What are the responsibilities and job description for the Claims Manager position at Egis Insurance and Risk Advisors?
Company: Egis Insurance & Risk Advisors, an Accretive company
Background: Egis Insurance & Risk Advisors is the program administrator of the Florida Insurance Alliance (FIA), the fastest-growing governmental insurance trust in Florida. FIA is a leading provider of insurance and risk management services to Special Districts and Public Charter Schools in Florida.
The Role: Under the direction of the Executive Vice President, the Claims Manager will oversee FIA’s property claims operations. This role involves ensuring that our TPAs handle FIA’s claims to the highest standard and settle claims within policy guidelines. The Claims Manager will assist our TPAs with coverage investigations and act as a liaison between FIA and their reinsurers. Additionally, they will be responsible for identifying and directing claims handling process improvements through solution implementation.
The Claims Manager will work closely with the program administration team (Underwriting and Loss Control) and will assist with planning, operational efficiency, reporting, member satisfaction, and policy form improvements.
Job Responsibilities:
- Oversee FIA’s property claims operations.
- Ensure claims handling is performed within standards/best practices and that TPAs administer claims in accordance with FIA’s claim philosophy.
- 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 directly handle some property and auto PD claims.
- 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.
- Manage subrogation claims for restitution of funds paid by FIA and/or their members.
- 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.
- Assist the Underwriting department in reviewing and managing property appraisals.
- Perform other duties as assigned.
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.
- Demonstrated 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 25% 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.
Compensation and Benefits: We offer attractive, competitive compensation and benefits, including:
- 401K (Matching)
- Health insurance
- Dental insurance
- Vision insurance
- Employer-paid life insurance
- HSA and FSA options
- Voluntary benefits (such as critical illness and accident insurance)
- Paid time off
- Professional development assistance
Job Type: Full-time
Pay: $75,000.00 - $105,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible spending account
- Health insurance
- Health savings account
- Paid time off
- Parental leave
- Professional development assistance
- Vision insurance
Schedule:
- 8 hour shift
Work Location: Hybrid remote in Lake Mary, FL 32746
Salary : $75,000 - $105,000