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Claims Manager (High Point)

Claims Manager (High Point)

W. R. BerkleyHigh Point, NC, United States
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Company Details

With over 35 years of proven expertise in the workers' compensation industry, Key Risk delivers innovative and responsive solutions that provide our clients the freedom to do what they do best. Offering guaranteed cost options to employers nationwide, Key Risk focuses on delivering products and services within specialized verticals to reduce workers' compensation exposures and deliver industry-leading results.

All products and services are distributed through appointed insurance agents and brokers. Key Risk is a member company of W. R. Berkley Corporation, whose insurance company subsidiaries are rated A+ (Superior), Financial Size Category XV by A.M. Best Company and A+ (Strong), by S&P.

For further information about Key Risk please visit www.KeyRisk.com

The company is an equal opportunity employer.

Responsibilities

The Claims Manager will provide the leadership and technical supports to our internal staff and TPA partners to deliver superior results and develop strategies focused on attaining a World Class distinction in workers' compensation.

Key Functions will include but not be limited to :

  • Provides direction and technical assistance to internal staff and TPA partners.
  • Implements appropriate tracking mechanisms reporting on monthly results and variances.
  • Reviews claim files for adherence to company guidelines in the areas of file documentation, reserving practices and reporting.
  • Hires, trains and develops an effective staff providing career development and counseling to staff.
  • Administers personnel policies and procedures in a fair and equitable manner and in accordance with all applicable corporate and regulatory requirements.
  • Monitors critical claim data on a daily / weekly / monthly basis and reports to management on items of importance.
  • Provides direction and technical assistance to internal staff and TPA partners.
  • Implements appropriate tracking mechanisms reporting on monthly results and variances.
  • Reviews claim files for adherence to company guidelines in the areas of file documentation, reserving practices and reporting.
  • Hires, trains and develops an effective staff providing career development and counseling to staff.
  • Administers personnel policies and procedures in a fair and equitable manner and in accordance with all applicable corporate and regulatory requirements.

Qualifications

  • BA / BS Degree
  • 7+ years of workers' compensation claims handling experience
  • 3+ years experience supervising workers' compensation adjusters
  • Adjuster license strongly desired or ability to obtain license within six months
  • In depth knowledge of appropriate insurance principles and laws of workers' compensation, preferably jurisdiction specific.
  • Strong written and verbal communication skills.
  • Strong interpersonal, time management and organizational skills.
  • Strong negotiation skills.
  • Proven critical thinking skills that demonstrates analysis / judgment and sound decision making with focus on attention to detail.
  • Jurisdictional experience in GA, TN, AL and MS preferred but not required.
  • Travel up to 10%
  • Additional Company Details

    We do not accept any unsolicited resumes from external recruiting agencies or firms.

    The company offers a competitive compensation plan and robust benefits package for full time regular employees

    The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

    Sponsorship Details

    Sponsorship not Offered for this Role

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    Claim Manager • High Point, NC, United States

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