Claims Manager

Senior Claims Manager

The Claims Manager is responsible for the oversight of all claim processing and management activities for the corporate Risk Management Department. This position directs the Property, Casualty, and Workers Compensation insurance programs while providing guidance and support to ensure timely, accurate, and efficient claim processing.

Essential Duties and Responsibilities:

• Oversee disputes and related claims, including but not limited to auto, general liability, workers compensation
• Develop and implement corporate claims, insurance and risk policies, programs and services; ensures efficient and effective use of resources; manage process and performance to obtain optimal outcomes involving claim
• Manage and ensure claims are reported in timely manner to applicable insurance carriers, and delegate or prepare claim documentation and report claim directly to applicable insurance carriers as applicable
• Engage with Operations, Safety, and Legal teams to ensure initial investigation is conducted and documented via written report; determine and immediately assign third-party incident investigator as necessary
• Participate in crisis response team activities; provide guidance on steps to strategically manage crisis and claim processes
• Create and control files for all claims records and documentation
• Manage payments to relevant party/parties, per standard operating procedures for each claim type
• Analyze loss data for claim settlement and reserves and make recommendations to senior leadership; ensure claim loss reserve performance and practices are accurate, consistent and timely
• Prepare periodic reports, such as loss or benchmark reports, as directed using data management systems
• Manage the legal strategy and documents produced for litigation and mediation statements for assigned claims
• Attend trials, mediations, and arbitrations for assigned claims, as required
• Participate in and advise on safety, environmental, operations, and/or legal meetings
• Deliver timely performance feedback to senior leadership and execute and/or contribute to performance appraisals during annual performance cycle
• Promote and ensure service excellence internally and through vendor relationships
• Responsible for vendor relationships, including vendor performance management
• Management of risk exposures, insurance submissions and reviews
• Other duties and responsibilities as required

Qualifications:

• BA/BS/BBA preferred (degree in Risk Management & Insurance, Finance, Actuarial Science, or related field a plus)
• Minimum 10 years of professional insurance claims experience, and in-depth expertise in claims, insurance, coverage, and industry practices
• Experience and comprehension of auto, general liability, workers compensation, and employment practices liability claims processes, including most probable outcomes based on facts and jurisdiction
• Subject matter expert in insurance policies, and claims documents and practices
• Familiar with state and local insurance and claims regulations
• Relevant negotiation and influencing skills; process and critical thinking skills with sound judgement decision-making
• Analytical and adept at processing and breaking down data into actionable information
• Self-starter with project management skills and capable of managing concurrent complex projects and tasks successfully to completion
• Interpersonal and team building skills with ability to work across organizational levels, both internal and external
• Professional written and verbal communication, and effective presentation skills
• Proficient in computer skills, Microsoft suite of applications, MS Outlook, and insurance-based risk management information systems
• Demonstrated ability leading to obtain high quality outcomes with tight time frames and cost-effective use of resources
• Demonstrates integrity and strives for excellence in work
• Knowledge of transportation and facilities operations and practices