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About the role
Key responsibilities & impact- Responsible for leading the claims operations of the GSBA Risk Management Fund (RMF) and the GSBA Workers' Compensation Fund (WCF).
- Provides strategic oversight of the investigation, evaluation, negotiation, and resolution of property, casualty, liability, and workers' compensation claims in collaboration with the Third-Party Administrator (TPA).
- Ensures claims are administered promptly, fairly, and in compliance with applicable laws, regulations, Fund policies, and industry best practices.
- Provides leadership and oversight to claims adjusters, TPAs, legal counsel, and other service providers to ensure exceptional claims handling, consistent service delivery, and positive member outcomes.
- Responsible for monitoring claim reserves, settlement authority, litigation management, claims analytics, and overall claims performance to safeguard the financial integrity and long-term sustainability of the Funds.
- Leads claims reporting, member support, and claims administration functions while partnering with RMS leadership to identify trends, mitigate risk, and support organizational objectives.
Requirements
What you’ll need- Expertise in claims administration, insurance coverage, litigation management, reserve analysis, and industry best practices.
- Strong analytical, strategic thinking, negotiation, and decision-making capabilities.
- Demonstrated ability to manage complex claims independently while maintaining exceptional customer service and professionalism.
- Excellent written and verbal communication skills, including the ability to effectively communicate with members, legal counsel, medical professionals, and executive leadership.
- Strong leadership, organizational, and interpersonal skills.
- Proficiency in Origami, Microsoft Office applications, and other claims management and insurance-related software systems.
- Ability to analyze claims data and identify trends that improve operational efficiency and reduce claim costs.
- Sound judgment, critical thinking, and complex problem-solving abilities.
Benefits
Comp & perks- Exceptional customer service
- Collaboration
- Organizational commitment
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
Insurance CoverageReserve AnalysisClaims EvaluationClaims ResolutionClaims Performance Monitoring
Soft Skills
Analytical SkillsStrategic ThinkingCustomer ServiceCommunication SkillsInterpersonal Skills