Casualty Claims Manager

Msig Usa Casualty Claims Manager

MSIG USA is the US-based subsidiary of MS&AD Insurance Group Holdings, Inc., one of the world's top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business's unique risks.

Provide oversight and technical advisement for casualty claims. Oversees the bundled auto physical damage TPA business including technical claim oversight. Responsible for the direct oversight of coverage issues to ensure timely recognition and referral in full compliance with MSMM Coverage Guidelines. Ensures compliance with all MSMM claim handling procedures, guidelines and manuals and other special unit procedures, as developed. Provides timely claim handling and service, timely compliance with case reserve practices, Fair Claim Practices Acts, and other compliance policies as adopted by MSMM.

Essential Functions:

Operational 20%

• Review and assign all new loss notices to ensure the timely assignment of new claims to the appropriate claims staff.

• Manage and direct activities of claim representatives to ensure full compliance with MSMM Claim Handling Guidelines and jurisdictional requirements.

• Manage open claim files, including completion of supervisory diary to ensure adequacy of investigation, case reserving, evaluation, and reporting.

• Manage expenses in accordance with claims handling procedures. Ensure Home Office Claim Staff is timely informed of all new and continuing developments on claims being reportable under published guidelines.

• Monitor and maintain required licensing and certification/designation as stipulated by respective state agencies.

Quality Control 50%

• Provide technical and managerial oversight to the assigned staff by encouraging the timely, professional and appropriate handling of all reported claims in accordance with applicable contract provisions, legal regulations and guidelines, and company claim handling policies and procedures.

• Ensure compliance of Laserfiche file documentation and claim system documentation as required by company claim manuals and procedures.

• Conduct and register formal quality assurance audits for all assigned staff in the appropriate audit database to track compliance with MSMM Claims Handling and Regulatory requirements.

• Complete documented reviews of all open liability claims every 30-45 days to ensure timely and appropriate disposition of all reported claims.

• Participate in the preparation and approval of agreed litigation plans. Direct and monitor litigated matters to determine future course of handling and appropriate methods of resolution.

• Participate in Home Office audits and monthly claim reviews to ensure compliance to Company Claim Handling Guidelines.

Employee Development 20%

• Direct, guide and develop staff, including providing ongoing performance feedback and coaching to maximize individual contributions to achieve desired business results within the department and company.

• Communicate to assigned claims staff information regarding policy, plans, trends, results and objectives of the company and industry to ensure a proactive approach towards full participation and compliance with internal and industry standards.

• Develop, implement and monitor claim staff training to ensure compliance with continuing education requirements as well as established business and career development goals.

Customer Service 10%

• Services the claim needs of our customers including insureds, claimants, brokers, etc., in accordance with company policy and procedures, and attends client visitations with underwriters and other parties to conduct presentations and reviews.

• Maintains ongoing communication with all customers throughout the claims process in an effort to provide timely and appropriate claim status as appropriate and/or required by statutory regulations.

• Organize and/or participate in on-site and teleconference claim reviews, client visits, and service presentations as required.

Additional projects as assigned.

Supervisory Responsibilities:

Responsible for providing leadership and maintaining an enthusiastic and appropriately trained claims staff ensuring they have appropriate knowledge and skill set while adhering to regulatory requirements and Company Claims Practices, Policies and Procedures.

Directly supervises 6 non-supervisory employees. Carries out management responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

Delegates work assignments; Matches the responsibilities to the staff's knowledge and expertise; Gives authority to work independently; Sets expectations and monitors delegated activities; Provides appropriate structure for career development and prove recognition for results

Education Requirements

Bachelor's degree (B. A.) from four-year college or university

• 10+ years related claims experience including 5+ years at a management / supervisory level, advanced claim technical training, proven leadership ability at the field management level, excellent verbal and written communication skills, effective interpersonal skills and superior problem solving and decision making skills

Salary: The base pay range is $150,000.00 - 170,000.00. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location.

Additional Benefits:

• Healthcare and Retirement Benefits
• Comprehensive medical, dental, and vision coverage
• 401(k) with a generous employer match and profit-sharing contribution
• Wellness incentive program
• Life and accidental death and dismemberment (AD&D) insurance
• Flexible spending programs
• Short-term and long-term disability plans

Additional Benefit Programs

• Paid time off program
• Paid charitable leave
• Paid parental leave
• Tuition reimbursement program
• Personal insurance (auto/homeowners) discounts

It's an exciting time for our company and a great opportunity to join a financially sound and growing global insurance group!

It is the policy of MSIG USA to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, MSIG USA will provide reasonable accommodations for qualified individuals with disabilities.