Claims Manager

Overview

Egis Insurance & Risk Advisors, an Accretive company, is seeking a Claims Manager to join our program administration team in Lake Mary, Florida.

Egis Insurance & Risk Advisors is the program administrator of the Florida Insurance Alliance (FIA), the fastest-growing governmental insurance trust in Florida. FIA is one of the leading providers of insurance and risk management services to Special Districts and Public Charter Schools in Florida.

Under the direction of the Executive Vice President, the Claims Manager will oversee FIA’s liability claims operations and will be responsible for ensuring that our TPAs are handling FIA’s claims to the highest standard and settling claims within policy guidelines. The Claims Manager will also assist our TPAs with coverage investigations and will act as a liaison between FIA and their reinsurers. They will also be responsible for identifying and directing claims handling process improvements through solution implementation.

The Claims Manager will work closely with the rest of the program administration team (Underwriting and Loss Control). They will be expected to assist with planning, operational efficiency, reporting, member satisfaction, and policy form improvements.

What You'll Do

• Responsible for the oversight of FIA’s liability claims operations.
• Ensure that claims handling is performed within the standards/best practices and that TPAs are administering claims in accordance with FIA’s claim philosophy.
• Attend mediations and hearings on behalf of FIA.
• Coordinate the claims process between FIA’s members, TPAs, and legal counsel.
• Oversee and coordinate the flow of appropriate notices and information to TPAs and reinsurers.
• Participate in TPA claim audits.
• Identify and direct claims handling process improvements and divisional projects through solution implementation.
• Implement accountability measures to drive customer service and quality standards.
• Assist the TPA with property inspections and handle some property and auto PD claims, though the Claims Manager is not expected to carry a claims inventory.
• Assign counsel, ensuring timely and appropriate disposition strategies are in place and cases are moving forward.
• Identify and timely report claims that meet FIA reinsurers’ reporting criteria.
• Analyze applicable coverage for all submitted claims and determine whether the loss falls within the policy coverage.
• Identify, assign, and coordinate expertise resources to assist in case resolution.
• Assist brokers and agency partners by answering coverage inquiries and providing status updates on open claims.
• Develop and maintain relationships with FIA members, management companies, brokers, reinsurers, vendors, and outside counsel.
• Actively participate in webinars and departmental/functional projects to drive business results and innovation.
• Perform other duties as assigned.

What You'll Need

Education / Experience:

• Bachelor’s Degree.
• Minimum of 4-6 years of progressive P&C claims experience.
• AIC, CPCU, SCLA, or similar designations highly preferred.
• 6-20 or 7-20 Florida All-lines adjuster license.

Competencies / Technical Skills:

• Polished and professional written and verbal communication skills.
• Demonstrate a desire for continued professional development through continuing education and self-development opportunities.
• Professionally curious with strong problem-solving skills.
• Advanced experience with Microsoft Office Suite, especially Excel.
• Ability to travel, sometimes overnight, approximately 20% of the time.
• Self-directed individual who can work with limited direction in a fast-paced environment.
• Strategic thinker who understands the industry and the lifecycle of a claim.

What's in it For You?

To help you make the best decision for your personal growth, it’s important to us to share a glimpse of what we offer our top asset, our people:   

• Competitive base salary   
• Generous 30 Days Comprehensive Paid Time Off Package inclusive of Paid Time Off, 10 Company Holidays, 2 Floating Holidays, 5 Sick Days, and 2 Volunteer Days
• Health benefit options with you in mind; 5 affordable medical plan options with rates based on your salary, company paid HSA contribution with eligible HSA plan selection, 2 dental plan options offering orthodontia coverage and 3 cleanings per year, and 2 vision plan options    
• Company match 401(k) plan – 50% up to 6%!   
• Support of your fitness wellness goals! We offer up to 75% off at over 11,000 gyms and fitness centers    
• Opportunity to prioritize your mental health with 24/7 access to licensed therapists   
• Pet benefits & discounts    
• Access to our Employee-led Resource Groups (ERGs) that lend a voice to the variety of demographics represented throughout AssuredPartners  

Grow, with us

Accretive is a collection of elite specialty and wholesale agencies supported by experienced industry leaders. Our expertise is broad, and our innovative culture runs deep. We value relationships above all else and consistently deliver best in class customized solutions and service you can trust.

Accretive is passionate about fueling our clients’ innovation and growth. That makes us the perfect place for creative, dynamic people who want to grow their career while helping businesses, families and people thrive.  We are proud to be one of the largest brokers in the country, but we’re even prouder of the honest, caring relationships that our employees build with our clients every day.

Working with us will give you the opportunity to do work that matters while you learn with us, advance with us, and most importantly, grow with us. Accretive is committed to embracing diversity, equity and inclusion to create a workplace that welcomes and thrives on the unique experiences, perspectives and contributions of all team members. Accretive is bringing the best people and most diverse talent forward to drive growth, innovate and think bigger!