The Insurance Claims Manager oversees the entire claims process, from initial reporting to settlement. They manage a team of claims adjusters and ensure efficient and accurate handling of claims. They review claim documents, coordinate investigations, and make decisions regarding coverage and settlement amounts. Additionally, they collaborate with other departments, such as underwriting and legal, to ensure compliance with company policies and industry regulations.
Responsibilities
Manage a team of claims adjusters and provide guidance and support.
Review and analyze claim documents and supporting evidence.
Determine coverage eligibility and make settlement decisions.
Coordinate investigations into the validity of claims.
Collaborate with underwriters to assess policy terms and conditions.
Communicate with policyholders, attorneys, and other stakeholders.
Ensure compliance with company policies and industry regulations.
Analyze claim data and identify trends for process improvement.
Minimum Requirements
Bachelor's degree in Insurance, Business, or a related field.
Proven experience in insurance claims management.
Strong knowledge of insurance policies and coverage terms.
Excellent decision-making and negotiation skills.
Effective leadership and team management abilities.