Property Claims Operations Manager (Remote)
California Fair Plan Association
- Remote job
POSITION SUMMARY
The Claims Operations Manager supports the Claims teams through robust training, accurate data reporting, and efficient processes. This role is also responsible for evaluating and analyzing the Claims department’s policies and procedures to recommend streamlining, developing, or eliminating processes, and ensuring efficient claims handling.
PRINCIPAL DUTIES & RESPONSIBILITIES
• Continually evaluate Claims processes for efficiency and regulatory compliance.
• Lead and coach staff to elevate performance, foster development, and ensure accountability.
• Monitor, measure, and report on process improvements and training effectiveness.
• Coordinate legal review of training material and document approvals in compliance records.
• Guide and oversee the Claims Business Process Analyst, ensuring efficient collaboration with business partners.
• Oversee the claims data reporting process, ensuring timely, accurate data reporting. Monitor new regulations and industry practices for CFP policy updates.
• Ensure all Department of Insurance compliance training materials are up to date, keeping pace with regulatory changes and other market developments.
• Oversee the creation of Claims unit training materials, delivery methods, and employee development programs to align with unit and company strategy and standards.
• Implement policies to ensure compliance with claim-handling guidelines and to ensure good-faith handling of claims.
• Collaborate with Claims Managers to provide relevant content for training materials.
• Identify and recommend specific training programs to help employees maintain or improve job skills.
• Recommend process modifications to improve quality, workflow, and policies and procedures.
• Develop and manage the Claims training schedule for new hires, current team members, and vendors.
• Report implementation progress and training completion to Claims management.
• Serve as the liaison to the California Earthquake Authority, representing the organization with professionalism and integrity.
• Any other duties needed to fulfill the Association's Mission, Values, and Strategic Objectives.
EDUCATION & EXPERIENCE
• Bachelor’s degree in Business or related field
• 10+ years property claims experience, with 2+ years in management
• Claims training and auditing experience preferred.
• Demonstrated communication skills, both written and verbal
• Proven decision-making skills and attention to detail
• Advanced skills in Microsoft Office Suite of products
• Advanced skills in Xactimate and Xactanalysis
• Comprehensive understanding of policy contract/statutes and claims processes
• Experienced handling, producing, and presenting claims data to stakeholders preferred
• Duck Creek experience preferred
• Certified in CEA and Fair Claims Settlement Practices preferred
$105k - $150k
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