Complex Claims Supervisor

Position internally known as Claims Supervisor.

Job Summary
Manages a team of Claims Examiners handling complex claims. Ensures prompt, effective and courteous handling of all claims to policy holders and claimants with special emphasis on complying with appropriate guidelines. Oversees work of outside vendors/contractors.

Duties and Responsibilities

• Supervises Examiners to ensure proper claim handling and compliance with procedures.
• Oversees work product of outside vendors/contractors
• Evaluate property claims and provide guidance and settlement authority to property claims adjusters.
• Conducts Open and Closed File Reviews to evaluate and document overall operational value.
• Effectively manages loss, loss adjustment expense and loss reserve for property claims.
• Recognizes complex claims and develop appropriate claims strategy and settlement solutions.
• Researches, reviews and interprets policy language and state laws as necessary.
• Manages and resolves special cases/problem claims. Evaluates claims and addresses policy coverage issues in excess of staff authority.
• Assists in establishing policy and procedure for the department, developing strategic goals and objectives and providing direction, support and leadership.
• Communicates effectively with agents, policyholders, Claims Unit personnel, Underwriting, Human Resources, Finance/Accounting, and Chief Claims Officer. Effectively interact with external business partners and exercise independent judgment.
• Builds effective and efficient team that delivers quality customer service on a consistent basis.
• Provides leadership and growth goals for team members as well as working with teams to achieve company goals.
• Other tasks and projects as may be assigned

Essential Functions

• Ability to supervise and provide guidance to Examiners and Service Representatives in claim handling, performance, compliance, strategy, and settlement authority
• Ability to think critically, evaluate coverages, interpret insurance policies, and determine appropriate settlement strategies
• Ability to communicate effectively verbally and in writing with internal departments and direct reports, and external vendors, stakeholders, and policyholders
• Ability to identify and interpret complex, special, or large loss claims and determine the appropriate resolution strategy
• Ability to continuously monitor team performance, providing goals, evaluations, and disciplinary action as necessary

Qualifications

• Florida All Lines Adjuster License (520/620 License) required
• Bachelor’s Degree in related field or a combination of education and significant directly related experience.
• At Least 5-7 years of experience processing claims, 2 years managing a Claims Team.
• Proficiency with Microsoft Office products.
• Excellent communication skills, detail-oriented and exceptionally organized.

Direct Reports
Manage the Claims Examiner personnel and outside vendors/contractors.

Working Conditions
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, copiers, filing cabinets and fax machines.

Physical Requirements
While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms

Compensation and Benefits
We recognize that talented professionals are attracted to companies that provide a great place to work, combined with a comprehensive and competitive pay and benefits package, along with opportunities for personal growth and job advancement. For this reason we are pleased to provide:

• Market Competitive Wages
• Prof. Development and Educational Assistance Programs
• Safe Harbor 401K Plan with Immediate Vesting and an Automatic Company Contribution
• Paid Time-Off (Discretionary, PTO, Parental Leave, and others)
• Company Paid Holidays
• Health Insurance
• Dental Insurance
• Vison Insurance
• Short and Long Term Disability Insurance (company paid premiums)
• Flexible Spending Accounts with Company Contribution
• Health Savings Accounts with Company Contribution
• Employee Life and AD&D Insurance
• Dependent Life and AD&D Insurance
• AAA Membership (company paid)
• Identity Theft Protection (company paid)
• Other Ancillary Insurance Benefit Programs
• And more…

Safepoint Insurance is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with Safepoint depends solely on your qualifications.

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