Claims Processing Director jobs in East Hartford, CT

Claims Processing Director plans and directs one or more departments responsible for administration of health insurance claims, payment processing, billing research, and responding to inquiries. Establishes and implements organizational policies and procedures; may offer guidance on the appropriate handling of complex or high-value claims. Being a Claims Processing Director develops and executes strategic business plans for the department. Coordinates operations with other areas of the organization. Additionally, Claims Processing Director requires a bachelor's degree. Typically reports to top management. The Claims Processing Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Claims Processing Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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Claims Director- Commercial Property
  • Atlantic Casualty Insurance Company
  • Glastonbury, CT FULL_TIME
  • Atlantic Casualty Insurance Company (ACIC), formed by Strickland Insurance Group (SIG) in 1983 and acquired by Auto-Owners Insurance Group in 2016, maintains an A.M. Best rating of A . ACIC has been certified a “Great Place to Work” for the last 3 years and on Fortune’s “Best Place to Work” list of the top 100 best small and medium companies to work.

    With offices in Goldsboro, NC; Hartford, CT; Scottsdale, AZ; Richmond, VA; Atlantic Casualty has authority in fifty states and Washington, DC. We value our employees and believe embracing diversity of thought aides in fostering a culture of belonging; where all are seen, heard, and valued. At Atlantic Casualty, we are family! We care about our associates physical, emotional, and professional health and emphasize wellness benefits, charity, and training programs offered. We offer employee development opportunities through Cornerstone Learning Management System, Franklin Covey, the Institutes and Pluralsight.

    Benefits of Atlantic Casualty include:

    • Health, Dental, Vision, and Pet Insurance
    • 401(k) Plan Company Match
    • Student Loan Assistance and Tuition Reimbursement
    • Parental Leave
    • Career Growth and Opportunities for Promotions

    Please visit our Careers Page for more information on the benefits and programs you will enjoy by joining the team at Atlantic Casualty Insurance Company.

    www.atlanticcasualty.net/about-acic/our-careers/


    SUMMARY:

    Assists with the management of the claims department. Manages complex claim files and manages personnel in the unit to assure claim processing in a prompt, professional and efficient manner in accordance with company guidelines and procedures. Reviews claim files.

    ESSENTIAL DUTIES AND RESPONSIBILITIES:

    • Responsible for hiring, coaching, training, and evaluating claims managers.
    • Responsible for the implementation of new directives and initiatives.
    • Responsible for establishing and managing yearly performance goals.
    • Responsible for assisting with the implementation of new operating systems.
    • Aid the VP in managing the claims department with duties as assigned.
    • Assist and direct the examiners/adjusters in the proper investigation of coverage and liability issues and extend settlement authority to the examiners / adjusters to effect accurate, timely, cost-effective claims handling.
    • May manage the claims support staff as needed.
    • Gives technical direction to both managers and staff adjusters
    • Administratively responsible for supervising managers.
    • Manages the use of independent adjusters and maintains the approved list of vendors.
    • Manage litigation, rental, subrogation, and salvage to ensure cost effective returns.
    • Furnish appropriate weekly and monthly management reports.
    • Ensure Large Loss Reports and Reinsurance Reports are completed as needed.
    • Assist in training and developing staff.
    • Read and interpret insurance contracts.
    • Conduct monthly quality control reviews of adjusters’ claim files as needed.
    • Ensure employee objectives, performance and evaluations are consistent with department goals and objectives.
    • They have full responsibility regarding training and development of staff, managing performance, resolving conflicts and problems, distributing work, checking work.
    • They make recommendations regarding hiring, salary increases, terminating employees, promoting employees.
    • They have daily contact with the VP Claims, examiners, adjusters, insureds, claimants, attorneys, vendors, agents, and department managers.
    • They will have contact with auditors and government / regulatory agencies.
    • They deal with and have access to information that is important and must be kept confidential.
    • Perform other similar or related duties as assigned.

    REQUIRED EDUCATION / EXPERIENCE:
    • Four-year degree from an accredited institution.

    • Knowledge of and adherence to the state laws and regulations governing the handling of property and casualty claims.

    • Basic understanding of accounting principles, construction, underwriting, marketing, and auto physical damage estimating.

    • Ten years successful claims handling including advanced skills in coverage, investigation, negotiation, salvage, and subrogation. Three to five years’ experience as a supervisor or Manager.

    • Three to five years’ experience with multi-line claims with heavy emphasis on Commercial GL is a plus.

    • Three to five years’ experience with multi-state responsibilities is a plus.

    • Excess and Surplus lines experience is a plus.


    REQUIRED SKILLS:

    • Knowledge of medical terms and legal issues.

    • Excellent computer skills.

    • Advanced communication skills are required to understand, interpret, and convey technical information.

    • Excellent time management skills.

    • Knowledge of the litigation process and procedures.

    • Knowledge of coverage, investigation, negotiation, salvage, subrogation, construction, and auto physical damage.

    • A resident adjuster’s license in North Carolina.

    • A non-resident adjuster’s license where required in the states where we do business.


    MENTAL REQUIREMENTS:

    Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of instructions in written or diagram form. Reasoning; dealing with problems involving a few variables in standard situations.

    PHYSICAL REQUIREMENTS:

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    While performing the duties of this job, the employee is regularly required to use hands to finger, handle controls and talk or hear. The employee frequently is required to sit and reach with hands and arms. The employee is occasionally required to stand and walk. The employee may infrequently lift and/or move up to 25 pounds, sometimes as much as 50 pounds. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.

    WORK ENVIRONMENT:

    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Works indoors at a cubicle with a computer. The noise level in the work environment is usually moderate. Works primarily indoors. Requires the ability to drive a vehicle, overnight travel, and occasional air travel.

    TRAVEL:
    5%

    "Atlantic Casualty Insurance Company is an equal opportunity employer"

  • 3 Days Ago

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Workers' Compensation Adjuster
  • TheBest Claims Solutions
  • Hartford, CT FULL_TIME
  • Our client is looking to add multiple Workers' Compensation Claims Adjusters to their staff. These adjusters will need to have 2 years of experience handling Medical Only Workers' Compensation claims ...
  • 1 Month Ago

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Compensation adjuster
  • TheBest Claims Solutions
  • Hartford, CT FULL_TIME
  • Our client is looking to add multiple Workers' Compensation Claims Adjusters to their staff. These adjusters will need to have 2 years of experience handling Medical Only Workers' Compensation claims ...
  • 23 Days Ago

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Workers Compensation Adjuster
  • TheBest Claims Solutions
  • Hartford, CT FULL_TIME
  • Our client is seeking to add a temporary Workers Compensation Adjuster to their team. The ideal candidate will have a minimum of 5 years experience handling NY, NJ and CT Lost Time claims and will be ...
  • 1 Month Ago

S
Field Case Manager
  • Sedgwick Claims Management Services Inc.
  • Hartford, CT FULL_TIME
  • Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flex...
  • 2 Months Ago

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Processing specialist
  • The Hartford
  • Hartford, CT FULL_TIME
  • Service Specialist - UJ10HN We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to ...
  • 17 Days Ago

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0 Claims Processing Director jobs found in East Hartford, CT area

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Risk Control Sr Account Consultant National Accounts
  • The Travelers Companies
  • Hartford, CT
  • Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this...
  • 3/18/2024 12:00:00 AM

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Associate Data Scientist
  • Berkley
  • West Hartford, CT
  • Company Details: Berkley Management Protection offers a modular suite of management liability products through the Grove...
  • 3/18/2024 12:00:00 AM

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Benefits Consultant II
  • US Tech Solutions, Inc.
  • Hartford, CT
  • Job Description: This colleague will identify solutions to program issues, incorporating administrative, employee relati...
  • 3/17/2024 12:00:00 AM

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Commercial Casualty Claims Adjuster (The Mutual Group) - Remote Opportunity
  • GuideOne Insurance
  • New Haven, CT
  • The Mutual Group (TMG) is a comprehensive, integrated insurance operations platform dedicated to helping mutual insuranc...
  • 3/16/2024 12:00:00 AM

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Director, Claims Data Scientist (REMOTE)
  • Careerbuilder
  • Hartford, CT
  • The Hartford Director, Claims Data Scientist (REMOTE) Hartford , Connecticut Apply Now Were determined to make a differe...
  • 3/15/2024 12:00:00 AM

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Assistant Director, Human Resources
  • YWCA Hartford Region, Inc.
  • Hartford, CT
  • Job Type Full-time Description Responsive Employer! New Role! Are you looking for growth, opportunity, and a chance to m...
  • 3/15/2024 12:00:00 AM

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Senior Health, Safety and Environmental Specialist REMOTE, CANADA
  • Careerbuilder
  • Hartford, CT
  • Senior Health, Safety and Environmental Specialist REMOTE, CANADA Senior Health, Safety and Environmental Specialist REM...
  • 3/15/2024 12:00:00 AM

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Claims System Configuration, Lead Analyst - eviCore - Remote
  • Careerbuilder
  • Bloomfield, CT
  • The Cigna Group Claims System Configuration, Lead Analyst - eviCore - Remote Bloomfield , Connecticut Apply Now Do you w...
  • 3/15/2024 12:00:00 AM

East Hartford is a town in Hartford County, Connecticut, United States. The population was 51,252 at the 2010 census. The town is located on the east bank of the Connecticut River, directly across from Hartford, Connecticut. The town includes the neighborhoods of Burnside and Hockanum. According to the United States Census Bureau, the town has a total area of 18.7 square miles (48.5 km2), of which 18.0 square miles (46.6 km2) is land and 0.73 square miles (1.9 km2), or 3.93%, is water....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$171,317 to $230,211
East Hartford, Connecticut area prices
were up 1.7% from a year ago

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