Lost Time Claims Specialist, Workers' Compensation
Encova Insurance
Senior Manager, Property & Casualty Claims – HO3
Assurant
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteSalary
💰 $101,500 - $169,400 per year
Job Level
Senior
About the role
- Provides transformative leadership and supports implementation of innovative initiatives that drive efficiencies, build culture, and deliver value.
- Drives a digital-first mindset, supports new technology to drive greater automation, and holds teams accountable for adoption and execution.
- Inspires an engaged, high-performance team of leaders who hold themselves and their teams accountable for delivering positive experiences to members and customers to drive exceptional results.
- Provides leadership, coaching, and direction to claims teams, fostering a culture of excellence, collaboration, and continuous improvement.
- Ensures timely and accurate processing of claims, adhering to industry standards and company standard operating procedures/policies.
- Collaborates with other departments, such as Legal, Finance, and Customer Service, to address complex claims and ensure a seamless customer experience.
- Analyzes claims data to identify trends, regulations, and best practices, incorporating relevant changes into claims processes.
- Leads the development and implementation of training programs for claims staff to enhance skills and knowledge.
- Oversees the development and maintenance of claims documentation and reporting.
- Identifies and implements strategic initiatives for claims management, enhancements, and improved procedures.
- Develops and fosters excellent relationships with clients, customers, and internal stakeholders.
- Utilizes operational metrics and reports to track trends and results and adjusts tactics accordingly.
- Ensures complete and sound claim settlements, legal reviews, and investigations when necessary.
- Resolves non-routine and escalated customer calls and researches/responds to customer-escalated complaints.
Requirements
- Bachelor’s degree or a minimum of 5 years of experience working in the claims process in a P&C environment (in addition to the minimum years of experience required) may be substituted in lieu of a degree.
- Minimum of 10 years of experience in Claims.
- Minimum of 5 years of supervisory/management experience overseeing liability claims, including coaching and developing employees.
- Previous experience managing multi-line and multi-state claims.
- Strong knowledge of liability claims, including general liability, homeowner liability, and complex litigation.
- Deep understanding of managing high-exposure claims and large loss cases.
- Ability to interpret policy language, legal documents, case law, and regulatory guidelines.
- Strong negotiation and mediation experience required.
- Proven ability to lead in a fast-paced environment, meeting client service standards and production goals.
- Familiarity with the P&C claims process from beginning to end.
- Detail-oriented with a commitment to excellence.
- Ability to use data analytics to drive business decisions.
- Intermediate office computer skills and experience with Microsoft Office.
