with agents, vendor partners, customers, prospect accounts as needed, and state regulators.
  • Develops and implements department standards, programs, processes, and initiatives to assure quality claim files and individual competencies and communicate commensurate results to the team members and other interested parties.
  • Measures, monitors and reports department and team goals and function specific information in standard formats which will indicate patterns, trends, needs and areas of initiative relative to the team and specific individuals within it.
  • Meets with agents, vendors, customers, potential accounts and state regulators to report the unit's ongoing programs and progress.
  • Conducts reviews of individual work product within the team to validate the quality and competencies of individual contributors, implement necessary remediation and performance management, including mutually acceptable personnel development plans at regular intervals, and report the results to parties of interest.
  • Collaborates with Organizational Development & Training to identify skill development needs. Coordinates and implements training and development programs related to the growth and succession plan of the team and the claim department. Acts as a Subject Matter Expect when applicable.
  • Motivates and helps ensure that department, team and individual goals/KPIs are met. Holds team and individuals accountable to results and provides constructive feedback and positive reinforcement when necessary.
  • Possesses a sound working knowledge of the claim system and best practices guide and instructs all team members in their efficient and expert use.
  • Prepares and presents statistical and measurement reports pertaining to the team, in verbal and/or written form, to parties of interest, both internally and externally.
  • Monitors and controls budget and claim expense items within the scope of assignments.
  • Manage remote and hybrid remote teams/individuals effectively by using all the technology available including WebEx, CXP Systems and Activity Reports.
Requirements:
  • Bachelor's Degree preferred.
  • 4+ years of Property & Casualty Workers Compensation claim handling experience required; 6+ years preferred.
  • 2+ years of management/supervisory experience preferred.
  • Demonstrated evidence of leadership skills/competencies required.
  • Effective written and oral communications related to claims discipline required.
  • Must have high degree of working knowledge of all aspects of workers' compensation insurance, laws, and regulations as well as claim handling.
  • Retain an excellent understanding of the scope and application of Worker's Compensation Law, while impacting the means and methods of claim investigation and management to associates.
  • Possess a current compensation adjuster license(s) in state where position resides along with licenses from other relevant jurisdictions, as needed, preferred.
  • Proficient in Microsoft Office.
Our comprehensive benefits package includes all traditional offerings such as:
  • Health Insurance options, Dental Insurance options and Vision Insurance
  • Employee Life Insurance/AD&D and Dependent Life Insurance options
  • Short-term & Long-term Disability
  • Health Savings Account with potential employer match
  • Flexible Medical and Dependent Care Account
  • Accident Insurance
  • Critical Illness Insurance
  • Employee Assistance Program
  • Legal/Identify Theft Insurance options
  • Long Term Care Insurance
  • Pet Insurance
  • 401 (k) Retirement Plan with match up to 5%, plus profit sharing & discretionary contributions (subject to vesting)
  • 5 weeks of Paid Time Off (PTO)
  • 7 paid holidays
We also offer other benefits to help foster a healthy, balance lifestyle such as:
  • Flextime schedules
  • Paid Parental Leave
  • Student loan paydown and refinancing assistance
  • Educational assistance for job related courses, seminars, certifications or degrees
  • One paid day every year to volunteer for your non-profit of choice
  • On-site fitness center (Maine & Virginia) or fitness reimbursement
  • Subsidized parking
  • Sit-Stand desks & daily stretch breaks
MEMIC is committed to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religious creed, national origin, ancestry, age, disability, genetics, gender identity, veteran's status, sexual orientation, or any other characteristic protected by law. MEMIC is an equal opportunity employer encouraging diversity in the workplace.

#IND2022

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