Claim Team Manager

3 weeks ago

Portland, United States Opportunities at MEMIC Full time

MEMIC is seeking an experienced manager to join our team in Maine. This position requires 2x a week in the Portland office. Relocation options are available.

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.
- 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
- 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 nond

  • Claim Team Manager

    5 days ago

    Portland, United States Opportunities at MEMIC Full time

    MEMIC is seeking an experienced manager to join our team in Maine. This position requires 2x a week in the Portland office. Relocation options are available. 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...

  • Claim Team Manager

    4 days ago

    Portland, United States Opportunities at MEMIC Full time

    MEMIC is seeking an experienced manager to join our team in Maine. This position requires 2x a week in the Portland office. Relocation options are available. 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...

  • Workers' Compensation Claim Manager

    5 days ago

    Portland, United States MEMIC 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,...

  • claims Adjuster

    2 weeks ago

    Portland, United States Sedgwick Full time

    **The 'Apply with SEEK' option will be utilized for International applicants, mainly Australia. If this does not apply to you please use the 'Apply' option.** claims AdjusterIF YOU CARE, THERES A PLACE FOR YOU HERE For a career path that is both challenging and rewarding, join Sedgwicks talented team of 27,000 colleagues around the globe. Sedgwick is a...

  • 1099 Field Property Adjuster

    1 month ago

    Portland, United States RYZE Claim Solutions Full time

    Overview: Field Adjuster I will investigate and evaluate daily property claims for clients pursuant to client and company direction. Provide timely, accurate, fair, and professional service to all clients and insured parties while maintaining a high level of production.Essential Functions:Handles all assigned claims promptly and effectively, with minimal...

  • Claims Supervisor

    2 weeks ago

    Portland, United States Cambia Health Solutions Full time

    Claims Supervisor Remote within WA, OR, UT, ID Onsite/Hybrid can be an option if an office is available in the local area. Primary Job Purpose: This role supports members, providers and various internal departments by mentoring staff, monitoring workflow, maintaining performance measures and ensuring timely and quality claims processing while adhering to...

  • Claims Supervisor

    3 days ago

    Portland, United States Cambia Health Solutions Full time

    Claims Supervisor Remote within WA, OR, UT, ID Onsite/Hybrid can be an option if an office is available in the local area. Primary Job Purpose: This role supports members, providers and various internal departments by mentoring staff, monitoring workflow, maintaining performance measures and ensuring timely and quality claims processing while adhering to...

  • Claims Supervisor

    2 weeks ago

    Portland, United States Cambia Health Solutions, Inc Full time

    Claims Supervisor Remote within WA, OR, UT, IDOnsite/Hybrid can be an option if an office is available in the local area.Primary Job Purpose:This role supports members, providers and various internal departments by mentoring staff, monitoring workflow, maintaining performance measures and ensuring timely and quality claims processing while adhering to State,...

  • Claims Supervisor

    2 weeks ago

    Portland, United States Cambia Health Solutions, Inc Full time

    Claims Supervisor Remote within WA, OR, UT, IDOnsite/Hybrid can be an option if an office is available in the local area.Primary Job Purpose:This role supports members, providers and various internal departments by mentoring staff, monitoring workflow, maintaining performance measures and ensuring timely and quality claims processing while adhering to State,...

  • Claims Assistant

    2 weeks ago

    Portland, United States CorVel Full time

    The Claims Assistant will assist and support the claims staff in the set-up and administration of workers’ compensation claims/case management and other tasks depending on the specific needs of the customers. In-office role in Portland, OR. ESSENTIAL JOB DUTIES & RESPONSIBILITIES:Sets up new claims Process mail, handle files (until paperless), and input...

  • Claims Assistant

    2 weeks ago

    Portland, United States CorVel Corporation Full time

    The Claims Assistant will assist and support the claims staff in the set-up and administration of workers’ compensation claims/case management and other tasks depending on the specific needs of the customers. In-office role in Portland, OR.  ESSENTIAL JOB DUTIES & RESPONSIBILITIES: Sets up new claims Process mail, handle files (until paperless),...

  • Claims Specialist

    4 days ago

    Portland, United States Fora Health Full time

    Job DescriptionJob DescriptionThe mission of Fora Health is to provide treatment, care and advocacy for all who are affected by substance use disorder.  We are committed to providing a wide range of accessible, coordinated and well‑integrated services that benefit the community and support our patients to recover and to maintain recovery from addiction. ...

  • Claims Specialist

    6 hours ago

    Portland, United States Fora Health Full time

    The mission of Fora Health is to provide treatment, care and advocacy for all who are affected by substance use disorder. We are committed to providing a wide range of accessible, coordinated and well-integrated services that benefit the community and support our patients to recover and to maintain recovery from addiction. To maintain an organizational...

  • Associate Claim Specialist

    5 days ago

    Portland, United States MEMIC Full time

    The Mission of The MEMIC Group is to make workers' comp work better with compassion, trusted partnerships, and relentless commitment to workforce safety. The secret to the success and longevity of great organizations is their shared vision and strong values. At MEMIC our values are to be conscientious, to be an expert, to be a partner, to be curious and to...

  • Associate Claim Specialist

    5 days ago

    Portland, United States Opportunities at MEMIC Full time

    The Mission of The MEMIC Group is to make workers' comp work better with compassion, trusted partnerships, and relentless commitment to workforce safety. The secret to the success and longevity of great organizations is their shared vision and strong values. At MEMIC our values are to be conscientious, to be an expert, to be a partner, to be curious and to...

  • Medical Only Claims Specialist

    2 weeks ago

    Portland, United States CorVel Enterprise Comp, Inc. Full time

    Job Description Job Description The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of claims department and of CorVel. This is a hybrid role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy...

  • Workers Compensation Claims Adjuster

    3 weeks ago

    Portland, Oregon, United States Insurance Placement Solutions Full time

    Insurance Placement Solutions has an immediate opening for a Remote Workers Compensation Claims Adjuster with our client. As a member of our client's claims team, utilize your knowledge of workers' compensation to independently investigate, evaluate and resolve assigned claims in order to achieve appropriate outcomes. In this position, you will administer...

  • Medical Only Claims Specialist

    2 weeks ago

    Portland, United States CorVel Corporation Full time

    The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of claims department and of CorVel.  This is a hybrid role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and...

  • Medical Only Claims Specialist

    2 weeks ago

    Portland, United States CorVel Enterprise Comp, Inc. Full time

    Job DescriptionJob DescriptionThe Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of claims department and of CorVel. This is a hybrid role.ESSENTIAL FUNCTIONS & RESPONSIBILITIES:Receives claims, confirms policy...

  • LTD Claims Examiner I

    5 days ago

    Portland, United States Reliance Matrix Full time

    Job Responsibilities and Requirements Obtains and analyzes information to make claim decisions and payments on LTD, Voluntary disability, and Waiver of Premium claims. The goal of the position/role is to consistently render appropriate claim determinations based on a review of all available information and the terms and provisions of the applicable...