Claims Manager

3 days ago


Bronx, New York, United States Baldor Specialty Food Full time
Job Summary:

The Claims Manager is responsible for developing and implementing the company's claim handling strategy, providing oversight of all claim processing and management activities. This role serves as the primary point of contact between the company and customers, ensuring timely, accurate, and efficient claim processing.

Key Responsibilities:

• Develop and implement key performance indicators to monitor the success of the Workers' Compensation program
• Coordinate and oversee claim management strategies on reserving, settlement, and resolution to bring claims to closure
• Develop and improve internal claims management procedures and processes to achieve KPIs
• Monitor and report on the effectiveness of the TPA performance
• Communicate and collaborate with internal teams to assist with all internal claim management activities
• Work with Safety and Transportation Safety teams to help identify and reduce adverse claim trends
• Coordinate and manage quarterly claim reviews with the TPA/carrier for managed claims
• Support the development of an internal active diary system of all WC claims being managed
• Coordinate internal claim updates as requested/required
• Monitor claim reporting to TPA/carriers and report claims as required
• Develop and monitor goals for claim mitigation within locations
• Oversee return-to-work activity with internal and external partners
• Act as an internal resource for Workers' Compensation questions
• Utilize the TPA RMIS system for claim management and monitoring, or propose and implement an alternative system

Requirements:

• Business/Industry - Thorough understanding of insurance-related legal procedures, regulations, and claims processing
• Data Analytics/Presentation - Ability to independently create data analytics reports, interpret data, create presentations, and conduct presentations/training to various stakeholders, including company executives
• Administration and Management - Knowledge of business and management principles involved in strategic planning, resource allocation, and coordination of people and resources

Experience and Skills:

• 10+ years in a claims administration role, including 5+ years of experience as a claims adjuster, examiner, and/or supervisor with direct reports
• Bachelor's degree in business administration or related discipline
• 3-5 years of experience with both WC and Auto liability claim handling
• Experience reviewing and negotiating TPA contracts
• Transportation/warehousing experience preferred
• Excellent verbal and written communication and interpersonal skills
• Ability to multi-task and work independently as well as contribute to the overall success of the team
• English and Spanish proficiency

Technology Skills:

• Experience implementing and managing RMIS systems
• Microsoft Office suite proficiency - Outlook, PowerPoint, Word, Excel, Teams, Microsoft Planner
• Video conferencing software proficiency - Microsoft Teams, Zoom

Work Environment:

• Ability to lift over 10 lbs. and stand and maintain active for long periods of time without reasonable accommodation
• Ability to travel onsite to various locations throughout the Northeast, approximately 10-15% travel
• Ability to work extended hours as needed
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