Manager, Client Programs

4 days ago

Egg Harbor Township, United States Coventry WCS Full time

Company Overview:
**_ The Enlyte Family of Businesses_**

**Mitchell | Genex | Coventry**

Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth.

**Job Description**:
**This is a full-time, remote position. Must reside in New Jersey due to statewide travel.**

This position is responsible for managing a team of 6 employees and overseeing workers' compensation claim files. The Manager, Client Progams is also responsible for account managing various client accounts requiring claims presentations and meeting attendance both virtually and in person throughout the state of New Jersey. Other responsibilities include;
- Effectively supervise, lead, motivate, and provide direction to a workers’ compensation unit adjusters and support staff.
- Accept, review, provide initial handling recommendations and distribute new claims as they come into the unit.
- Provide guidance to staff on coverage and damage analysis, especially on severe and complex claims.
- Conduct and oversee all internal claim reviews and audits to ensure effective claims handling by adjusters.
- Oversee ongoing training, development, and supervision of claims unit to ensure clearly defined responsibilities and standard performance.
- Attend court-related conferences, depositions, mediations, arbitrations, and other meetings as needed.
- Review time tracking and approve time off requests to ensure adequate staffing at all times.
- Evaluate staff performance on an ongoing basis; responsible for performance reviews, goal setting and progressive discipline procedures to ensure a non-discriminatory and consistent work force.
- Attend external client meetings to present PARs (payment authority request) and conduct claim and program reviews.
- Manage clients in the areas of claims administration and litigation through benchmarking, loss analysis and general performance measurement reports to ensure adherence to Best Practices, as well as company client specific claim program goals, directives, initiatives, policies and procedures.
- Take primary responsibility in drafting company responses to Proposals, RFQs/RFPs and/Contracts. Annually evaluate client contracts for cost savings and potential increases.
- Provide all client related documents to appropriate staff and departments, including: client contact lists, coverage documents, risk management plans, client meeting schedule, defense panel list and authorized billing rates, excess reporting requirements, account protocols, changes to protocols and any other pertinent information needed to manage account.
- Identify and take corrective actions for client concerns working with appropriate Claim Managers/Supervisors and other internal staff.
- Travel on behalf of client, where needed.
- Attend state and national insurance and risk management conferences when requested or required by Upper. Management.

Qualifications:
**Minimum Education**:Bachelor's degree or equivalent

**Required Skills and Experience**:
10+ years insurance/TPA experience
5+ years managerial experience
6+ years New Jersey Workers' Compensation claims experience

**Desired Skills and Experience**:
Insurance Designations or Licenses

Microsoft Office Skills

Written Communication

Organizational Skills

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