Job Details

Salary:

General Summary Description

The Claims Manager ensures accurate and efficient property and casualty claims processing for municipal members consistent with internal claims protocols and industry best practices, communicating with members and stakeholders while managing claims staff.

Duties /Responsibilities

In addition to managing an appropriate caseload of property and liability claims:

• Recruit, hire, and train claim adjusting staff;
• Lead, supervise, and provide professional guidance to claims staff;
• Provide case management oversight;
• Administer and maintain KCAMP property and casualty claim protocols;
• Develop and implement necessary policies and procedures to improve efficiency and quality of claims processing;
• Conduct regular claim file reviews to ensure claims are handled in accordance with KCAMP protocols and best practices;
• Monitor incoming and pending claims to ensure appropriate caseloads, and validate use of contract adjusters;
• Communicate with members, staff and other stakeholders to manage claims effectively;
• Analyze claims data, develop metrics and prepare reports to identify claim trends and evaluate claims staff performance;
• Recommend enhancements to the risk management information system to improve claim data quality and management level reporting capabilities and to streamline claims administration processes;
• Coordinate activities with independent claim auditors and implement auditor recommendations;
• Timely and courteously respond to member or claimant disputes that arise, including to any complaints submitted to the Kansas Insurance Department;
• Review invoices and claim payments for accuracy;
• Negotiate and settle claims as appropriate;
• Clearly document claim activities and plan of action.
• Represent the pool at mediations, arbitrations, and settlement conferences as needed;
• Recommend settlements above given authority levels to the Administrator/CEO;
• Present claim reviews to members and to the Board of Trustees as requested;
• Report gaps in member exposure data to the Underwriting Manager;
• Perform other duties as assigned.

Minimum Qualifications

Five years' commercial property, liability and automobile claims adjusting experience required. Two years' management experience required. Extensive experience writing and reviewing estimates and maintenance of electronic files in a claims management information system required. Bachelor's Degree and experience with public entities preferred.

Licenses/Certifications

• Valid Driver's License and Insurance
• Insurance/Claims Designation a Plus

Special Requirements/Skills

• Strong knowledge of:
• Property and casualty insurance coverage
• Applicable federal and state laws covering claims and insurance
• Claims best practices
• Excellent supervisory skills
• Ability to gather and analyze information to facilitate decision-making
• Proficient in Microsoft Office Suite including Word, Excel and PowerPoint
• Outstanding verbal and writing skills
• Excellent communication skills and presentation skills
• Strong organizational and time management skills

Salary/Compensation: $96,000 - $144,000 per year