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Claims Operations Supervisor
2 months ago
Position Title: Claims Operations Supervisor
Employment Type: Full Time, Exempt
Reporting Structure: Reports to Claims Director
POSITION SUMMARY:
The Claims Operations Supervisor plays a crucial role in leading and mentoring a team of claims professionals to ensure the effective management of both commercial and personal auto claims. This position requires a proactive leader who can operate independently and drive results with minimal oversight.
KEY RESPONSIBILITIES:
- Recruit, train, and inspire a team of in-house claims specialists.
- Assess performance, provide coaching, and implement disciplinary actions when necessary.
- Conduct annual evaluations of team members' performance.
- Oversee the management of Claims Supervisors and/or Claims Examiners.
- Direct the allocation of new claims based on severity and established criteria.
- Design, execute, and evaluate programs aimed at controlling costs associated with auto and liability claims.
- Engage in the review of departmental procedures, recommending enhancements as needed.
- Participate in discussions regarding significant loss cases.
- Review and authorize reserves and payments as required.
- Ensure adherence to customer service standards, addressing escalated claims-related issues or inquiries.
- Guarantee compliance with legal obligations and applicable regulations in all claim-related matters.
- Assist in responding to inquiries from regulatory bodies.
- Develop and oversee controls related to reporting, audits, claims payments, and respond to both internal and external audits.
- Support senior management in tracking and developing performance metrics.
- Adhere to all relevant laws, regulations, and company policies.
- Perform additional duties as assigned.
QUALIFICATIONS:
To excel in this role, candidates must demonstrate the ability to fulfill each essential duty effectively. The following qualifications are necessary:
- A minimum of 10 years of experience in claims management, with substantial exposure to investigating and resolving coverage issues.
- Prior experience in a leadership or supervisory capacity, ideally with both litigated and non-litigated claims.
- Proficiency in claims-related computer systems.
- Exceptional verbal and written communication skills, including public speaking and presentation abilities.
- Thorough understanding of insurance policy provisions, practices, laws, and regulations.
- Capability to interpret laws and regulations, determine appropriate actions, and resolve claims effectively.
- Strong interpersonal and customer service skills, with a positive demeanor.
- Ability to follow instructions and execute tasks efficiently.
- Experience managing claims across various jurisdictions is preferred.
- Experience in commercial auto and/or nonstandard personal auto claims is required.
- Bilingual (Spanish) is preferred but not mandatory.
EDUCATION AND EXPERIENCE:
Candidates should possess the following:
- 10 years of claims handling experience, including 3 years in a supervisory role.
- A college degree or equivalent professional experience.
- SCLA/AIC designation is preferred but not essential.
