Claims Manager- TPA
2 weeks ago
This position is eligible for a hybrid or remote work arrangement with required business travel to BITCO office locations and customer offices.
Position Summary :
As a Claims Manager, you will oversee the day-to-day operations of a claims team handling Legacy Claims and working with Third Party Administrators (TPAs). This role includes managing workflow distribution, providing training and guidance to team members, and ensuring all claims are processed accurately, efficiently, and within established timelines.
As a working manager, your main responsibility will be managing a claims team. However, you will also be responsible for handling a modest pending of complex claims directly, with a focus on timely resolution and the prioritization of high-impact cases. You will ensure appropriate workload balance across the team while maintaining a high standard of service delivery.
The ideal candidate will bring strong technical expertise, utilizing claims management systems and analytical tools to streamline processes, monitor key performance indicators, and identify areas for operational improvement. Your leadership will be critical in supporting team performance, ensuring compliance with company policies, and driving continuous improvement in claims handling.
Primary Responsibilities:
- Directs and supervises the work of assigned claims team, including the quality, quantity and timeliness of work product
- Maintains current company and department processes and procedures. Assigns work, provides training and feedback to team members, and conducts timely and appropriate evaluations of job performance in the department
- Supervises and participates in the functions of the assigned claims team to meet the needs of internal and external customers
- Review, analyze, and interpret policy conditions, exclusions and endorsements to resolve coverage and liability issues for assigned claims
- Review and evaluate claim reserves to ensure that the respective reserve properly reflects the potential exposure
- Review and evaluate contractual documents to identify potential risk transfer opportunities or exposure
- Investigate claims to evaluate coverage and legal issues, and obtaining statements, records, and other evidentiary materials
- Provide proper documentation and reporting of investigation and claims handling activities
- Negotiates, settles, and resolves claims with claimants and insureds; provides appropriate claims resolution documents
- Maintain a working knowledge of regulatory and jurisdictional requirements
- Provides direction to and management of independent adjusters and other third parties retained to assist in a particular claim
- Coordinates with claims management to staff assigned claims team with persons who have the appropriate skills, abilities and interests to perform the job responsibilities
- Coordinates with and assists claims management in carrying out personnel and salary administration involving persons under their supervision.
- Participates with the Underwriting management team on preparing and carrying out the office's business plan each year, including setting of business objectives with revisions and modifications as needed to meet the branch sales and profit goals
- As a management representative, consistently acts in the best interest of BITCO and provides leadership and communication to actively promote BITCO's mission, core values, and culture
- Prepare and review key reports, including Reinsurance summaries, large reserve changes, and Claims Committee materials, while actively participating in roundtable discussions.
- Perform other duties as assigned
The qualified candidate will have experience with the following:
- 15 or more years of claims experience in the following areas:
- Commercial General Liability, Commercial Auto, and Construction Defect in multiple jurisdictions, with a strong emphasis in the West
- Complex Coverage - proficient in managing and analyzing complex coverage claims and providing clear and accurate direction to claims staff accordingly
- Claims Administration - analysis of losses, reports, reserves, compliance, laws, and procedures within the handling territory, providing clear and accurate direction to claims staff to meet best practices and company guidelines across multiple jurisdictions
- Claims Settlement - provide clear and accurate direction to claims staff in the analysis and resolution of claims within the assigned claims territory. Ensure timely and accurate preparation of coverage communications, releases, and proof of loss statements
- 5 or more years' experience managing a claims team
- Chartered Property Casualty Insurance (CPCU), Associates in Claims (AIC), and/or similar professional designation highly regarded
- Must be service-oriented, with the ability to provide prompt, efficient, and effective claims and customer service to BITCO customers, including but not limited to its agents and policyholders
- Strong verbal and written communication skills, both internally within the team and externally
- Proven ability to stay organized and meet deadlines
- Efficiently utilize and oversee the utilization of computers and claims related software, and other office machines/equipment, to perform job responsibilities and those of the persons being supervised
- Must be legally authorized to work in the United States
- Office environment; this position is eligible for a hybrid or remote work schedule, as directed by manager
- Frequently sit at a desk or other work station for extended periods of time
- Occasionally lift and carry equipment and/or materials weighing up to 15 pounds
- Routinely bend, kneel, reach, see, be mobile and walk around
- Must be able to attend and perform job duties effectively both in-person and virtually, as required by manager
- Travel - some overnight travel required
- Competitive salary and benefits
- Paid time off and 12 paid holidays a year
- Health, dental, and vision insurance
- Company paid life insurance - 2x annual earnings
- Old Republic 401(k) Savings and Profit Sharing Plan
- Education and training opportunities
- Insurance designations encouraged with financial assistance available
- Daily two-hour flexible start and end time for 7.5-hour workday
- Employee Fitness Program
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