Claims Manager
1 month ago
Job Summary
The Claims Manager - Operational Excellence will be responsible for the successful service delivery of their assigned portfolio, including the supervision of associated claims personnel. This role will support the Head of International Claims in the operational management of the claims function.
Key Responsibilities
- Supervise claims handlers in adjusting and resolving claims within the claims portfolio.
- Strategize with claim professionals to develop optimal resolution objectives.
- Handle small caseload of losses, with focus on key account management and claims servicing of sensitive losses.
- Conduct allocations of claims portfolios and take referrals from team that are not subject to further escalation criteria.
- Ensure that exposure is recognized and that claims are promptly evaluated and appropriately reported internally and externally.
- Review and approve claims staff's work product relative to investigation, coverage evaluation, and resolution strategy.
- Oversee the implementation and ongoing management of claims settlement processes and techniques.
- Continually review claim operations to ensure that processes are utilized to achieve optimal performance and conformance with industry best practices.
- Provide subject matter expertise and act as claims point of liaison for claims team, internal stakeholders, vendors, and external customers.
- Manage the performance of claims personnel.
- Oversee and conduct the audit of claim files for appropriate handling and documentation.
- Assist the business in providing practical and innovative claims solutions to key business accounts.
- Actively engage with and support the business in building and marketing the claims brand with business partners.
- Provide training/coaching of both claims staff and external business partners on technical and non-technical areas.
- Responsibility for vendor management, including the implementation and ongoing management of TPA/vendor networks for the claims team.
- Ensure accuracy of claims data and apprise senior management of claims trends and MI monthly reports on claim activity.
- Oversee compliance/implementation of all internal policies as they relate to the claims function and ensure claims authorities are complied with.
- Maintain strong communication with the underwriting organization to support the company's core business practices.
- Ensure resource models and resource planning is in place and deploy resources in accordance with business planning efforts.
- Participate in the establishment of department goals and implement procedures and performance standards to achieve these goals.
- Provide budget projections for staffing, TPA, and T&E spends and actively manage the assigned budget and spending.
About The Hartford
The Hartford is a leading insurance company that goes beyond coverages and policies. We're determined to make a difference and are proud to be an insurance company that helps shape the future.
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