Claims Manager - Commercial Litigation

Company Description

Searching for a place to make your mark? Every great team depends on the individual contributions of its members – the skills, talents and the passion that each team member brings. At Citizens, we’re building a workforce of top achievers committed to our company’s mission and vision. Our company values the knowledge that comes from experienced and dedicated individuals with a variety of backgrounds, in or out of insurance.

Citizens’ Mission is to provide property insurance protection in Florida to those who are, in good faith, unable to obtain coverage through the private market while also providing the utmost in customer service. Our Values are public service, integrity, respect, responsiveness and sound judgment. We strive to not only provide affordable insurance products and services but also to provide sound financial responsibility to the citizens of Florida.

 At Citizens, we are a team of dedicated, service-minded professionals committed to our policyholders. Come achieve and maximize your potential with us!

Job Description

Settling Claims fairly is the cornerstone of our business. As one of the State’s largest property insurers, we have a fantastic opportunity for highly skilled, analytical thinking manager who is ready to combine their advanced claims experience with their legal background to join our Claims Litigation team.  As a Claims Manager – Commercial Litigation you will be responsible for the review and analysis of commercial litigation claims.  You will provide recommendations towards the resolution of new Complaints and oversee a professional team of commercial litigation adjusters.  You will interact with external business partners and exercise independent judgment.  Join us and help ensure our policy holders claims are handled efficiently and fairly, because you, like us, do the right thing.

POSITION SUMMARY:   This position is responsible for the direct supervision and accountability of internal, external and/or contracted staff responsible for the investigation, adjustment, and settlement of claims and/or the assessment of claim performance. Additionally, may be required to provide oversight to the multiple claim workflows and processes, conduct open and closed file reviews, mentor, train, and participate in the direct handling of claims to ensure compliance with company policies and procedures.

ESSENTIAL FUNCTIONS: THE FOLLOWING ARE THE USUAL, BASIC AND ESSENTIAL FUNCTIONS OF THE POSITION. THESE FUNCTIONS ARE NOT TO BE CONSTRUED AS AN EXHAUSTIVE LIST OF ALL RESPONSIBILITIES, DUTIES, AND SKILLS REQUIRED.

• Facilitates a work environment that fosters and supports ethical decision-making and actions by motivating, promoting, and modeling ethical behavior, as well as executing job responsibilities in accordance with Citizen’s core values, ethics and information protection policies.
• Responsible for managing claim personnel to include hiring, training, performance assessment, planning and delegation of workload, coaching and motivating to improve quality and quantity of work performed.  
• Conducts audits of the claims process to include coverage analysis, investigation, valuation, scope, estimate, reserving, and the accurate disposition of claims.
• Communicates effectively with agents, policyholders, Claims Unit personnel, External and Internal Stakeholders.  
• Ability to manage and adjust claims in accordance with Citizens Best Practices and Estimating Guidelines including proficiency with the electronic estimating system and management application.  
• Completes field re-inspections of vendor or employee claims to ensure proper claim handling and compliance with company procedures.  
• Assists in the coordination of vendor involvement in all current claim models. Participates in training and/or mentoring of internal, external and/or contracted staff.
• Develops, analyzes, and reports metrics useful in measuring performance as well as effectiveness of the claims operations.  

Participates in workload surges and/or catastrophe response as needed, to include mandated overtime during specific catastrophic events. May assist other Business Units as needed

Qualifications

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

• Working knowledge to interpret and apply laws, rules, regulations, policies and procedures, and department operational guidelines in daily functions.  
• Demonstrates leadership and managerial skills.
• Ability to exercise independent judgment and be self-motivated
• Advanced proficiency in Microsoft Word, Ex