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Claims Team Leader
2 months ago
Safepoint MGA, LLC is a prominent Property and Casualty insurance provider.
Job Overview
Oversees a group of Claims Examiners and Claims Service Representatives managing intricate claims. Ensures efficient, effective, and courteous claim processing for policyholders and claimants, with a strong focus on adherence to established guidelines. Manages the performance of external vendors and contractors.
Key Responsibilities
- Supervises Examiners and Service Representatives to guarantee accurate claim processing and adherence to protocols.
- Monitors the output of external vendors and contractors.
- Assesses property claims and provides direction and settlement authority to property claims adjusters.
- Conducts both Open and Closed File Reviews to assess and document overall operational performance.
- Effectively manages loss, loss adjustment expenses, and reserves for property claims.
- Identifies complex claims and formulates suitable claims strategies and settlement options.
- Researches, reviews, and interprets policy language and applicable state regulations as needed.
- Handles and resolves unique cases or problem claims, evaluating claims and addressing policy coverage matters beyond staff authority.
- Assists in developing departmental policies and procedures, setting strategic goals and objectives, and providing guidance, support, and leadership.
- Communicates effectively with agents, policyholders, Claims Unit staff, Underwriting, Human Resources, Finance/Accounting, and Chief Claims Officer. Engages with external business partners and exercises independent judgment.
- Builds a cohesive and efficient team that consistently delivers high-quality customer service.
- Establishes leadership and growth objectives for team members while collaborating with teams to achieve organizational goals.
- Performs additional tasks and projects as assigned.
- Ability to supervise and guide Examiners and Service Representatives in claim processing, performance, compliance, strategy, and settlement authority.
- Critical thinking skills to evaluate coverages, interpret insurance policies, and determine effective settlement strategies.
- Strong verbal and written communication skills for effective interaction with internal departments, direct reports, and external vendors, stakeholders, and policyholders.
- Capability to identify and interpret complex, special, or large loss claims and devise appropriate resolution strategies.
- Ability to continuously monitor team performance, setting goals, conducting evaluations, and implementing disciplinary actions as necessary.
- Florida All Lines Adjuster License (620 License) is required.
- Bachelor's Degree in a relevant field or a combination of education and significant directly related experience.
- A minimum of 5-7 years of experience in processing Homeowners claims, with at least 2 years in a management role.
- Proficiency in Microsoft Office applications.
- Exceptional communication skills, attention to detail, and strong organizational abilities.
Responsible for managing Claims Examiner and Claims Service Representative personnel, as well as external vendors and contractors.
Work Environment
This position operates within a professional office setting, utilizing standard office equipment such as computers, phones, copiers, filing cabinets, and fax machines.
Physical Requirements
While performing the duties of this role, the employee is regularly required to communicate verbally and audibly. The employee frequently needs to stand, walk, use hands for handling or feeling, and reach with hands and arms.
Compensation and Benefits
We understand that skilled professionals seek companies that offer a supportive work environment, competitive compensation, and benefits, along with opportunities for personal development and career advancement. Therefore, we are pleased to provide:
- Market Competitive Salaries
- Professional Development and Educational Assistance Programs
- Safe Harbor 401K Plan with Immediate Vesting and Automatic Company Contributions
- Paid Time-Off (Discretionary, PTO, Parental Leave, and more)
- Company Paid Holidays
- Health Insurance
- Dental Insurance
- Vision Insurance
- Short and Long Term Disability Insurance
- Flexible Spending Accounts with Company Contributions
- Health Savings Accounts with Company Contributions
- Employee Life and AD&D Insurance
- Dependent Life and AD&D Insurance
- Company Paid AAA Membership
- Company Paid Identity Theft Protection
- Other Ancillary Insurance Benefit Programs
- And more...