ESIS ProClaim Senior Manager

7 days ago

Melville, New York, United States Chubb Full time
ESIS ProClaim is seeking an experienced Senior Claims Manager. In this role you will lead a team of professional healthcare liability claims adjusters.

Key Objective


Under the direction of the AVP and VP of Claims the Claims Team Leader will work with their direct reports in all aspects of third-party claim management.

The Claims Team Leader will assist, guide, enable and develop the team in the assignment of new claims, coverage, investigates facts of third-party claims, secure evidence, assesses, addresses subrogation/recovery/tenders, apportions liability and settles claims at the best outcome within established claim best practices guidelines and client instructions.


Duties include but are not limited to:

  • Supervise a claims team of professionals.
  • Assign new claims with direction to the claims professional addressing: policy information to determine coverage, conducts a thorough investigation and may determine the extent of the policy's obligation to the insured depending on the line of business.
  • Maintain diary system to ensure each file is reviewed at a minimum of every 90 days.
  • Provides coaching and feeback to their direct reports.
  • Develops, works and shares performance and productivity goals.
  • Reviews, analyzes and shares performance results, productivity and audit/quality review results.
  • Provides direction to claims professionals to be able to effectively work with defense counsel and litigation working collaboratively, as directed by the client.
  • Works with assigned claims professionals to insure detailed 90-day Claim Summary Reports are prepared and provide updates to the client on investigation, potential settlement opportunities, claim denials, reservation of rights, third party tenders and recommendations to present at claims review meetings.
  • Posts loss and expense reserves in Claims system within authority limits and recommends reserve changes above authority to AVP and/or VP of Claims.
  • Reviews progress and status of claims with claims leadership and discusses issues/opportunities/task and remedial actions.
  • Prepares and submits to claims leadership all unusual or potentially undesirable exposures such as allegations of bad faith or unfair claim practice allegations.
  • Assists Claims Leadership in formulating improvements in claims handling procedures.
  • Assist and works with Partnership Leaders on delivering results, attend meetings and claim reviews.
  • Reviews and confirms claims professionals have secured the appropriate releases, proofs of loss or compensation agreements and issues company drafts in payments for claims.
  • Maintains claims with the appropriate file notes, reports, photos, and documentation within the claim.
  • Follows all company and regulatory compliance requirements.
  • Updates claim timely with Medicare data and addresses Medicare reporting & interest.
  • Meets or exceeds performance goals.

  • ESIS ProClaim Specialist

    7 days ago

    Melville, New York, United States CHUBB Full time

    ESIS ProClaim is currently looking for an experienced Claims Specialist to join their team. As a Claims Specialist, you will be responsible for managing general liability claims and other lines of business.What You Will Do:Determine coverage, conduct thorough investigations, and assess the extent of the policy's obligation to the insured.Maintain a diary...

  • Senior Engineering Manager

    7 days ago

    Melville, New York, United States Sterling Engineering Full time

    Job DescriptionTitle: Senior Engineering Manager - Capital Projects Location: Farmingdale, New York (Long Island) Hire Type: Direct Hire, Onsite Overview: Sterling has helped build careers for thousands for professionals like yourself. Our expert recruiters support you at every step in the process and as a Best of Staffing company, Sterling provides exciting...

  • Senior Accountant

    7 days ago

    Melville, New York, United States Creative Financial Staffing Full time

    Senior Accountant - Hybrid Role CFS New York is working with a Professional payment solutions company who are looking to add a Senior Accountant to join their teamThey are located in Melville operating on a hybrid basis. About the Company working as a Senior Accountant Operating for almost 20 years securing financial autonomy and providing legal portfolio...

  • Home Health Aide

    7 days ago

    Melville, New York, United States Brandywine Senior Living Full time

    Home Health Aide (HHA)- NYDo you want to be part of a TEAM that changes lives?"Brandywine is a family and we succeed together. I can trust the people I work with and we areall involved in each other's growth and development. Also, we have fun My advice to a new care manager 't be afraid to fall in love with your residents."- Brandywine Living Care Manager...

  • Senior Lender

    7 days ago

    Melville, New York, United States Flagstar Bank Full time

    The Senior Lender - VP Assist the managers of the Financial Center and Private Client Groups in the development of personal and business loans. JOB DUTIES: Meets with prospects and clients of Private Client Groups and interviews applicants to request specified information for loan applications. Monitors credit quality of loan portfolios as well as...

  • Senior Technical Accountant(SEC)

    1 week ago

    Melville, New York, United States Lhh Full time

    Job Summary: We are seeking a highly skilled and experienced Senior Accountant specializing in SEC reporting to join our team. The ideal candidate will possess in-depth knowledge of SEC regulations and accounting standards, combined with strong analytical skills and attention to detail. As a Senior Technical Accountant, you will play a critical role in...

  • Senior Director of Finance

    3 weeks ago

    Melville, New York, United States COMTECH TELECOMMUNICATIONS Full time

    COMTECH TELECOMMUNICATIONS Job Title: Senior Director of FinanceDepartment: Finance Reports To: VP of Global Finance FLSA Status: Exempt Last Modified: 5/13/2024 Salary: 240, ,000 Company Overview Comtech Telecommunications Corp. is a leading global technology company providing terrestrial and wireless network solutions, next-generation 9-1-1 emergency...

  • Senior Director of Finance

    4 weeks ago

    Melville, New York, United States COMTECH TELECOMMUNICATIONS Full time

    COMTECH TELECOMMUNICATIONS Job Title: Senior Director of FinanceDepartment: Finance Reports To: VP of Global Finance FLSA Status: Exempt Last Modified: 5/13/2024 Salary: 240, ,000 Company Overview Comtech Telecommunications Corp. is a leading global technology company providing terrestrial and wireless network solutions, next-generation 9-1-1 emergency...

  • Senior Lead Underwriter

    7 days ago

    Melville, New York, United States AmTrust Financial Full time

    Senior Lead UnderwriterJob LocationsUS-United StatesRequisition ID CategoryUnderwritingPosition TypeRegular Full-TimeOverviewUnique opportunity to be a key part of building a profitable Media and Entertainment Liability insurance book of business within ANV Global Services.ANV Global Services ), part of AmTrust Group ) underwrites as a Global MGU with...

  • Senior Tax Associate

    7 days ago

    Melville, New York, United States Andersen Tax Full time

    The FirmUnlock the Boundless Horizons of Tax, Valuation, and Business Expertise with AndersenAt Andersen, we don't just offer a career; we provide a thrilling expedition into the world of Tax, Valuation, and Business Advisory. We stand as a trailblazing force with the most extensive global presence among professional services organizations. You'll embark on...

  • Senior Manager, Product Services

    7 days ago

    Melville, New York, United States Northwell Health Full time

    Job DescriptionManages, plans, and organizes the staff and activities of the department. Partners with internal stakeholders, vendors, and the leadership to align and develop technology solutions. Oversees the development and implementation of cost-effective systems and solutions to meet strategic, operational and organizational needs. Acts as project...

  • Senior IT&S Project Manager

    7 days ago

    Melville, New York, United States Northwell Health Full time

    Job Description Directs, plans and coordinates project activities to ensure goals and objectives of multiple and large projects are accomplished within prescribed time-frames and funding parameters. Manages all aspects of assigned projects including managing activities of various teams. Establishes timelines and ensures project deadlines are met. Maintains...

  • Revenue Accounting Manager

    7 days ago

    Melville, New York, United States LHH Recruitment Solutions Full time

    Job DescriptionJob Description****Must Live in the Tri-State area***Job Summary:We are seeking a highly skilled and experienced Revenue Accounting Manager to join our finance team. The Revenue Accounting Manager will be responsible for overseeing all aspects of revenue recognition, ensuring compliance with accounting standards, and managing revenue...

  • Senior Property Accounting Controller

    7 days ago

    Melville, New York, United States CBRE Full time

    Senior Property Accounting Controller Job ID 151949 Posted 25-Jan-2024 Service line Advisory Segment Role type Full-time Areas of Interest Accounting/Finance Location(s) Melville - New York - United States of America Are you ready to start an exciting career with CBRE? About The Role: We are looking for a Senior Property Controllerfor CBRE Investment...

  • Compensation Manager

    1 week ago

    Melville, New York, United States Executive Alliance Full time

    Our client is a 500 person, multi-disciplined Professional Engineering Firm. Excellent, growing organization with outstanding employee retention. They are seeking a Compensation Manager to lead the administration of the companys compensation strategy. This includes maintaining and managing the career framework. Will lead the overall management of the...

  • Associate Account Manager

    7 days ago

    Melville, New York, United States EPIC Brokers Full time

    Location: Remote, Eastern Time Zone HoursOverview:Assist Senior Account Managers on a daily basis on renewal activities, proposals, endorsements and other duties as requested, to work closely with our Senior Account Managers in Large Commercial to support our largest commercial clientsResponsibilities:Complete and format renewal proposals, inputting quotes,...

  • Associate Account Manager

    7 days ago

    Melville, New York, United States EPIC Brokers Full time

    Location:Remote, Eastern Time Zone Hours.Overview:Assist Senior Account Managers on a daily basis on renewal activities, proposals, endorsements and other duties as requested, to work closely with our Senior Account Managers in Large Commercial to support our largest commercial clients.Responsibilities: Complete and format renewal proposals, inputting...

  • Associate Account Manager

    7 days ago

    Melville, New York, United States EPIC Brokers Full time

    Location: Remote, Eastern Time Zone Hours. Overview: Assist Senior Account Managers on a daily basis on renewal activities, proposals, endorsements and other duties as requested, to work closely with our Senior Account Managers in Large Commercial to support our largest commercial clients. Responsibilities: Complete and format renewal proposals, inputting...

  • Senior Tax Associate – Private Client Services

    7 days ago

    Melville, New York, United States Andersen Full time

    Unlock the Boundless Horizons of Tax, Valuation, and Business Expertise with Andersen At Andersen, we don't just offer a career; we provide a thrilling expedition into the world of Tax, Valuation, and Business Advisory. We stand as a trailblazing force with the most extensive global presence among professional services organizations. You'll embark on a...

  • Senior Director, Digital Product Strategy

    7 days ago

    Melville, New York, United States Catholic Health Full time

    Catholic Health is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island.At Catholic Health, our primary focus is the way we treat and serve our communities. We work...