Description
Job Description:
Oversees the programs assigned to specific Claims Units. Manages the adjusting, and supervisory staff
with those units, providing technical direction in claims and facilitating the reporting to internal and
external customers, including carriers, reinsurers, self‐insureds, brokers, and agents. Provides technical
guidance on claims files and ensures that the staff is well trained and capable of handling claims assigned
to them.
Essential Duties and Responsibilities:
- Assists the Director in managing quality of work product of the assigned units to drive technical
excellence by specialty across geographies. - Administers staff/resources to guarantee profitability in each of the programs managed.
- Ensures compliance with all state, federal and/or client regulatory and reporting requirements in every
jurisdiction serviced. - Maintains and communicates legislative actions, court decisions, industry trends and developments in
claims. - Works with the quality assurance team to measure and analyze claim results and makes
recommendations to the Director on process and workflow improvements, or other initiatives to drive
results. - Monitors customer satisfaction in an effort to drive action plans for improvement.
- Motivates and develops staff to guarantee success in any program or work that comes to the
organization. - Provides informational assistance to MGAs and carrier partners in any programs handled in the unit.
- Actively participates in leadership, management, roundtable, claim review and training programs and
contributes to their interactions and outcomes. - Assists the Director in establishing and managing performance measures including cycle times, closure
rates, average paid, expense paid, reserve accuracy, and other areas relevant to each program
managed. - Performs other duties as assigned that may include, but are not limited to providing audit support,
research marketing or back up support for other areas within the organization.
Qualification Requirements:
Education / Licensing:
- High School Diploma or equivalent required, 2‐year degree or higher preferred.
- Minimum of 10 years specialized claims adjusting experience.
- Minimum of 7+ years supervisory experience.
- Must possess, or have the ability to obtain, a Florida Adjuster’s license or other required jurisdictional
licensing.
Technical Skills:
- Advance level of interpersonal skills to handle sensitive and confidential situations and information.
- Must have negotiation and litigation skills for significant work with attorneys and arbitration on firstand
third‐party claims. - Must be able to work independently and possess excellent written and verbal communication skills.
- Requires an advanced level of organization and time management skills.
- Must be able to train and develop staff.
- Must be able to analyze claims data and report in a clear and concise manner to all levels of
staff/management. - Must be able to explain and appropriately respond to auditors, clients, and potential clients during inperson
presentations.
Abilities:
- Requires long periods of sitting.
- Requires working indoors in environmentally controlled conditions.
- Requires lifting of files and boxes up to approximately 20 pounds.
- Repeated use of a keyboard, mouse, and exposure to computer screens.
- Requires 24/7 availability for potential emergency claims
- Travel is required as a normal part of this position and therefore exempts employee from comp time
for business policy.