Senior Claim Executive

4 weeks ago


Pasadena, California, United States IMA Financial Group Full time

Claims Resolution Specialist

IMA Financial Group is seeking a Claims Resolution Specialist to join our team. This role is responsible for advocating for and interacting with clients on claim resolutions and matters.

A successful applicant must have strong relationship building and management skills, possess self-direction, and have effective problem-solving and communication skills.

This position can be located in an IMA Financial Group location or be fully remote.

Essential Job Responsibilities:

  • Maintain a proactive approach, focusing on claim resolutions and strategies
  • Communicate pertinent claim information timely to internal and external clients
  • Maintain strong relationships with internal and external clients
  • Participate in presentations, including new business, RFPs (clients, TPAs), claim reviews, and renewals
  • Develop a strong working knowledge of IMA Financial Group and carrier computer systems/programs
  • Assist the Claims Manager with claim staff management, including training and development
  • Develop and expand relationships at local, regional, and national levels with carriers, TPAs, Legal Resources, and Experts
  • Expand knowledge and expertise in all lines of coverage
  • Assist on Claims Projects, reports, loss runs, or other tasks as assigned
  • Attend insurance-related seminars, including continuing education classes
  • Direct the activities of the Workers' Compensation Care Coordinator team members in the processing, monitoring, management, and advocacy of claims
  • Manage associates, including performance reviews, hiring and placement, resolving customer complaints, and salary and budget planning
  • Review and assign claims and/or accounts to appropriate staff to ensure aggressive processing, adjustment, and management for the client
  • Contribute to hiring and development of staff members and identifies areas for improvement or growth
  • Perform functions of the role within an IMA Financial Group office 0-50% of the time
  • Support and demonstrate IMA Financial Group's core values
  • Value and understand the importance of diversity, equity, and inclusion among all IMA Financial Group associates

Required Experience and Skills:

  • 5+ years of similar or related experience
  • Bachelor's degree or work experience equivalent to a college degree
  • Systems skills - Applied Epic, Carrier websites strongly preferred
  • Experience with MS Office products required (specifically PowerPoint, Outlook, Word, and Excel)
  • Exceptional technical skill and knowledge of coverage and claims handling
  • Moderate travel required (25-50%)
  • Prefer college graduate or prior claims or general insurance experience
  • Excellent communication and negotiation skills
  • Strong mathematical and reasoning skills
  • Ability to discuss and solve claim problems with clients and insurance carriers

Benefits:

IMA Financial Group offers a comprehensive benefits package, including an annual performance bonus, stock purchase, medical plans, prescription drugs, dental, vision, family assistance program, FSA, HSA, pre-tax parking plan, 401(k), life/AD&D, accident, critical illness, hospital indemnity, long-term care, short-term disability, long-term disability, business travel accident, identity theft, paid time off, flexible work options, paid holidays, sabbatical, gift matching, health club reimbursement, personal and professional development.

IMA Financial Group is an equal employment opportunity employer and complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.



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