Claims Manager

Oversee all daily functions of the Claims Department

Liaise between Upper Management and Claims Department

Essential Duties and Responsibilities:

• Strive to provide excellent customer service to our associates, agents, adjusters, attorneys and all who require our assistance
• Hiring and Training of claims department staff
• Advise CEO/Underwriter/Branch Manager of any potentially large exposures and/or any problems that may arise beyond the normal everyday occurrences
• Report all E&O exposures to CEO with full details and claim file
• Review problem files: ie:
  Insured's disputing denials, complaints filed with the
• Insurance Department and/or London Complaint Department
• Recommend and assign attorneys as appointed by London to defend losses or request coverage opinions.
• Keep all parties involved updated
• Direct claims staff with coverage issues
• Review daily checks prepared by the claims team
• Work with accounting to determine availability of funds for weekly claim payments
• Handle incoming phone calls
• Review all incoming mail and distribute accordingly for processing
• Prepare yearly staff performance evaluations and goal setting for claim staff
• Encourage the claims team to pursue continuing education and recommend training when needed
• Run monthly Bordereaux reports and work with accounting to tie out payments
• Perform Peer Reviews for the London contracts
• Review adjuster performance and keep records of E&O certificates.
• Interview adjusting firms to determine if they are compatible with our needs.
• Review London contracts to be sure we are in compliance with the contracts Review adjuster panels for each contract.
• Prepare our claim files for annual audits
• Comply with Subpoenas served on Jimcor, document production

Qualifications/Requirements:

• Strong knowledge of standard property and casualty insurance statutes, regulations and practices; casualty/liability claims adjusting including analyzing and coordinating disposition of claims
• Good supervisory practices
• Good analytical skills for interpreting laws and regulations as a basis for decision-making

We offer a total compensation package which includes salary (80k-95k) plus a full comprehensive benefits package. Package includes Paid Time Off Days, Paid Holidays, Hybrid Work Schedule, Retirement Plan with Employer Match, 100% Single Employer Paid Medical, Dental, Vision, Life Insurance, Education Assistance, Various Voluntary Benefits, Wellness Program Including Mental Health Support and an Employee Assistance Program (EAP) and More.

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