Manager Claims Casualty

RESPONSIBILITIES:

• Oversees the handling of all aspects of the claims assigned to the team including reserving, communication, documentation, evaluation, negotiation, and settlement.
• Ensures all claims eligible or ineligible for payment conform to quality and production standards and specifications.
• Ensures claim processing is consistent with applicable policies, procedures, and department guidelines.
• Reviews and addresses complaints that claims specialists are unable to resolve and prepares formal responses to consumer complaints.
• Analyzes and approves insurance claim payments.
• Provides file authority as appropriate to unit staff.
• Establishes and executes controls to assure that the quality of the work meets or exceeds standards.
• Completes regular quality audits of staffs work, records, and results; mentors or counsels staff to bring work at or above standards.
• Prepares regular periodic reports and monitors system reports to ensure adherence to corporate and regulatory standards.
• Assures that all customers receive exceptional service.
• Analyzes, adjusts, and approves or denies outside vendor bills.
• Reviews and analyzes processes, procedures, and workflows to identify opportunities for process improvement and efficiency.
• Participates in the specialized training and handling of complex claim matters and special projects requiring advanced claim knowledge and experience.
• May recruit, hire, recommend or initiate promotions and transfers and makes salary recommendations.
• Completes performance evaluations and makes merit increase recommendations; issues performance improvement plans and corrective action when needed.
• Manages the development and training of subordinates, including monitoring and relaying information to the staff regarding changes in coverage and laws.
• Performs other related duties as assigned.

JOB REQUIREMENTS:

• Bachelor’s degree in a related field is highly desirable; high school diploma or equivalent required.
• A minimum of 5 years of personal auto claims adjusting experience with a strong focus on bodily injury, and complex claims.
• A minimum of 2 years of leadership experience within the auto insurance claims industry preferred.
• Must currently hold or have the ability to secure and maintain adjuster license(s) within 60 days of employment.
• Advanced skills using Microsoft Office products.
• Thorough understanding of the laws, principles of coverage, liability, and the insurance industry.
• Strong analytical skills are critical.
• Leadership skills, including the ability to plan, organize, delegate, and develop team members.
• Effective communication skills, including the ability to effectively obtain information from others and deliver information to others, to carry out detailed written and verbal instructions, and prepare and conduct presentations.
• Commitment to First Acceptance’s company values.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to do manual tasks, which may include the use of hands to finger and handle controls. Tasks may also require the ability to talk or hear. The employee will frequently sit, bend, and reach with hands and arms and is occasionally required to stand and walk. The employee may occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. Other abilities include possessing the capacity to learn, concentrate, think, and read. Oftentimes the employee will be communicating and interacting with others while working. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employee(s) will be required to follow any other job-related instructions and perform any other job-related duties requested by anyone authorized to give instructions or assignments.