What are the responsibilities and job description for the Claims Supervisor, On-Site position at Allied Solutions?
The Claims Supervisor position will coach and develop a team of claims adjusters responsible for the investigation, and resolution of claims, ensuring a high-quality work product, while continuously developing talent by assisting with the selection of top talent. Ideal candidates should possess outstanding leadership and conflict management skills, along with attention to detail and a passion for providing excellent customer service. This position will actively manage and monitor workloads, performance, provide training, and monitor individual claim activities. Demonstrate a thorough understanding of cooperate policies and procedures.
Job Duties and Responsibilities:
Team Leadership (60%)
- Leads and develops a team of adjusters ensuring the investigation, adjudication, quality, accuracy, and timely resolution of claims that may include high exposure/complex cases.
- Uses various metric tools to evaluate performance and identify problem areas in advance of them becoming service issues and escalate as needed.
- Reviews findings with manager to jointly develop a plan for corrective action.
- Promotes and advocates business unit goals and objectives, ensuring alignment with broader claims functional goals.
- Motivates people to perform at the highest level.
- Ensures receipt and maintenance of appropriate licenses and/or certifications for themselves and all assigned staff for all states in which claims are being handled.
- Resolves customer complaints, problems and coverage questions which cannot be handled by team members.
- Continuously develops talent by creating opportunities for direct reports to grow and strengthen new skills.
- Promotes claims customer service excellence by building empathy and passion for the customer experience that meets or exceeds customer expectations.
- Proactively assists in selecting top talent, delivering continuous coaching, and rewarding and recognizing employees to reinforce behavior that ensure service excellence.
- Promotes a culture committed to identifying process efficiencies to continuously improve how work is completed.
- Collaborates effectively with internal and external stakeholders to ensure compliance with regulatory and company standards.
- Supervisory, organizational and interpersonal skills.
Service Delivery to customers (10%)
- Communicates with clients, carriers and borrowers in a professional, positive and proactive manner.
- Maintain a record of call regarding claims in appropriate system
- Effectively communicate to clients/borrower
- Promptly and efficiently respond to all email communications (4-8 hrs)
- Follow policy/procedures regarding calls
- Multi-task
Claims Adjudication (20%)
- Investigate and determine appropriate application of coverage. Makes recommendations to management for settlement amounts outside of authority limits.
- Accurately evaluate and determine settlement of complex/specialty claims.
- Proficiently understand the use of policy coverage and be able to recognize questionable coverage and situations that will require supervisor involvement
- Review all claim assignments in detail
- Ensure proper diary management on all claims
- Ability to manage the full-life cycle of all assigned claim files.
- Requires a deep technical expertise and ability to utilize multiple systems to handle/process claims
- In depth understanding of overall claim operations and key stakeholders
- Excellent oral, written, interpersonal communication and keyboarding skills along with the capacity to multi-task in a structured work environment
- Follow all regulatory and jurisdictional requirements associated with state regulations and guidelines.
- Serves as a resource for staff, providing training and support as appropriate.
- Recognizes and solves obstacles that occurs in the claims process without management approval.
- Able to clearly communicate concise action plans, and present plans for moving the claim to conclusion.
- Involve management when handling claims that trigger special service instructions.
- Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the claim.
- Interacts extensively with various parties involved in the claim process.
- Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
- Analytical skill necessary to make decisions and resolve complex issues inherent in handling losses.
- Uses discretion and independent judgment in claim handling
- May provide training and mentoring to adjusters.
- Makes decisions in an informed, confident and timely manner
- Proven track record of handling specialty or complex claims
Through understanding of claims compliance and state mandated regulation (10%)
- Maintains appropriate adjusters license in all states required
- Follow state by state requirement on continuing education
- Follow mandates required by state statues and regulation regarding all claim adjudication
- Complies with timeliness, accuracy and service standards of the company and underwriters.
- Other duties as may be assigned
Qualifications (Education, Experience, Certifications & KSA):
- High School Diploma or GED required
- Must obtain and maintain required resident and non-resident property/casualty adjuster licenses
- 5 – 7 years related experience
- 3 – 4 years leadership experience
#LI-ES
#LI-ONSITE
The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with a job.
We offer our employees a robust compensation package! Our comprehensive benefits include: medical, dental and vision insurance coverage; 100% company-paid life and disability coverage, 401k options with company match, three weeks PTO by the end of the first year and much more. Allied proudly promotes from within as part of a strong commitment to providing career growth opportunities for employees of all levels. Our diverse business portfolio allows employees broad career options with the advantage of staying with the same organization.
All qualified candidates will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.
All qualified candidates will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.
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Salary : $54,000 - $68,400
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