Claims Manager

Description

JOB PURPOSE :

Manage general liability claims while under the general supervision of the Senior Claims Director. Provide monthly updates and reporting.

Coordination and database management; and other projects as assigned by the management team.

ESSENTIAL RESPONSIBILITIES :

• Receive initial notification of claims and guide employees on how to properly manage the circumstances.
• Investigate claims for cause, compensability, and liability.
• Track the receipt of the appropriate paperwork for all claims, set up claim files, and enter information into the Risk Management Information System (RMIS) upon receipt.
• Oversee reporting of claims to Miller Pipeline's insurance carriers. Forward necessary information to insurance carriers and maintain accurate documentation of claims by placing copies of all related paperwork in RMIS.
• Actively track open claims and interface with Miller Pipeline's insurance carriers, physicians, and other third parties to ensure that claims are being managed aggressively.
• Negotiate, settle, and process payments for nominal claims.
• Responsible for managing third-party subrogation claims for which the company is not liable.
• Prepare operations and risk reports for management analysis. Provide benchmarking information as necessary.
• Analyze and classify risks as to frequency and potential severity and measure the financial impact of risk on the company.
• Respond to inquiries and complaints from customers, regulatory agencies, and members of the business community.
• Identify trends and collaborate with Safety Department to identify which safety issues are driving frequency and severity in company's auto, worker's compensation, and property damage losses.
• Prepare quarterly loss data on recordable and preventable accidents.
• Classify injuries per government and company criteria. Track lost / restricted days.
• Administer Ohio worker's compensation self-insured claims per Ohio BWC standards.
• Ensure that state-specific information received from the carrier is disseminated to the appropriate area office.
• Attend Safety incident reviews and update the RMIS accordingly.
• Attend Safety Meetings and Compliance Trainings to present field personnel with information regarding damage reporting.
• Travel up to 10%.
• Other duties as assigned.

QUALIFICATIONS :

Education and Certifications

Required : High school diploma. Significant post-secondary course work.

Preferred : Bachelor's degree from accredited university

Experience

Required : 4 + years general liability claims and / or construction safety

Preferred : 7+ years multi line coverage with or for a construction company.

Functional / Technical Competency Requirements

Required : General computer skills including MS Outlook, Word and Excel.Working knowledge of general liability coverage.

Read, analyze and interpret common scientific and technical journals, financial reports, and legal documents. Sense of urgency in responding to inquiries and complaints.

Effectively present data to management team, public groups, and / or boards of directors.

CORE COMPETENCY REQUIREMENTS :

• Management
• Leadership
• Business Expertise
• Sound Judgment
• Presentation Skills
• Communication

ESSENTIAL FUNCTIONS :

While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel objects, tools, or controls;

and reach with hands and arms. The employee is occasionally required to stand, walk, climb or balance and talk or hear. The employee is occasionally required to lift up to 20 pounds.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job.

Federal Labor Standards Act designation -Exempt

Miller Pipeline retains the discretion to add to or change duties of this position at any time. This position description should not be considered all-inclusive.