Manages compliance and quality functions whose mission is to provide assistance to Field Operations and Account Management in order to exceed our client's claim handling expectations.
Collaborates internally and externally to develop strategic plans for assigned client's customized requirements.
Proactively identifies areas for development, conducts training and education and develops special projects to assist the Field with improved performance.
Plans, conducts and manages assignments demonstrating a comprehensive knowledge of claim handling requirements.
Develops project plans, collects and analyzes data, and presents resulting findings and recommendations.
Plans, coordinates and directs training and staff development programs for the client.
Conducts needs analysis studies and confers with leadership to determine training needs.
Formulates audit and training policies, programs, and schedules, based on knowledge of identified client needs, company production processes, business systems, or changes in products, procedures or services.
Organizes and develops training manuals, reference library and other educational materials.
Develops special projects designed to increase efficiency and overall claims handling performance.
Responsible for special projects.
Proven track record in handling and supervising General Liability claims with an emphasis on Premises Liability matters.
Interprets internal or external business issues and recommends solutions/best practices.
Serves as senior subject matter expert associated with content, processes, and procedures.
Qualifications:
Required:
Bachelors degree and a minimum of 6 years claims experience.
Strong analytical and technical skills;
Solid working knowledge of claims handling best practices.
Working knowledge of Word, Excel, Adobe Professional, and Power Point.
Preferred:
Knowledge of accepted industry standards and practices.
Solid understanding of insurance companies, third party administrators and the insurance brokerage business.
Computer knowledge with related claims and business software experience.