AVP, Claims Account Manager

AVP, Claims Account Manager – North America Claims Account Management team.

Location: Los Angeles, CA;
San Francisco, CA;
Irvine, CA;
Denver, CO;
Seattle, WA

• Foster and manage relationships between claim operation and clients, brokers and partners
• Develop sales proposals that present competitive advantage and participate in sales presentations to potential clients
• Timely execution of client service contracts and resolution of contract, billing and funding related issues
• Manages all aspects of client claim file review meetings
• Determine claims and reporting preferences, options and infrastructure to provide the most efficient delivery of service
• Establish, monitor and maintain data integrity, especially with claims coding
• Determine, establish and maintain electronic Claim Handling Instructions
• Monitor claim activity for existing clients for adherence to established protocols
• Work closely with management on the delivery of claim service to meet client expectations
• Effectively communicate with all internal/external customers.
• Analyze claims data and identify trends within a client’s portfolio and collaborate with business partners on proactive solutions.
• Evaluate claims and provide settlement authority
• Some travel is required

• Minimum of 10 years insurance claims experience;
  Must have experience handling and managing claim service delivery to large national accounts and should be familiar with Alternative Risk Transfer mechanisms and unbundled claim programs
• Knowledge or proficiency in all technical and service areas of Property, Casualty and, Workers’ Compensation claims
• Demonstrated knowledge and skill in leadership, teamwork, collaboration, problem solving and communication
• Strong negotiation and presentation skills along with excellent written and verbal communication skills are required.
• Strategic, proactive and innovative skills to develop creative solutions and resolve problems to achieve desired business results
• Advanced relationship management skills with internal staff and external partners are required demonstrated ability to develop and deliver financial and statistical analysis to clients
• Effective communication with a wide spectrum of people both internally and externally
• Demonstrated competency in Microsoft Suite including;
  Excel, PowerPoint and Word

$130,000 – $190,000. Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience.

• Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution
• Pharmacy benefits with mail order options
• Dental benefits including orthodontia benefits for adults and children
• Vision benefits
• Health Care & Dependent Care Flexible Spending Accounts
• Company-paid Life & AD&D benefits, including the option to purchase Supplemental life coverage for employee, spouse & children
• Company-paid Disability benefits with very competitive salary continuation payments
• 401(k) Retirement Savings Plan with competitive employer contributions
• Competitive paid-time-off programs, including company-paid holidays
• Competitive Parental Leave Benefits & Adoption Assistance program
• Employee Assistance Program
• Tax-Free Commuter Benefit
• Tuition Reimbursement & Professional Qualification benefits

Sompo is an equal opportunity employer and we intentionally value inclusion and diversity. We do not discriminate based on race, color, religion, sex orientation, national origin, or age.