Manager Occupational Accident Claims
Manager Occupational Accident Claims
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Job Description
The selected candidate will lead a team that investigate coordinate evaluate and negotiate complex NonSubscriber/Occupational Accident claims presented by insureds or claimants. This includes but is not limited to evaluating and verifying coverage evaluating legal liability communicating with Insureds Claimants Attorneys and Independent Adjusters. It also includes file documentation negotiating settlements within authority and taking the action necessary to bring all assigned files to a reasonable resolution.
We are seeking a detail oriented NonSubscriber or Occupational Accident Claims Supervisor/Manager to join Avant Specialty Claims a Thirdparty administrator. We are looking for a claims professional with 10 years experience adjusting Workers Compensation or Texas NonSubscriber claims.
The ideal candidate is knowledgeable or experienced in Texas NonSubscriber Occupational Accident Workers Compensation disability or medical management. The NonSubscriber/Occupational Accident leader is responsible for our team investigating and adjusting employee injury claims benefit determination wage replacement and medical management for Texas NonSubscriber claims. This includes but is not limited to evaluating and verifying coverage assessing benefit compensability communicating with Insureds Attorneys and medical professionals. It also includes file documentation policy interpretation and taking the action necessary to bring all assigned files to a reasonable resolution.
Job Responsibilities:
Ensure that claims handling is conducted in compliance with applicable statutes regulations and other legal requirements and that all applicable company procedures and policies are followed.
Receive new loss assignments and review all information on new loss reports and providing guidance to adjusting staff.
Handle files involving catastrophic damages in accordance with our Catastrophic Guidelines.
Ensures adjuster timely interview insureds claimants witnesses and investigate loss details as required including any paper documents that may be required. This includes but is not limited to; police reports various public records Bills Of Lading lease agreements releases Proof of Loss etc.
Oversee the confirmation and evaluation of coverage including coverage dates and appropriate limits terms and conditions insuring agreements etc. Ensure adjusters document the files relative to the coverage analysis and prepare any coverage position letter required (i.e. ROR Denial Tender Letter etc..
Ensure proper assignment to outside appraiser and/or adjuster with instructions for investigation and evaluation as needed.
Review reports from adjusters and/or appraisers and evaluate make judgments and formulate action plans to carry claim to final disposition.
Evaluate all key components of the claim and assist adjusters to formulate plan to carry file to conclusion. This includes applying appropriate coverage application liability analysis Injury/Damage analysis settlement value range and action plan to resolve the file.
Ensure Claims payments are issued in a timely and accurate manner.
Identify files with subrogation potential and refer files to Subrogation Representative for evaluation and pursuit of potential subrogation claim.
Required Experience:
10 years claims experience or equivalent combination of education and experience.
Candidate fluent in Spanish a plus but not mandatory.
Education:
Bachelors Degree in Business Accounting Finance or related field preferred.
Disclosure required under applicable state or municipality regulations: The expected salary range for this position is $120000 to $125000 and will be impacted by factors such as the successful candidates skills experience and working location as well as the specific positions business line scope and level. HUB International is proud to offer comprehensive benefit and total compensation packages which could include health/dental/vision/life/disability insurance FSA HSA and 401(k) accounts paidtimeoff benefits and eligible bonuses equity and commissions for some positions.
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Department Claims ManagementRequired Experience: 710 years of relevant experienceRequired Travel: No Travel RequiredRequired Education: Bachelors degree 4year degree)HUB International Limited is an equal opportunity employer that does not discriminate on the basis of race/ethnicity national origin religion age color sex sexual orientation gender identity disability or veterans status or any other characteristic protected by local state or federal laws rules or regulations.
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Required Experience:
Manager
Employment Type
Full-Time
