Lead and oversee the claims team, ensuring the quality, quantity, and timeliness of work product
Maintain current company and department procedures to ensure efficient operations
Assign work, provide training, and give feedback to team members to enhance performance
Conduct timely evaluations of job performance and provide constructive feedback to staff
Supervise and actively participate in the claims functions to meet the needs of both internal and external customers
Review, analyze, and interpret policy conditions, exclusions, and endorsements to resolve coverage and liability issues for assigned claims
Review and evaluate claim reserves to ensure they accurately reflect potential exposure
Investigate claims to assess coverage, legal issues, and gather necessary statements, records, and other evidence
Provide appropriate documentation and reporting of all investigation and claims handling activities
Negotiate, settle, and resolve claims with claimants and insureds in a timely and effective manner
Provide clear and appropriate claims resolution documents to claimants and insured parties
Maintain a working knowledge of regulatory and jurisdictional requirements to ensure compliance in all aspects of claims handling
Provide direction and management for independent adjusters and third-party service providers retained to assist with specific claims
Work with claims management to staff the assigned claims team with individuals who have the necessary skills, abilities, and interests to fulfill job responsibilities effectively
Qualifications:
5+ years of experience handling claims
Supervisory or management experience preferred
Knowledge of coverage, negligence principles, investigation, and negotiation techniques
Ability to effectively communicate with both internal and external stakeholders
Valid driver's license with acceptable motor vehicle report