Associate Claims Services Manager

Provide customer service, dispute resolution, education and general claims consultation services to all assigned captive clients. Help support our TPA partners in successful claims administration.

ESSENTIAL EDUCATION AND EXPERIENCE: Bachelor’s Degree or equivalency in a related discipline and at least five (5) years of experience in WC and P&C claims handling and/or claims customer service and have experience in face-to-face and telephonic client contact as it relates to commercial claims.

SKILLS/COMPETENCIES REQUIREMENTS:

• Strong team attitude.
• Works well independently and in a team environment.
• Interpersonal skills.
• Maturity.
• Excellent written and verbal communication skills.
• Proficient in Microsoft Office, especially using Excel and Powerpoint, and other on-line computer systems.
• Comfortable making presentations to small and large groups.
• Organization, planning and prioritization skills.
• Strong analytical, problem solving and judgment skills.
• Strong customer service orientation.
• Commitment to company values.
• Willingness and ability to travel as required.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Monitor the claim service program of each client on an as needed and ongoing basis.
• Monitor the claims handling on specific serious or sensitive claims.
• Act as liaison between the client, the broker and claims administrator on any claim matter.
• Work closely with captive members to help reduce reserves and expenses.
• Monitor large value claims and other claims as requested by client.
• Coordinate and participate in claim review meetings for all clients.
• Make sure adjusters are complying with all special handling instructions.
• Create and generate claims reports on an as needed or as requested basis.
• Set up new clients with the claims administrator and train new clients on the processes needed for each captive program.
• Analyze the service requirements of each individual captive member and work with the claims administrator to achieve compliance.

PRIORITIES: Customer Service/Relationships, Vendor Relationships, Positive Team Attitude