Director of Claims

3 weeks ago

Charlotte, United States Masis Professional Group Full time

SUMMARY:

Assists with the management of the claims department. Manages complex claim files and manages personnel in the unit to assure claim processing in a prompt, professional and efficient manner in accordance with company guidelines and procedures. Reviews claim files. Although Headquarters is in Goldsboro, North Carolina we would proceed with candidates who can be onsite in any of the locations listed below:


  1. Richmond, VA
  2. Raleigh, NC
  3. Charlotte, NC
  4. Goldsboro, NC
  5. Daluth, GA
  6. Columbus/Dayton, OH
  7. Scottsdale, AZ
  8. Hartford, CT
  9. Glastonbury, CT


ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Responsible for hiring, coaching, training, and evaluating claims managers.
  • Responsible for the implementation of new directives and initiatives.
  • Responsible for establishing and managing yearly performance goals.
  • Responsible for assisting with the implementation of new operating systems.
  • Aid the VP in managing the claims department with duties as assigned.
  • Assist and direct the examiners/adjusters in the proper investigation of coverage and liability issues and extend settlement authority to the examiners / adjusters to effect accurate, timely, cost-effective claims handling.
  • May manage the claims support staff as needed.
  • Gives technical direction to both managers and staff adjusters
  • Administratively responsible for supervising managers.
  • Manages the use of independent adjusters and maintains the approved list of vendors.
  • Manage litigation, rental, subrogation, and salvage to ensure cost effective returns.
  • Furnish appropriate weekly and monthly management reports.
  • Ensure Large Loss Reports and Reinsurance Reports are completed as needed.
  • Assist in training and developing staff.
  • Read and interpret insurance contracts.
  • Conduct monthly quality control reviews of adjusters’ claim files as needed.
  • Ensure employee objectives, performance and evaluations are consistent with department goals and objectives.
  • They have full responsibility regarding training and development of staff, managing performance, resolving conflicts and problems, distributing work, checking work
  • They make recommendations regarding hiring, salary increases, terminating employees, promoting employees.
  • They have daily contact with the VP Claims, examiners, adjusters, insureds, claimants, attorneys, vendors, agents, and department managers.
  • They will have contact with auditors and government / regulatory agencies.
  • They deal with and have access to information that is important and must be kept confidential.
  • Perform other similar or related duties as assigned.

REQUIRED EDUCATION / EXPERIENCE:

  • Four-year degree from an accredited institution.
  • Knowledge of and adherence to the state laws and regulations governing the handling of property and casualty claims.
  • Basic understanding of accounting principles, construction, underwriting, marketing, and auto physical damage estimating.
  • Ten years successful claims handling including advanced skills in coverage, investigation, negotiation, salvage, and subrogation. Three to five years’ experience as a supervisor or Manager.
  • Three to five years’ experience with multi-line claims with heavy emphasis on Commercial GL is a plus.
  • Three to five years’ experience with multi-state responsibilities is a plus.
  • Excess and Surplus lines experience is a plus.

REQUIRED SKILLS:

  • Knowledge of medical terms and legal issues.
  • Excellent computer skills.
  • Advanced communication skills are required to understand, interpret, and convey technical information.
  • Excellent time management skills.
  • Knowledge of the litigation process and procedures.
  • Knowledge of coverage, investigation, negotiation, salvage, subrogation, construction, and auto physical damage.
  • A resident adjuster’s license in North Carolina.
  • A non-resident adjuster’s license where required in the states where we do business.

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