ESSENTIAL JOB FUNCTIONS
The job functions listed below represent the essential job duties and responsibilities of the listed position.
- Manages, reviews, and resolves claims, including determining course of action, developing arguments and addressing claimants' rebuttals, conducting preliminary negotiations, and preparing and issuing notices to claimants and other third-parties.
- Manages administrative, financial, accounting, and reporting functions for claims.
- Assists in overall case resolution strategies, settlements, and litigation support.
- Authorizes appropriate payment or refers claims to investigators for further review.
- Analyzes and identifies trends and provides reports as necessary.
- Provides input for forecasting and planning activities.
- Generates risk analysis reports for management.
- Monitors and participates in quality control and reviews.
- Manages and monitors all high-exposure and complex files.
- Oversees operational management of the Claims Department, including overall productivity, efficiency, and accuracy.
- Provides expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing, and adjusting claims.
- Directs claims staff hiring, oversight, coaching, and training.
- Management of BI claims, including a litigation management along with experience in settlement negotiations.
- Individual should have claims handling background along with leadership/supervisor experience.
EDUCATION AND EXPERIENCE
- High school Graduate or equivalent required.
- AA degree or some college preferred.
- Two-Three years claims experience preferred.
- Working knowledge of Google, Google Sheets- overall systems knowledge.
- Maintain any credentials required to perform functions.

We know benefits are critical and we are committed to offering comprehensive and affordable options for you and your loved ones. This position is eligible for benefits, which include medical, dental and vision plans. We also offer a 401(k) plan, stock purchase plan, paid time off, life insurance, disability plans and other optional supplemental coverage.