Claims Manager - Property & Casualty

POSITION SUMMARY: Under minimal supervision, manages and directs the activities of a claims unit to ensure high-quality claim handling, client service excellence, and compliance with applicable state laws, regulations, and company policies and procedures.

DUTIES AND RESPONSIBILITIES

• Directly supervises Claims Examiners and Claims Assistants, including monitoring attendance, performance, coaching, performance evaluations, and disciplinary matters.
• Reviews and addresses scheduled claim activities, including initial reviews, periodic reviews, delays, denials, and other claim-related issues.
• Reviews and approves reserve changes, settlements, awards, and payments within authority limits.
• Conducts file reviews to ensure compliance with company policies, client requirements, and applicable laws and regulations.
• Coordinates, conducts, and documents training sessions related to legislative changes, company procedures, and best practices.
• Conducts and documents internal and external educational sessions.
• Ensures appropriate staffing levels are maintained to support workload demands and service expectations.
• Supervises and approves daily check runs and payment registers.
• Responds to claimant, client, and vendor concerns and resolves issues as appropriate.
• Monitors vendor performance and effectiveness to ensure service quality and compliance.
• Ensures client service instructions and account-specific requirements are consistently followed.
• Provides operational coverage for examiner vacancies resulting from vacations, leaves of absence, or open positions.
• Prepares, reviews, and evaluates monthly client reports and management information.
• Facilitates internal, external, and client audits.
• Partners with Corporate Operations, Sales, and Client Services teams in support of RFPs, implementations, and client service initiatives.
• Participates in client claim reviews and stewardship meetings.
• Provides account management support for accounts that do not have an assigned Account Manager.
• Monitors branch expenses and approves invoices and related expenditures in accordance with company guidelines.
• Performs other duties as assigned.

*Essential Job Function

Equipment Operated/Used

Computer, calculator, printer, copier, scanner, telephone, and other standard office equipment.

Special Equipment or Clothing

Appropriate business attire as required by company policy