HQ Claims Manager -WC Concerntration

Turner construction   •  

Paramus, NJ

Industry: Real Estate & Construction

  •  

5 - 7 years

Posted 31 days ago

Position Description: The TSIB Claims Manager provides professional technical guidance and oversight to TSIB Clients with respect to claims reporting, management, and settlement. The position reviews all claims individually and conducts periodic review of each Client's loss history, monitors reserves, and assists Client staff with day-to-day claims matters. The position trains Client and TSIB staff on RMIS systems in use, loss prevention techniques, and claims processing and management. The position may supervise TSIB claims or client support staff.

Reports To: Reports to a Managing Director in the brokerage.

Essential Duties & Responsibilities*:

  • Independently develop, implement, and monitor the claim administration and reporting programs for each assigned Client and the assigned insurance carriers;
  • Report, investigate, and manage all claims; review contracts and policy forms for coverage applicability, advise Client and insurance carriers on claim facts, monitor claims administration and settlement progress
  • Analyze and interpret insurance carrier positions on complex or litigated claims; engage with attorneys on coverage defense and litigated matters, develop strategies and make settlement recommendations to Clients
  • Train Client staff on: proper claims procedures and developments in applicable law; use of RMIS systems; identification of fraudulent claims; and safety and loss prevention techniques
  • Develop loss prevention programs for Clients from review of post-accident reports and analysis of loss history; report on Client loss trends and new loss prevention techniques
  • Conduct periodic claim reviews with Client, insurance carriers and TSIB staff; monitor reserves and advise Client when reserves must be increased.

Qualifications: Bachelor's degree in Insurance, Risk Management, Finance, Business Administration or similar program; or a minimum of seven years' experience in insurance or risk management with emphasis on construction claims ; or an equivalent combination of education, training and/or experience. CPCU, ARM or similar insurance designation desired. Proven written and verbal communication abilities with emphasis on problem solving and negotiation; proficiency with computer applications, including Microsoft Office suite and insurance-based RMIS systems. Ability to read and understand contracts and insurance documents. Demonstrated interpersonal skills and ability to work with staff at all levels, both internal and external. Ability to travel.