Senior Claims Manager- Major Case Unit

Job Title

Manages personnel in the unit to ensure claim processing in a prompt, professional and efficient manner in accordance with company guidelines and procedures. May manage complex claim files. Reviews claim files providing direction and settlement authorization.

Essential Duties And Responsibilities

• Assist in developing hired claim supervisors through continuous coaching, training, and evaluating.
• Direct examiners/adjusters in the proper investigation of coverage and liability issues and extend settlement authority to effect accurate, timely, cost-effective handling of claims.
• Give technical direction to both supervisors and adjusters.
• Manage litigation, subrogation, and salvage to ensure cost effective returns.
• Furnish appropriate weekly and monthly management reports/results to Director of Claims.
• Assist in training and developing adjusters.
• Interpret insurance contracts.
• Conduct monthly quality control reviews of claim files.
• Ensure employee objectives, performance and evaluations are consistent with department goals and objectives.
• Manage performance, resolve conflicts and opportunities, and distribute and check work.
• Recommend new hires, salary increases, and promotion and termination of associates.
• Consistent contact with all stakeholders including but not limited to claims directors, examiners, adjusters, insureds, claimants, attorneys, vendors, agents and other department managers.
• Develop relationships with auditors and government/regulatory agencies.
• Maintain confidentiality of pertinent information.
• Perform other similar or related duties as assigned.

Required Education/Experience

• 4-year degree from an accredited institution.
• 10 years' successful claims handling including advanced skills in coverage, investigation, negotiation, salvage, and subrogation is a plus.
• 3-5 years' experience as Manager is a plus.
• 3-5 years' experience with multi-line claims; heavy emphasis on Commercial Garage/Auto, Commercial Liability, Material Damage and Commercial General Liability.
• 3-5 years' experience with multi-state responsibilities is a plus.
• Experience with Excess and Surplus lines is a plus.
• Current resident adjuster's license.
• Non-resident adjuster license where required in the state where ACIC does business.

Required Skills

• Proficient knowledge of and adherence to state laws and regulations governing the handling of property and casualty claims.
• Excellent computer skills.
• Advanced communication skills are required to understand, interpret, and convey technical information.
• Proficient understanding of accounting principles, construction, underwriting, marketing and auto physical damage estimating.
• Knowledge of medical terms and legal issues.
• Proficient knowledge of the litigation process and procedures.
• Proficient knowledge of coverage, investigation, negotiation, salvage, arbitration subrogation, construction, and auto physical damage.

Mental Requirements

Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of instructions in written or diagram form. Reasoning; dealing with problems involving a few variables in standard situations.

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to use hands to finger, handle controls and talk or hear. The employee frequently is required to sit and reach with hands and arms. The employee is occasionally required to stand and walk. The employee must frequently lift and/or move up to 25 pounds, sometimes as much as 50 pounds. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate. Works primarily indoors. Normal office environment Non-standard hours based on project and system support needs.

Travel

20%