Responsible for setting objectives and priorities that drive claims strategies and initiatives, identifying business trends and drivers, and developing and executing strategic plans to improve Claims Department efficiency and effectiveness. Responsible for initiating and managing assigned operations activities, functions, and projects to meet department and corporate goals and objectives. Supervisor responsibilities to include staffing, training and development, performance management, and work force planning.
DUTIES AND RESPONSIBILITIES
- Supervisor/manager responsibilities to include all of the following:A. Staffing needs, to include interviewing and onboarding for new employees.B. Training and development, as well as coaching and motivation, for staff.C. Performance management, goal-setting, employee engagement, and salary administration.
- Develop, lead, and manage the Claims Department information systems and strategy, including the Claim Management System and sub-systems, portals, and related vendor applications. Ensure the claim system strategy is aligned with all Church Mutual functions.
- Initiate and lead implementation of the Claims Department data environment and strategy. Ensure the claim data environment is complete, accurate, and timely in support of all Church Mutual functions. Develop and maintain management reports to track the accuracy, timeliness, effectiveness, and efficiency of claims process and function, to include claim metrics, scorecards, data dictionary, and all data processes and procedures. Oversee the Claims Department analytics environment capabilities, applications, and strategies.
- Monitor compliance issues, matters of importance, and results of claims policies, procedures, and results across all lines of business. Collaborate with Claim Managers in the proper execution of claim-handling policies and procedures to ensure compliance standards are being met or exceeded in each jurisdiction.
- Monitor and manage allocated and unallocated loss adjustment expense. Design, test, and ensure operational effectiveness of all key financial and operational controls for the Claims Department. Collaborate closely with Internal Audit and external auditors to ensure all controls are tested regularly and operating effectively.
- Manage and direct the Claims Department’s third party vendor relationships. Oversee and implement vendor cost containment tools, resources, web-portals, training, best practices, and deploy tools and knowledge that effectively maximizes these programs' impact on our business in a timely manner. Collaborate with Claim Managers in selection and performance management of all vendors.
- Initiate and lead implementation of process and procedural improvements that drive operational improvements and productivity gains.
- Serve as the primary Claims Department liaison with CMIC Integration Team, on as needed basis, to lead Claims Department effort in bringing together a newly acquired business relationship, venture, or strategic partnership. Ensure the department integration strategy and resources are aligned with organizational financial, operational, compliance goals and objectives for the acquisition or strategic alliance.
- Lead special projects, and other key work and duties as assigned.
ESSENTIAL FUNCTIONS
- Supervisor responsibilities to include staffing, training and development, performance management, and work force planning.
- Establish operational objectives and priorities that drive and support claims strategies and initiatives.
- Develop, lead, maintain, and support the Claims Department information systems and strategy.
- Create, maintain and support the Claims Department data environment and strategy. Oversee the Claims Department analytics environment capabilities, applications, and strategies.
- Manage the department’s compliance programs and initiatives. Oversee claims policies, procedures, and results across all lines of business.
- Support and oversee the allocated and unallocated loss adjustment expense function. Collaborate with key stakeholders to ensure design, test, and operational effectiveness of all key financial and operational controls for the Claims Department.
- Manage and direct the Claims Department’s third party vendor relationships. Collaborate with Claim Managers to ensure adoption and execution are operating as designed. Ensure a competitive selection process and oversee performance management of all vendors.
- Oversee the creation, maintenance, and implementation of process and procedural improvements that drive operational improvements and productivity gains.
- In conjunction with the Vice President – Claims, work with CMIC Integration(s), as needed, to lead the Claims Department's effort in bringing together a newly acquired business relationship, venture, or strategic partnership.
Required Skills
- Strong leadership qualities and demonstrated leadership skills.
- Understanding of claim-handling standards for all lines, and strong knowledge of state and other regulatory requirements.
- Advanced abilities in collecting, organizing, and analyzing data and analytics.
- Advanced knowledge of applications such as Excel, MS Office Suite, database, and reporting tools, such as SAS, Tableau, Cognos and others.
- Knowledge of the concepts of best practices, continuous improvement strategies, operational efficiency, and change management practices.
- Strong analytical and problem-solving skills and the ability to develop, test, and implement solutions for complex problems and issues.
- Ability to effectively listen to others and collaboratively share ideas and communicate effectively throughout all levels of the organization.
- Effective interpersonal skills in order to coach and lead individuals to their full potential, to meet company objectives, and to work cohesively in a team environment.
- Ability to develop a comprehensive and thorough understanding of the claims system(s) and related sub-systems and its functions.
- Strong judgment, decision-making skills, and organizational abilities.
- Ability to approach problem-solving systematically and creatively.
Required Experience
- Minimum of five to seven years of increasing responsibilities in technical and/or operational claim roles.
- Prior supervisory or leadership experience is preferred.
EDUCATION
- Bachelor’s degree is required. Equivalent technical claim experience and/or operational experience may be considered in lieu of a degree.
- Completion of insurance-related courses, such as CPCU or AIC, will be considered a plus.
Church Mutual Insurance Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.