Claim Manager - Worker's Compensation

Great American Insurance Group   •  

Richfield, OH

Industry: Finance & Insurance

  •  

5 - 7 years

Posted 34 days ago

This job is no longer available.

Responsibilities

  • Oversees activities within the Claims department. Provides file guidance:
  • Investigates and maintains claims:
  • Reviews and determines coverage and / or liability.
  • Secures / analyzes necessary information (i.e., reports, policies, appraisals, releases, statements, records or other documents) in the investigation of claims.
  • Works toward the resolution of claims files, complaints and disputes and attends arbitrations, mediations, dispositions or trials as necessary.
  • May affect settlements / reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority.
  • Ensures that claims payments are issued in a timely and accurate manner.
  • Ensures that claims handling is conducted in compliance with applicable statutes, regulations and other legal requirements, and that all applicable company procedures and policies are followed.
  • Advises reporting staff on claim files and extends settlement authority as necessary after reviewing files.
  • May establish reserves and make recommendations or reports for Corporate Claims or senior management.
  • Coordinates the work activities within the unit. Responsible for day-to-day work and procedures. Assigns and checks work.
  • Responsible for performance, development and coaching of staff (i.e., hiring, firing, performance management, salary increases, etc.). Provides training to new members of the team / unit.
  • Performs other duties as assigned.

Qualifications

Education: Bachelor's Degree or equivalent experience.

Field of Study: Liberal Arts, Business or a related discipline.

Experience: 5 or more years of related experience, including prior supervisory experience.