FREE ACCESS
5,000–10,000 jobs/day
See all jobs on JobTailor
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
About the role
Key responsibilities & impact- Work closely with the IT department and external vendors to enhance and optimize the RMIS system, ensuring it meets the company's specific requirements and aligns with industry best practices.
- Manage relationships with TPAs, ensuring effective communication, adherence to service level agreements, and quality control.
- Claims Adjudication: Oversee the evaluation, investigation, and adjudication of complex claims, including those related to commercial, general liability and property. Provide guidance and support to adjusters and defense attorneys in claim resolution and settlement strategies.
- Assess risk transfer opportunities to third-parties and draft all tender documents when risk transfer is identified.
- Prepare and provide claim data for monthly and quarterly reports.
- Monitor the performance of the TPAs, establishing performance metrics and conducting regular evaluations. Identify areas for improvement, implement corrective measures, and provide ongoing training to Operations team effectiveness and efficiency.
- Compliance and Regulations: Stay updated with industry regulations, legal requirements, and emerging trends in risk management. Ensure compliance with regulatory standards and company policies, including timely reporting, documentation, and adherence to claims handling protocols.
- Foster a customer-centric approach within the Risk Management Department, emphasizing prompt and accurate FNOL, coverage issues, claim investigations, timely response to litigation, and effective communication.
- Collaborate with other departments, such as investments, development, legal, operations and IT, to ensure seamless operations and optimize overall department performance. Provide insights and recommendations to SVP of Risk Management.
Requirements
What you’ll need- Bachelor's degree in business, Insurance and Risk Management, or a related field (equivalent experience may be considered).
- Minimum of 7 years of experience in claims heavy organization (4 years litigated claims experience) or claims supervisor at TPA, insurance carrier or broker, with a focus on commercial real estate organizations or construction, general liability litigation, and property.
- Strong knowledge of claims handling processes, insurance industry regulations, and best practices.
- Experience in managing claims systems (preferably Riskonnect) and processes.
- Proficiency in using RIMIS software and related tools.
- Experience working with TPA's is highly desirable.
- Relevant professional certifications (e.g., AIC, CPCU) are a plus.
Benefits
Comp & perks- Health insurance
- Flexible work arrangements
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims adjudicationrisk transferclaims handling processesinsurance industry regulationsperformance metricscustomer-centric approachlitigated claims experienceclaims systems managementdata analysisreport preparation
Soft Skills
effective communicationrelationship managementteam collaborationproblem-solvingtraining and developmentcustomer service orientationorganizational skillsleadershipadaptabilityattention to detail
Certifications
AICCPCU