Job Description

POSITION SUMMARY: This position is responsible for the management of major liability and large workers compensation claims. As part of the management of these claims, you will follow service instructions and standards which includes but is not limited to 24-hour turn-around times, setting reserves, and reporting timely to carriers when needed. This position will handle on average anywhere from 70-115 claims. They will also assist as needed with the third-party vendor process. This position also interacts with the subsidiaries as appropriate in the implementation and assessment of risk management activities.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

• The majority type of claims will consist of large Auto, Workers Compensation, General Liability. Recovery, Crime, and Property may also be assigned as workload permits. Able to follow the service instructions when a claim is assigned.
• Attend quarterly, and monthly claim meetings with either our clients or business partners.
• Works with Analyst I in finalizing the quarterly retention file.
• Processes handling fees and nurse line TPA billing and assist with other billing as needed.
• Be able to independently manage and coordinate claim calls with client and business partners.
• Communicate, create, and process monthly reports in claims management system and to subsidiary personnel.
• They will assist as needed with the third-party vendor process.
• Assist with certificate of insurance requests for the subsidiaries’ customers ensuring they meet insurance requirements in a timely manner.

QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

• Education/Experience: Bachelor’s degree (B. S.) from four-year college or university; and three (3)+ years related experience and/or training; or equivalent combination of education and experience. Working towards a Risk or Insurance related designation or certification preferred.
• Language Ability: Ability to write reports, contracts, and any other documentation within the risk process. Ability to effectively present and analyze information and respond to questions from groups of managers, customers, co-workers and vendors. Must possess exceptional organization, multi-tasking and communication skills.
• Computer Skills: Must be able to operate a company computer and other various standard office machines and equipment necessary to complete duties. Must have extensive knowledge of computer systems requirements and ability to maintain assigned systems. Word, Excel, PowerPoint and SharePoint skills a must.
• Analytical Skills: Must be able to research multiple scenarios and work with various business partners to come to conclusions on the most protective solution for the company in terms of insurance.

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