Risk Claims Manager

Role Overview

• Investigate and maintain claims for the company.
• Review and determine coverages and work with insurance companies to set claim reserves.
• Identify claims that require escalation to our insurance company during intake and gather all relevant and appropriate information at that time required for claim resolution.
• Management of property and auto damage, and workers compensation claims, handle serious losses, retain and direct defense counsel, attend mediations and depositions when needed.
• Provide excellent customer service while talking to insureds/claimants on the phone.
• Prepare statistical reports of claims activity and submit reports/findings as requested.
• Ensure the Company is taking appropriate measures to minimize claim losses and comply with government regulations.
• Create a positive and productive work atmosphere by communicating and behaving in a professional and team-like manner with all employees.
• Other duties as assigned.

Requirements

• Must have extensive claim experience, no less than seven (7) years in a senior level claims role
• Must have extensive knowledge of liability claims administration to include litigation avoidance.
• Must have a thorough understanding of complex medical treatments, treatment outcome indications, tort, venue, and jurisdictional matters, as wells as highly developed investigative and analytical skills.
• Demonstrate success exercising independent decision making, problem solving and effective negotiation skills.
• Must be able collaborate with cross functional teams.
• Excellent communication (verbal and written), presentation, interpersonal, and analytical skills required.
• Proficiency with personal computer word processing and spreadsheet software; Microsoft Windows, Word, and Excel preferred.
• Knowledge of statistical process control desirable.

Benefits

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• 401(k) Plan*
• Uniform Incentive*
• Paid Holidays (after 30 days of service as a full-time employee)
• Paid Personal Time-Off * Regular part-time employees are eligible for these benefits as well.