A national insurance carrier is seeking an insurance professional who will be to manage claim operations. The ideal candidate will be responsible for the regional day-to-day claim operation including staffing and development and claims process and procedures to ensure that claim handling is consistent with Company’s best practices.
RESPONSIBILITIES
• Establishes branch claim office objectives supportive of Home Office and Corporate objectives.
• Monitors operations and staff and recommends, when necessary, changes in methods, procedures, structure, and additions or changes in personnel to secure optimum utilization of resources.
• Reviews, analyzes, and gives directives concerning new claim files and assigns or reassigns files to appropriate claim associates or independent adjusters.
• Approves reserve recommendations, establishes reserves and makes recommendations on reserves exceeding authority; analyzes and reviews on a continual basis, the reserve adequacy of a sampling of open claim files to ensure exposure is properly reflected.
• Counsels, advises and provides guidance to all Claim co-workers on accident reports or files to decide questions on coverage, law, liability and value to assure the proper investigation and timely equitable disposition of difficult cases.
• Provides guidance in the negotiation of claims and extends settlement authority to the claim technical staff.
• Monitors department productivity, reports on trends and recommends and implements changes to continually improve work productivity.
• Assists in the selection of approved defense attorneys, medical examiners, independent adjusters, experts, rehabilitation providers, and other vendors. Consults with Home Office on attorney and other vendor selections.
• Identifies, recruits and hires qualified staff.
QUALIFICATIONS
• 5+ years claims management experience within a property and casualty company and/or third party administrator.
• Experience in workers compensation line of business.
• Previous experience in overseeing claims operations at the regional and/or branch level.
• BS Degree.
• Excellent written and verbal communication skills
• Ability to identify and resolve problems in a timely manner, gather and analyze information skillfully.
• Ability to demonstrate accuracy and thoroughness, monitor own work to ensure quality and apply feedback to improve performance.
• Computer skills (Microsoft applications)
About The Regent Group
The Regent Group is a recognized leader in executive search and professional staffing for companies involved in the assessment, management and transfer of risk. Our consultants have extensive backgrounds both in executive search and in serving the needs of the insurance and risk management industries, as well as specific knowledge of the unique issues and trends facing our clients.
We have worked extensively with companies of all sizes, at all stages of the corporate life cycle from startups to runoffs and with all forms of ownership from privately held to mutual owned and publicly traded. Our ability to serve the complex needs of our clients derives from understanding their business from a senior management perspective as an insider, not an outsider.
Visit us online at www.theregentgroup.com
