Claims Manager

You can look forward to

Job Summary

The Glencar/Hannover Re Services Claim Manager to work closely with Chief Claims Officer (CCO) to help manage our Claims TPA’s and work with our Underwriting Program Management Team colleagues to interpret claims activities and trends.   The Claims Manager will prepare reports, lead meetings with Underwriters and Program Management to address claim trends and challenges.

The Claim Manager role is key to the success of the Claims function and the organization as a whole. The Claim Manager role collaborates and works closely with the CCO who manages all aspects of the Claims operation.   The Claim Manager is a key contributor supporting the CCO in the day-to-day management and supervision of the claims arising from our multitude of active and run-off Programs.   This Claim Manager leader has the claims technical, coverage, management/supervisory and interpersonal skills to professionally lead and work constructively with our Glencar internal colleagues and our external Claims TPA’s as well as our carrier/partners (HGS and HDI), our multitude of Underwriting Program Administrators and our other various Claims vendor partners including our Panel Defense and Coverage Counsel, our Independent Adjusters (“IA”), claim experts and others in the day to day claims process. 

Essential Functions

• (50%) Oversight:  Actively and directly manages within delegated claims authority or otherwise assists on an advice and consult basis our carrier partners and claims TPA’s on the review and settlement of complex or high dollar claims/suits and related coverage, DOI and other claim issues.   
• (20%) Communication and Coordination: Maintain open and effective communication channels with TPA representatives and Glencar colleagues and Partners.  Facilitate regular meetings to discuss performance, address issues, and align to strategic goals.  Ensure timely and accurate information flow between Glencar and our TPA’s and business partners. 
• (15%) Data reporting:  Ensure TPA’s provide accurate and timely data on claims activities. Generate and analyze reports on claims data and recommend lessons learned to Program Management. Review and distribute large loss reports, keep management informed of issues, problems and progress on severe claims.  
• (15%) Performance Monitoring:  Regularly review TPA performance/audit results against agreed-upon standards and metrics such as claim handling turnaround time, reserve adequacy and accuracy, customer satisfaction and cost control, etc.  Track,  monitor and manage Claim TPA audit results and required actions to ensure compliance with claim audit findings, company standards and regulatory requirements.  

You come equipped with

Competencies

• Results Oriented
• Teamwork
• Self-motivated
• Critical Thinking
• Time Management

Essential knowledge, skills and abilities

• 10+ years progressive experience in U.S. Primary Property & Causality programs market with Claims handling and Claims TPA supervisory/management experience.
• B.S. or B.A. from an accredited college or university; advanced JD/Esq. degree strongly preferred.
• Strong analytical and organizational skills.
• Strong work ethic.
• Excellent verbal and writing skills for internal and external communication, presentations, and reporting. 
• Ability to travel for onsite TPA visits, conferences and other meetings as necessary.
• Knowledge of insurance industry, claims process and legal and regulatory environment.
• Capacity for detail-oriented thinking with strong analytical and communication skills.
• Ability to maintain confidentiality and integrity in handling of sensitive information.
• Demonstrable superior knowledge of best claims practices used to resolve the most serious and complex injury and property commercial claims including complex insurance coverage issues.
• Proven knowledge of insurance contracts, medical terminology and legal aspects of litigation and court procedures affecting legal and coverage liability. 
• Experience in multi-state claims jurisdictions. 
• Adherence to the highest standards of professional conduct. 
• Maintains current knowledge of: all Commercial Insurance lines – particularly property, inland marine, general liability, workers compensation, commercial auto and umbrella; court decisions which may impact the claims function; current practices and guidelines in the claims function espoused by carrier/partners and /or practiced by Claims TPA’s; and policy changes and modifications. 
• Demonstrable knowledge of Commercial Lines general and retail agency environment; demonstrable knowledge of Commercial Lines reinsurance. 
• Proactive business minded problem solver with affective listening, oral and written communication skills for contact and negotiation with policyholders, claimants, attorneys, physicians, engineers, accountants and all levels of internal and external management.
• Overall ability to influence clients, producers, peer executives and staff. Comfortable building relationships, internally and externally. 
• Demonstrated strategic and critical thinking skills to make independent decisions and resolve conflict in such areas as application of coverage to submitted claims, application of laws of jurisdiction to investigation facts, application of policy exclusions and exceptions. A wide degree of creativity and latitude is expected within delegated claim authority. 
• Proficient in all phases of organizing and coordinating multiple cross-functional projects, achieving objectives and meeting deadlines. 
• Demonstrable skills with MS Office and similar business software applications.

Travel

• 25% travel required in the continental US, with possible, occasional travel to foreign countries

Total Compensation (Inclusive of Base + Bonus):

• $129,300 - $174, 900 Dependent on candidates geographic location