Claims Manager
7 days ago
Job Overview:
We are seeking a highly skilled Claims Manager to oversee the investigation and adjustment of multi-line claims for a single dedicated national client account. This hybrid role offers flexibility after an initial in-office training period, requiring one day in the office per week and attendance at additional mandatory meetings or training sessions.
About the Role:
The successful candidate will be responsible for supervising claim activity to ensure quality service and compliance with corporate standards, client-specific instructions, and relevant laws. This position is a great opportunity for an individual with leadership aspirations, as it may serve as advanced training for potential promotion to a management role.
Responsibilities:
- Supervise and assign claims: Oversee all multi-line claim activities for designated claims, ensuring compliance with CCMSI's Corporate Claim Standards, client-specific instructions, and applicable laws.
- Claim investigation & adjustment: Investigate, evaluate, and adjust multi-line claims in line with established standards and legal requirements.
- Reserve establishment: Establish and oversee reserves for claims within established authority limits.
- Invoice review & negotiation: Review and negotiate medical, legal, and damage estimates, as well as miscellaneous invoices, ensuring they are reasonable and related to the claims.
- Payment authorization: Authorize and process claim payments according to industry standards and within payment authority limits.
- Settlement negotiation: Negotiate claim settlements in compliance with corporate standards and client instructions.
- Vendor coordination: Supervise the selection and referral of claims to outside vendors (e.g., legal, surveillance, case management).
- Litigated claims management: Manage and direct the handling of litigated and complex claims.
- Education & development: Provide training, support, and development opportunities for claim staff.
- Diary & documentation management: Maintain personal diaries on the claims system and ensure timely follow-up on claims.
- Compliance: Ensure all multi-line claim activities comply with Corporate Claim Handling Standards and client-specific instructions.
- Other duties: Perform additional tasks as assigned.
Requirements:
- Experience: Minimum of 10 years of multi-line claims experience is required, with 3+ years of supervisory experience preferred. Experience handling national accounts is strongly preferred.
- Education: A Bachelor's Degree is preferred, though relevant work experience will be considered.
- Licenses: A valid Adjuster's License is required. AIC, CPCU, or ARM certifications are preferred.
- Skills & Abilities:
- Excellent oral and written communication skills.
- Strong analytical, negotiation, and decision-making abilities.
- Ability to work in a dynamic, fast-paced environment while maintaining attention to detail.
- Proficient in Microsoft Office programs and claims management software.
- Strong organizational skills with the ability to prioritize and manage multiple tasks.
- Ability to maintain confidentiality and exercise discretion.
- Demonstrated leadership and initiative to meet performance goals.
- Flexibility and the ability to work independently with minimal supervision.
Benefits:
CCMSI offers a comprehensive benefits package, including Medical, Dental, Vision, Flexible Spending, Life, ESOP, and 401K. We also offer 4 weeks of paid time off in the first year, 10 paid holidays, and a supportive work environment that fosters growth and advancement.
Work Schedule:
This is a full-time position with a Monday to Friday schedule, 8:00 AM to 4:30 PM, with hybrid work flexibility after initial training. Occasional mandatory in-office meetings or training may be required.
Why Work at CCMSI:
At CCMSI, we are committed to providing outstanding service to our clients while fostering a supportive and collaborative work environment for our employees. We seek talented professionals who share our values of integrity, passion, and enthusiasm, and who are passionate about delivering exceptional service.
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