Prime Claims Supervisor

3 days ago


Irving, United States Central Mutual Insurance Company Full time

Location: Hybrid Work Model - Irving, TX

We are a team of employees who are passionate to deliver best in-class customer service and innovation in the industry. It's because we put Integrity, Relationships and Excellence in all aspects of our work.

Our employees have the opportunity to fully utilize their talents and bring their best self. We believe that who you are is just as important as what you do

As a Prime Claims Supervisor, you will play a crucial role in ensuring high quality claim handling for all first notice of loss, coaching team members on technical claims excellence, and partnering with key stakeholders. We are looking for a service-oriented professional who not only brings a strong background in the insurance industry but also possesses effective leadership skills to inspire and manage a dedicated team. Your expertise will help drive optimal claims outcomes and enhance our competitive edge in the market. If you are a results-driven leader ready to contribute to the success of a well-established insurance company, we encourage you to apply and be a key player in shaping the future of our Prime Claims success.

How You'll Make an Impact

  • Analyze data to forecast upcoming staffing needs based on current claim volume, incoming call trends, and individual workloads. Ensure appropriate inputs into Claims staffing model to assist with data driven staffing decisions.
  • Seek qualified applicants with strong customer service skills including empathy, proactive communication, and the ability to multi-task in order to progress claim handling from FNOL state to next steps.
  • Make quality hiring decisions ensuring all new hires uphold Central's core values of integrity, relationships, and excellence.
  • Continually review and improve onboarding plans for new hires ensuring new staff is acclimated to the Prime Team, Claims Team, and Central as a whole.
  • Build & oversee training plans that enable staff to gain the ability and confidence to:
    • Utilize the phone system to provide exceptional service during First Notice of Loss calls
    • Navigate various technologies including all core systems, the phone software, claim system, various vendor portals
    • Conduct thorough claim investigations; understand and apply coverage forms; obtain and evaluate repair estimates, photos & appraisals for damaged vehicles; apply state guidelines to repair estimates and file documentation.
    • Accurately and timely set reserves, pay claims within stated authority levels, ensuring all interests are protected.
    • Understand and follow various workflows to ensure consistent and streamlined handling
    • Recognize subrogation opportunities and red flags early and refer claims to Subro/SIU for further investigations.
    • Thoroughly document the file with coverage analysis and identify the need for reassignment for claims with potential coverage issues.
    • Early in the life-cycle of the claim, identify when vehicle damage would likely warrant handling as a total loss and recommend reassignment.
    • Mitigate claim expenses by ensuring appropriate inspection methods; proactively controlling customers' rental needs; and adjusting estimates to match coverage and damages.
    • Understand key performance metrics, navigate dashboards to view metrics, and continually make advancements towards meeting KPIs.
    • Obtain and maintain state adjuster licenses, ensuring timely completion of continuing education requirements.
  • Hold staff accountable for clear, concise, and thorough file handling, meeting the above objectives
  • Demonstrate effective coaching with employees to ensure high levels of engagement, effectiveness as a cohesive team, attainment of departmental goals, and promotion of the Central culture.
  • Manage call flows and phone usage. Manages team schedules to balance their time devoted to training, phone coverage, and claims handling.
  • Analyze call metrics and performance data to identify trends, opportunities for improvement, and areas of concern. Prepare and present regular reports on call performance and recommend & implement solutions to enhance efficiencies. Identify areas not achieving SLAs, implement corrective actions.
  • Aid individuals in recognizing future career opportunities and build development plans to help employees reach their next career goals. Cultivate team members into a targeted career path or specialized line of business.
  • Gather feedback from all lines of business to leverage for continuous process improvement initiatives.
  • Develop and maintain excellent rapport with the Central Team, internal stakeholders, and Agency Partners. Gives timely, value-add feedback to internal stakeholders- UW, LC, Subrogation, SIU, and Customer Services.
  • Collaborate with peers to execute on strategy for claims Mission of Hospitality, Efficiency, Relationships, and Outcomes at Team and individual level
  • Ensure appropriate data inputs into First Notice of Loss to enable the team to move the claim forward, or handoff to assigned handlers.
  • Review and provide critical feedback during monthly business reviews identifying opportunities for improved claim handling across the auto line of business.
  • Lead by example with a high focus on customer service, collaboration, teamwork, accountability, and servant leadership.
What You'll Bring
  • Property/Casualty Adjuster Licensing Required in all states that require licensing and must be obtained within three months of employment.
  • Must maintain all Property/Casualty Adjuster License(s) in order to comply with state requirements.
  • Bachelor's degree in related field and 2 years of experience
  • Or 4 years of P&C claims handling experience
  • Available to work extended hours, weekends and/or overnight travel as required
  • Ability to train, develop, motivate, and evaluate the performance of employees
  • Strong leadership skills and ability to analyze information and make effective decisions
  • Ability to lead by example through coaching, integrity, positive attitude; exhibiting initiative in daily work and efforts in professional development activities (exemplifying our core values)
  • Effectively communicate in collaborative manner both verbally and in writing
  • Skilled in change management
  • Possess a positive, professional, cooperative, and quality-conscious service attitude
  • Manage and understand external vendor resources
  • Ability to lead through complex coverage analysis and resolution strategies
  • Proficient in Microsoft Suite
  • Possesses analytical and problem-solving skills
  • Possess an innovative and continuous improvement mindset
  • Ability to work under pressure, deal with interpersonal conflict, and handle a heavy workload
  • Ability to professionally interact with our customers
  • Ability to understand Central Insurance's policies and processes
  • Ensures the team is complying with state regulatory/statutory requirements, corporate privacy and other claim policy requirements
  • Ensures statutory and legal compliance
  • Excellent analytical and problem solving skills, with the ability to simultaneously manage multiple projects and teams
Preferred Qualifications
  • Proficient Excel skills
Work Authorization
Central will only employ those who are legally authorized to work in the United States. This is not a position for which sponsorship will be provided. Individuals with temporary visas such as E, F-1(including those with OPT or CPT) , H-1, H-2, L-1, B, J or TN, or who need sponsorship for work authorization now or in the future, are not eligible for hire.

Equal Opportunity Employer

It is the policy of Central that all recruiting, hiring, training, compensation, overtime, job classification and assignment, facilities, promotions, transfers, employee treatment and all other terms and conditions of employment shall be maintained in a manner which will not discriminate against any person because of race, color, age, sex, national origin, ancestry, religion, marital status, military status, or disability. The applicant should respond to questions on this application in a way that will not divulge such information. #LI-CM1 #LI-Hybrid

Other details
  • Job Family Insurance Claims- HO


Apply Now
  • Unit Manager

    3 weeks ago


    Irving, United States Insurance Placement Solutions Full time

    Insurance Placement Solutions has an immediate opening for a Workers’ Compensation Unit Manager with our client. The Workers’ Compensation Unit Manager is responsible for the day-to-day management of client Workers’ Compensation Claims, including the training and development of the claim representatives and directing outside vendors in order to...


  • Irving, United States Della Infotech Full time

    Additional Information: THIS POSITION IS REMOTE THIS POSITION IS 3 MONTHS - AND THE CLIENT WILL CONTINUE TO RENEW BASED ON PERFORMANCE, BUT THE POSITION CAN LEAD TO GOING DIRECT Pay Rate: BR an hour, Temp to perm salary upon conversion is 55K. - Bachelor's degree minimum requirement. - Technical experience (SQL, MS Access, data entry, Claims processing),...

  • Baggage Service Agent

    6 months ago


    Irving, United States G2 Secure Staff Full time

    Job Description Meet and greet arriving passengers in the claim area; provide assistance and information to individuals meeting arriving passengers. Determine service needs of customers, providing assistance with all baggage issues, including lost articles, lost, damages and pilfered luggage . QUALIFICATIONS: A. EDUCATION AND EXPERIENCE 1....


  • Irving, United States G2 Secure Staff Full time

    Job Description To coordinate the daily shift functions of the baggage service department for the Baggage Service Agents. QUALIFICATIONS: A. EDUCATION AND EXPERIENCE 1. High School diploma or equivalent. 2. Computer experience necessary. 3. Previous customer service experience preferred. 4. Must be 18 years of age or older. 5. Must have ...


  • Irving, Texas, United States LifeCare Home Health Full time

    OverviewLifecare Home Health Family is a leading provider of home healthcare services. We are committed to delivering exceptional care to our patients while creating a positive and supportive work environment for our employees.Estimated Salary: $120,000 - $150,000 per yearJob DescriptionThe Revenue Cycle Director is a key leadership position responsible for...


  • Irving, United States Human Appeal Full time

    Are you interested in building a career that makes a difference and creates a legacy? Human Appeal is a faith-based charity that aims to abolish poverty by providing humanitarian aid, sustainable development programs and championing advocacy for our beneficiaries worldwide. As Customer Service Advisor, the successful candidate will be responsible for...

  • Branch Manager

    4 weeks ago


    Irving, United States Regional Management Corp Full time

    Are you ready to take your career to the next level? Regional strives to positively impact the financial lives of our customers.For over 35 years, our Team Members have been passionate about supporting customers through their financial challenges in life. They take pleasure in finding solutions and lending a helping hand, both to our customers and our...

  • Site HR Partner

    3 weeks ago


    Irving, United States ABM Industries Full time

    Overview ABM (NYSE: ABM) is a leading provider of facility solutions with revenues of approximately $6.4 billion and over 130,000 employees in 300+ offices deployed throughout the United States and various international locations. ABM’s comprehensive capabilities include electrical & lighting, energy solutions, facilities engineering, HVAC & mechanical,...


  • Irving, TX, United States Lifecare Home Health Family Full time

    Description Job Description : We are looking for a reliable and compassionate Revenue Cycle Director for home health to join our team. Why Lifecare Home Health Family? Join our team at Beyond Faith Homecare and be a part of a company that strives to provide the best care for our patients while building a team of dedicated employees. If you want a...