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: Insureds disputing denials complaints filed with the
- Insurance Department and/orLondon 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 comprehensivebenefits 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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Required Experience:
Manager