Claims Manager
2 weeks ago
POSITION SCOPE AND ORGANIZATIONAL IMPACT
Moss' Claims Manager directs and oversees the operations of insurance claims to meet operation, financial, and service requirements. This position will work directly with internal departments, adjusters, and internal and external counsel to assist with all claims, including worker’s compensation, general liability, and property claims. This position will assist with various Risk Management needs, such as claims program development and training.
ESSENTIAL JOB DUTIES AND RESPONSIBILITIES
Oversee and manage all property and liability claims for the company’s lines of coverage, including general liability, excess liability, contractor’s equipment, pollution, professional, property, employment practices, directors and officers, crime, automobile, builders’ risk, and each of these coverages as may be in any wrap-up program
Manage and guide the Risk Management Claims team– Claims for handling certain types of liability claims and provide leadership and development support for the person in that role
Review incident reports and determines action plan, engaging others as needed
Initiate preliminary investigations with project teams on all reported losses and personally inspect losses as needed
Manage and coordinate any insurance brokers’ or insurance adjuster claims services and report status to the department head and others as needed
Manage, coordinate, and distribute all claims information, documentation, and communication to all responsible parties regularly and with a consistent cadence
Immediately attempt to clarify any potential or actual coverage disputes with direct contact with the insurer, broker, and coverage/defense counsel intervention
Travel as needed for claims meetings/investigations, mediations, claim reviews with division personnel and claim meetings with clients
Ensure losses are tendered to insurers and third parties whenever possible, including active management and pursuit of subrogation on paid losses
Monthly/quarterly reporting of claims to management and other internal groups as directed
Review and follow up on all claims files and ensure current and accurate claim information is entered into the internal database/RMIS
Update management and division personnel on new and pertinent legislation or case law
Recommend and draft internal claim procedure changes and provide regular claims management training to division and department teams
Serve as a technical resource (both internal and external) with respect any claim activities for clients
Develop Special Account Instructions to be used in the handling of claims with carrier/TPA partners
Provide Emergency Claims Response on an as-needed basis
Develop and maintain strong working relationships with carriers, claims adjusters and attorneys
Participate as requested in developing and executing claims goals and initiatives
Perform other duties as assigned
EDUCATION AND WORK EXPERIENCE
Bachelor’s Degree
5 – 10 years of Property and Casualty claims experience
Construction defect experience required
Strong working knowledge of policy language and coverage (multiple lines of coverage a plus)
Strong organizational skills
Management experience
Ability to work independently and handle multiple tasks simultaneously
Excellent verbal and written communication skills
Strong working knowledge of various computer systems including MS Office and its various applications as well as familiarity with various claims and RMIS systems
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