Job Description
Job Description
Description :
Aspire General Insurance Company and its affiliated general agent, Aspire General Insurance Services, are on a mission to deliver affordable specialty auto coverage to drivers without compromising outstanding service.
Our company values can best be described with ABLE : to always do the right thing, be yourself, learn and evolve, and execute. Join our team where every individual takes pride in driving their role for shared success.
JOB SUMMARY :
Under moderate supervision of the SIU Manager, the SIU Supervisor performs the essential functions of the position, which includes but is not limited to supervising a team of SIU Specialists and SIU Claims Support Specialists. Ensure that the team meets service standards and performs essential functions at or above the quality and service standards of Aspire General Insurance Company.
DUTIES AND RESPONSIBILITIES :
- Review automobile claim investigations;
- Make handling recommendations, and provide direction to subordinates;
- Liaise with local, state, and federal law enforcement agencies, as well as regulatory bodies, to support investigations and ensure compliance with legal requirements.
- Utilize data analytics tools to identify patterns and trends indicative of fraudulent activity. Provide insights and recommendations based on findings.
- Conduct internal audits of investigation files and processes to ensure adherence to company policies and regulatory standards.
- Implement and manage investigative technology tools and software to enhance the efficiency and effectiveness of the SIU team.
- Maintain open lines of communication with internal and external stakeholders, including policyholders, legal counsel, and other departments within the company.
- Represent the company at industry conferences, seminars, and meetings related to fraud prevention and investigations.
- Oversee relationships with external vendors providing investigative services, ensuring they meet company standards and deliver value.
- Promote and enforce high ethical standards within the SIU team and ensure all investigative activities are conducted with integrity.
- Ensure ongoing adjudication of claims within company standards and industry best practices and regulations;
- Responsible for overall file handling and work product quality of subordinates;
- Produce grammatically correct and clearly written correspondence including letters, memos, reports and claim file documentation;
- Assist in the operations of the SIU department, including making recommendations and implementing organizational structure adequate for achieving the department's goals and objectives;
- Maintain a documented system of claims policies, systems, procedures and workflows to ensure smooth operations;
- Provide feedback to Management on process and system improvement initiatives for the department;
- Report to Management as soon there is an awareness of any issues or concerns which may be detrimental to the department or Company; recommend policies and procedures to Management regarding quality issues that may arise;
- Staff Training-Foster a highly focused training and development environment within the Claims Department;
- Complies with state and federal laws, Department of Insurance criteria, insurance carrier criteria and follows and enforces Aspire General Insurance Company and partner’s policies, procedure and work rules;
- Communicate and provide timely notification to the Human Resources Department for all things related to employee attendance, punctuality or possible leave related situations;
- Provide timely and thorough documentation for all things related to employee performance, training, recognitions and / or coaching’s;
- Evaluate subordinates’ performance and administer personnel actions as required in coordination with human resources department
- Ensure the Department has adequate scheduling, including time-off requests, work shift management, etc.;
- Assist to identify, recruit, hire and develop top talent;
- Ability to achieve targeted performance goals
- Maintain that sensitive information regarding employees and the Company is kept confidential
- Regular and predictable punctuality and attendance;
- Other duties as necessary.
Requirements :
QUALIFICATIONS AND SKILLS :
Five plus years’ experience in auto SIU investigations;Must have a clear understanding of insurance industry practices, standards and terminology;In-depth knowledge of state and federal regulations specific to insurance fraud and SIU operations, particularly in California.Proven experience in a supervisory or leadership role within an SIU or related department.Experience with data analytics tools and investigative softwareMust be able to pass a background check;Must have the ability to work in a high volume, fast paced environment while managing multiple priorities;Must have a disciplined approach to all job-related activities;Must have a solid foundation of personal organization, sound decision making and analytical skills, strong interpersonal and customer service skills;Must have strong keyboard skills as well as proficiency in Windows and MS Office products.INTER-RELATIONSHIP COMPONENT :
Ability to develop excellent working relationships with Staff, Partners, Clients and outside agencies;Ability to communicate with others in an effective and friendly manner, one that is conducive to being a conscientious team member, fostering a spirit of good will, indicative of a professional environment and atmosphere;Ability to be a team player and work cohesively with other Aspire General Insurance and Partner Companies’ staff to achieve company goals;Able to represent the Company in a professional manner and contribute to the corporate image;Able to consistently provide excellent service.WORKING CONDITIONS :
This is an exempt position which complies with alternative work schedule when applicable;This work environment is fast-paced and accuracy is essential to successful task completion;The office is that of a highly technical company supporting a paperless environment;Travel may be required;Requires extended periods of computer use and sitting.Benefits : Medical, Dental, Vision, HSA
, PTO, 401k, Company Observed HolidaysIndividuals seeking employment at Aspire General Insurance Services LLC are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, or sexual orientation in accordance with federal and state Equal Employment Opportunity / Affirmative Action record keeping, reporting, and other legal requirements.
Dependent on plan selected