Property Claims Manager

Description

Pharmacists Mutual Insurance has an opening for a Claims Manager. This position will ensure superior delivery of claims services and products. The manager will also direct, coordinate and monitor the activities of a team of Claims Examiners and/or Specialists. The manager will provide consulting and training resources, and serve as a contact and technical resource to the field and internal business partners. 

Claims Manager

• Learns how to make timely decisions, with guidance and direction from key stakeholders.

• Engages with the Claims team leadership to develop and implement strategic programs that meet our Company's goals and objectives.

• Learns different leadership styles and begins to develop own leadership style.

• Learns how to assess performance and growth needs of team members and how to engage in development discussions.

Senior Claims Manager

• Makes timely decisions, with guidance and direction from primary stakeholders.

• Engages with the Claims team leadership to develop and implement strategic programs that meet our Company's goals and objectives.

• Develops leadership style and motivates team to achieve a common goal by demonstrating the professional behaviors expected.

• Learns to identify strengths and growth needs of team members and how to engage in development discussions.

Essential Functions

Essential functions may include, but are not limited to the following:

• Timely decision making and action to meet Company guidelines and goals.

• Provides quality customer service by monitoring performance and establishing metrics.

• Resolves complaints, problems, and coverage questions which have been escalated through the team.

• Establishes focus of the team to properly manage Company indemnity & expenses.

• Recommends appropriate cases for discussion for claims roundtable; Attends and/or presents at roundtables/ authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expenses.

• Ensures that the Company’s claim quality, guidelines and metrics are successfully met.

• Assigns staff to attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.

• Evaluates the work of assigned staff and prepares written performance evaluations; makes recommendations on personnel actions to include hiring, work assignments, training, and discipline.

• Manages relationships with large accounts and brokers from a claims and risk management perspective.

• Works with and manages a third party administrator and/or external business partners as applicable.

Knowledge, Skills and Abilities

• Understand principles and practices of insurance claims examination.

• Knowledge of employee management principles including hiring, supervision, training, retention, and performance evaluation.

• Conduct investigative interviews.

• Understand employee management and developing standards.

• Manage process, planning, and tracking of budgets.

• Correct English usage, spelling, grammar, vocabulary and punctuation.

• Ability and flexibility to work longer hours when workload fluctuations occur.

• Research and stay up-to-date with trends and changes in the claims/insurance industry.

• Communicate effectively with others (oral and written).

• Analyze complex issues and make critical decisions.

• Maintain records, prepare reports and conduct correspondence related to the work.

• Interpret and apply laws, rules and regulation, as well as complex policy and contract coverage.

• Obtain and use sensitive information discreetly and objectively, both internal and external.

• Determine when to escalate concerns to the appropriate level of management.

• Follow oral and written directions.

• Work effectively with others in a team environment.

• Contribute effectively to the accomplishment of team or work unit goals, objectives and activities.

• Establish and maintain effective working relationships with those contacted in the course of work.

• Excellent customer service skills.

• Ability to organize and prioritize work.

• Work independently and demonstrate drive and initiative.

• Ability to handle multiple tasks at once.

• Ability to meet definite deadlines and deal with pressure situations.

• Collect, interpret, and input data efficiently and accurately.

• Use computer and related software effectively.

• Use Microsoft Office programs efficiently and effectively.

• Expertise in Workers Compensation, Property, Subrogation, Auto & General Liability or Professional Liability claims.

Qualifications

Experience and Education Qualifications

Claims Manager

• High School Diploma or equivalent and 15 years of related experience; or

• Associate’s Degree and 12 years of related experience; and

• One of the following industry related certifications: AIC (Associates in Claims, AIC-M (Associates in Claims-Management), AIM (Associates in Management), CRM (Certified Risk Manager), or SCLA (Senior Claim Law Associate)

OR

• Bachelor’s Degree and 8 years of related experience; or

• Master’s Degree and 5 years of related experience

Senior Claims Manager

• HS Diploma or equivalent and 20 years of related experience with at least 5 years in leadership; or

• Associate's Degree or equivalent and 15 years of related experience with at least 3 years in leadership; and

• One of the following industry related certifications: AIC-M (Associate in Claims- Management), AIM (Associate in Management), CRM (Certified Risk Manager), SCLA (Senior Claim Law Associate), CPCU (Chartered Property Casualty Underwriter)

OR

• Bachelor's Degree and 8 years of related experience with at least 2 years in leadership; or

• Master's Degree and 6 years of related experience with at least 1 year in leadership

Special Requirements, Licenses and Certificates

• Licensing required in some states.

Preferred Qualifications

• Advanced or specialized training/certifications preferred: SCLA, AIC, ARM, CPCU

Work Environment

• Primary work environment is in a climate-controlled office setting

• Work may involve travel to attend meetings at other locations

In addition to a competitive salary, eligible employees may receive an annual discretionary bonus and access to our benefits package including:

• Health, Dental, Vision & Life coverage

• 401(k) with Company Match

• Paid Time Off

• 8 Paid Holidays

• Volunteer Time Off

• Paid Parental Leave

• Hybrid/Remote Work Options

• Employee Assistance Program

• Tuition Reimbursement

Pharmacists Mutual Insurance Group is an Equal Opportunity Employer.