Claims Manager
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Responsibilities:
• Maintaining the in-house claim database
• Claims and litigation with an exposure of up to $100K, or above with approval of the Director of Risk Management: assignment and direction of counsel, Third Party Administrators, independent adjusters, engineering, medical, and investigative experts.
• Liability analysis and determination, evaluation, negotiation, mediation, settlement and payment of liability cases; coverage analysis and determination, evaluation of property claims; negotiation and pursuit of excess insurers.
• Ensures accurate claim payment, reserving and recovery data is shared with the captive manager, actuaries and consulting actuaries
• Periodically provides large case overviews and updates to captive, SIG and diocesan boards
• Collaborates with the Director of Risk Control, Data and Publications on loss cause analysis and loss control programs
• On property losses above $25K, the Claims Manager co-ordinates and directs the claim team, consisting of the insurance company adjuster, the independent adjusting company, the broker’s claim officer, and the location representatives.
• Review and respond to all authority requests from TPA’s and attorneys.
• Conducts quarterly workers compensation claim reviews with select MCSIG insured institutions.
• Conducts on site audits of the TPA claim files, as well as commission and co-ordination of other audits by external vendors and provide detailed reports to the Director of Risk Management
• This position participates in the risk analysis process, making recommendations relative to risk management issues, loss prevention and mitigation.
• Back up position for, select Risk Management Generalist functions, including but not limited to providing ad hoc reports, loss runs and quarterly claim activity reports
• Other tasks, projects and responsibilities that may be assigned. Supervisory
Responsibilities:
This position is responsible for the oversight of litigation counsel, third party administrators (TPA’s) and external vendors. This position has no direct reports/supervisory responsibility.
Requirements:
Minimum of ten (10) years experience in an insurance, risk management/self-insured environment, with at least three (3) years handling liability claims and litigation, five (5) years handling property claims, ideally with at least 2 years’ experience in commercial property claims. Knowledge of, or experience in, Worker’s Compensation claims, a plus. Bachelor’s degree or equivalent experience is required -professional designation a plus.
• Strong written and oral communication skills
• Organized and detail oriented
• Proficiency in Excel, Word
• Experience with claims management applications, such as Riskonnect
• Hybrid position
- Braintree, MA To apply, please send a resume and cover letter to HR_Staffing@rcab.org. Salary range
- $115K
- $125K
-
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