Property Claims Manager

Description

Summary:

This position is responsible for overseeing property claims operations according to company guidelines, procedures, and business plans. This position is also responsible for adjusting and settling assigned claims brought against the policyholders of the company with settlement authority up to $500,000, and for supervising and reviewing performance of assigned Claims Department staff.

Functions:

• Assist Claims Manager/VP with management of Claims Department functions in assigned office locations, including claims payments, record keeping and reporting to statistical bureaus.
• Supervise assigned department staff in all aspects of their claims work in accordance with corporate strategic direction and guidelines.
• Ensure compliance with applicable regulatory and legal requirements.
• Recommend improvements to or development of methods and procedures needed to enhance claims settlement.
• Assist Claims Manager/VP in reviewing and monitoring services performed by independent adjusters, appraisers, and outside legal counsel.
• Provide guidance to company Claims Representatives on potentially significant claims.
• Ensure loss reserves are properly evaluated and consistent with company policy.
• Train and orient agents on proper loss reporting procedures.
• Maximize the use of automated technologies for internal processing and to provide efficient, attractive, cost-effective service to policyholders, claimants, and agents.
• Assist Claims Manager/VP in ensuring that claims which may exceed treaty retention are reported to reinsurers, status reports are issued, and requests for reinsurance payments are made according to established procedures.
• Communicate with Claims Manager/VP regarding complex claims when assistance is necessary.
• Assist Claims Manager/VP in decisions regarding questionable claims submissions and possible fraud.
• Handle claims according to company guidelines and in compliance with the Unfair Claims Practices Act.
• Verify policy coverage on assigned losses.
• Handle and respond to all property insurance department complaints. 
• Review 3 closed claim files per claim rep per month to ensure proper claim handling procedures. 
• Oversee subrogation process and collections for all claims files.
• Investigate and evaluate claims for proper settlement.
• Negotiate with claimants, insureds, and attorneys when necessary.
• Assign independent adjusters, appraisers, and legal counsel when necessary; maintain list of approved independent property adjusters.
• Manage company property claim field representatives, including interviewing, training and onboarding replacements or additions to staff.
• Provide back up to on-duty after-hours property claim representative when they are unavailable or when assistance is needed for after-hours claim events. Company phone will be provided. 
• Pursue subrogation, salvage, and third-party liability contribution.
• Inform assigned Claims Department staff of changes in laws, court decisions, insurance department regulations, industry activity and trends, and other factors affecting company operations.
• Ensure personal professional development and participate in industry trade groups and conferences.
• Maintain membership in arbitration facilities to resolve intercompany disputes.
• Assist and advise other areas of the company concerning claims matters.
• Assist Claims Manager/VP with Claims Department budget as requested.
• Provide training and professional education for Claims Department staff.
• Manage CAT program for large property loss events.
• Assist in assigning new losses to all Claims Department Representatives.
• Perform other duties as assigned by supervisor.

Requirements

• College degree or equivalent education in insurance, business administration or risk management preferred.
• Eight to ten years’ experience in Property & Casualty insurance claims adjusting required.
• Texas all lines adjuster license, or the ability to obtain a Texas all lines adjuster license required.
• Knowledge of Property & Casualty insurance coverages and insurance policies written by the company, insurance department regulations, and laws governing insurance claims operations and motor vehicles required.
• Proven skills for supervising department staff required.
• Proven communication, negotiation, presentation, and interpersonal skills required.
• Proficiency in office suite (MS Office Pro: Word, Excel, Access preferred), email and scheduling; ability to learn company computer systems required.
• Proficiency in estimating software (Xactimate preferred).
• Ability to work flexible hours, travel to all organization offices (including in Pennsylvania, Ohio, and South Dakota) and travel to vendor work sites required.
• Ability to work in an office environment with moderate noise level, remain in a stationary position and operate a computer a majority of the time required.
• Ability to move throughout the office to access work materials and to move work materials weighing up to ten pounds daily required.

Salary : $500,000