Claims Manager – Auto Bodily Injury

Claims Manager – Auto Bodily Injury

The James Allen Companies Inc
April 16, 2019
Scottsdale, AZ
Job Type


Job Summary

The Claims Manager guides and directs the operations of the Claims Team in conducting the investigation, evaluation and disposition of claims brought against Insureds. Each Claims Team may support multiple Underwriting Divisions. Reporting to the Claims Manager are Claims Associates, Claims Examiners and Senior Claims Examiners, each of whom may handle claims within one or more line(s) of business. The Claims Manager functions with autonomy to conduct team meetings, monitor caseloads, extend reserve and settlement authority and authorize referrals. The Claims Manager facilitates the setting of goals and objectives with direct reports, measures results and conducts annual performance reviews.
Job functions: Provides guidance and direction for all of the following activities:
Analysis of coverage issues and taking appropriate action; Analysis of the facts and allegations to determine the extent of liability; Evaluation of causation and damages to determine potential exposure; Setting appropriate reserves to reflect probable outcome; Taking appropriate action to move the case toward resolution. The Claims Manager uses excellent oral and written communication skills to interact with the Claims Team, brokers, claimants, attorneys and policyholders regarding developments in the claim. The Claims Manager ensures that all state regulations and internal guidelines are met by the team, and that each member of the Team manages claims and suits in accordance with Claims Best Practices.

Duties and Responsibilities
• Continuously exhibit and uphold Core Values of Integrity, Accountability, Communication and Teamwork, Innovation and Customer Service
• Supervises claim files handled by direct reports
• Performs an initial analysis of coverage, liability and damages on claims assignments
• Reviews disclaimers and reservation of rights letters written by direct reports
• Negotiates some settlements directly and provides oversight for direct reports, who conduct negotiations, mitigate damages and control expenses
• Maintains a high level of communication with leadership
• Works within authority limits and makes recommendations if higher authority is needed
• Guides and directs the handling of complex high exposure claims and suits
• Recognized as the key company claims contact within specialty area
• Provides technical guidance, assistance and training as needed for claims staff and other departments
• Assists the Directors and VP in managing the Claims Department

Knowledge, Skills and Abilities
• Thorough knowledge of claims, strong leadership skills, recognized ability to manage a team of Claims Professionals
• Excellent written and oral communication skills
• Strong analytical skills
• Strong negotiation skills
• Self motivated, ability to motivate others, ability to delegate authority
• Well organized and possessing proficient computer skills
• Able to work successfully in a team environment
• Able to lead, guide and direct a team and also take direction from Senior Claims Management
• Superior knowledge and skills in a variety of claims specialty areas
• Excellent record of achievements that clearly set the individual apart from others

Experience and Education
• High School Degree required
• Bachelor’s degree, Advanced degree or Law degree preferred but not required
• Seven to ten years of claims handling experience
• Extensive expertise in specific specialty area of claims
• Experience in working with complex coverage issues
• Multi-jurisdictional claims experience
• Adjuster license and/or certifications desired but not required

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