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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.
- Collaboration: 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- Applicants with disabilities may be entitled to reasonable accommodation under the terms of the Americans with Disabilities Act and certain state or local laws. A reasonable accommodation is a change in the way things are normally done which will ensure an equal employment opportunity without imposing undue hardship on CIM Group. Please inform our Talent team if you need any assistance completing any forms or to otherwise participate in the application process.
- CIM is committed to maintaining the confidentiality and privacy of your personal and financial information. Please click here for our Privacy Policy.
- CIM does not accept unsolicited resumes from Agencies. Any unsolicited resumes received from Agencies will be considered property of CIM and no fees will be due or paid. If you wish to become an approved Agency with CIM or any of its Affiliates, please contact a member of the CIM Talent Acquisition Team.
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 metricsdata analysiscustomer-centric approachlitigated claims experienceclaims supervisionreporting
Soft Skills
effective communicationcollaborationrelationship managementproblem-solvingtraining and developmentcustomer service orientationorganizational skillsleadershipadaptabilityattention to detail
Certifications
AICCPCU