Manager, Claims
2 weeks ago
AmTrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Workers' Compensation Claims Manager. The Workers Compensation Claims Manager is responsible to supervise activities within the worker compensation lost time claims department. This may encompass supervision of administrative tasks and staff or oversight of the investigation of insurance claims involving workers compensation, property or casualty claims based on coverage, appraisal and verifiable injury or damage. This position involves the direct handling of tasks and/or claims in addition to supervision of staff. The WC Claims Manager reports to the WC Director.
Responsibilities:
May oversee the handling of all aspects of the claims assigned to the unit including reserving, communication, documentation, evaluation, negotiation and settlement
Ensures all claims eligible or ineligible for payment conform to quality, production standards, and specifications
Ensures claim processing is consistent with applicable policies, procedures and department guidelines
Analyzes and approves workers compensation claims
Completes regular quality audits of staffs work, records results and counsels staff to bring work to or above standards
Prepares regular periodic reports and monitors system reports to ensure adherence to corporate and regulatory standards
Establishes and executes controls to assure that the quality of the work meets or exceeds standards
Reviews and analyzes processes, procedures, and workflows to identify opportunities for process improvement and efficiency
Qualifications:
10+ years’ experience in workers compensation insurance industry handling Calrifornia claims
Valid adjusters license in appropriate jurisdictions or ability to obtain such
Experience successfully managing claim professionals
Strong leadership skills
Ability to develop partnerships
Sound technical knowledge of workers’ compensation policies, coverages, and exposures
Experience proactively managing catastrophic injuries
Ability to analyze data, and communicate trends
Ability to make essential decisions to positively impact change
Complete knowledge of claim procedures, technology, state and federal laws and insurance regulations
Superior written and verbal communication skills
Ability to mentor and encourage behaviors that impact claim performance
Professional demeanor and effective people skills
Ability to prioritize, and multi-task in team environment
Ability to travel
SIP certificate where required.
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What We Offer:
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
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