Liability Claims Manager

**POSITION SUMMARY:** Under minimal supervision, manages and directs the activities of a claims unit to ensure high-quality claim handling, client service excellence, and compliance with applicable state laws, regulations, and company policies and procedures. **DUTIES AND RESPONSIBILITIES** - Directly supervises Claims Examiners and Claims Assistants, including monitoring attendance, performance, coaching, performance evaluations, and disciplinary matters. - Reviews and addresses scheduled claim activities, including initial reviews, periodic reviews, delays, denials, and other claim-related issues. - Reviews and approves reserve changes, settlements, awards, and payments within authority limits. - Conducts file reviews to ensure compliance with company policies, client requirements, and applicable laws and regulations. - Coordinates, conducts, and documents training sessions related to legislative changes, company procedures, and best practices. - Conducts and documents internal and external educational sessions. - Ensures appropriate staffing levels are maintained to support workload demands and service expectations. - Supervises and approves daily check runs and payment registers. - Responds to claimant, client, and vendor concerns and resolves issues as appropriate. - Monitors vendor performance and effectiveness to ensure service quality and compliance. - Ensures client service instructions and account-specific requirements are consistently followed. - Provides operational coverage for examiner vacancies resulting from vacations, leaves of absence, or open positions. - Prepares, reviews, and evaluates monthly client reports and management information. - Facilitates internal, external, and client audits. - Partners with Corporate Operations, Sales, and Client Services teams in support of RFPs, implementations, and client service initiatives. - Participates in client claim reviews and stewardship meetings. - Provides account management support for accounts that do not have an assigned Account Manager. - Monitors branch expenses and approves invoices and related expenditures in accordance with company guidelines. - Performs other duties as assigned. \*Essential Job Function **Equipment Operated/Used** Computer, calculator, printer, copier, scanner, telephone, and other standard office equipment. **Special Equipment or Clothing** Appropriate business attire as required by company policy **QUALIFICATIONS REQUIRED:** **Education and Experience** - High School Diploma or GED required. - Bachelor’s degree in business administration, Risk Management, Insurance, or a related field preferred. - Five (5) to ten (10) years of progressively responsible claims management or claims handling experience. - Equivalent combinations of education and experience may be considered. **Knowledge, Skills, and Abilities** - Strong technical knowledge of liability claims handling, statutory regulations, and medical terminology. - Ability to effectively manage multiple priorities, work within a diary system, and meet strict deadlines. - Strong analytical, problem-solving, and decision-making skills. - Proficiency in Microsoft Office applications, including Word, Excel, Outlook, and Teams. - Excellent written and verbal communication skills, including the ability to communicate complex claim matters to clients, claimants, vendors, and staff. - Demonstrated leadership and employee development skills with the ability to manage individuals with varying levels of experience and expertise. - Strong interpersonal and relationship-building skills. - Excellent customer service and client management skills. - Ability to maintain confidentiality and exercise sound judgment in sensitive situations. **Here are some of the benefits you can enjoy in this role:** - Medical, Dental & Vision insurance - Life & Disability Insurance - 401(k) plan - Paid time off - Paid holidays - Referral Bonus **Mental and Physical Requirements** See the separate Mental and Physical Re…