Liability Claims Manager
POSITION SUMMARY: Under minimal supervision, manages and directs the activities of a claims unit to ensure high-quality claim handling, client service excellence, and compliance with applicable state laws, regulations, and company policies and procedures.
DUTIES AND RESPONSIBILITIES
- Directly supervises Claims Examiners and Claims Assistants, including monitoring attendance, performance, coaching, performance evaluations, and disciplinary matters.
- Reviews and addresses scheduled claim activities, including initial reviews, periodic reviews, delays, denials, and other claim-related issues.
- Reviews and approves reserve changes, settlements, awards, and payments within authority limits.
- Conducts file reviews to ensure compliance with company policies, client requirements, and applicable laws and regulations.
- Coordinates, conducts, and documents training sessions related to legislative changes, company procedures, and best practices.
- Conducts and documents internal and external educational sessions.
- Ensures appropriate staffing levels are maintained to support workload demands and service expectations.
- Supervises and approves daily check runs and payment registers.
- Responds to claimant, client, and vendor concerns and resolves issues as appropriate.
- Monitors vendor performance and effectiveness to ensure service quality and compliance.
- Ensures client service instructions and account-specific requirements are consistently followed.
- Provides operational coverage for examiner vacancies resulting from vacations, leaves of absence, or open positions.
- Prepares, reviews, and evaluates monthly client reports and management information.
- Facilitates internal, external, and client audits.
- Partners with Corporate Operations, Sales, and Client Services teams in support of RFPs, implementations, and client service initiatives.
- Participates in client claim reviews and stewardship meetings.
- Provides account management support for accounts that do not have an assigned Account Manager.
- Monitors branch expenses and approves invoices and related expenditures in accordance with company guidelines.
- Performs other duties as assigned.
*Essential Job Function
Equipment Operated/Used
Computer, calculator, printer, copier, scanner, telephone, and other standard office equipment.
Special Equipment or Clothing
Appropriate business attire as required by company policy