Risk Claims Manager

JOB SUMMARY
The Risk Claims Manager is responsible for managing insurance claims for both auto liability and workers compensation. This role will oversee insurance claims for physical property damage, auto vehicle damage, and verifiable damage. Ensures complete and sound claim settlements, legal reviews, and investigations in accordance with company policies and procedures. Will oversee workers compensation insurance claims, return to work documentation and modified duty job offers. Will be capable of resolving escalated issues arising from operations and requiring coordination with other departments. Recommends measures to reduce or eliminate losses due to accidents and injuries. This position has the potential to be remote.

ESSENTIAL JOB DUTIES

• Investigate and maintain claims for the company. Review and determine coverages and work with insurance companies to set claim reserves.
• Identify claims that require escalation to our insurance company during intake and gather all relevant and appropriate information at that time required for claim resolution.
• Management of property and auto damage, and workers compensation claims, handle serious losses, retain and direct defense counsel, attend mediations and depositions when needed.
• Provide excellent customer service while talking to insureds/claimants on the phone.
• Prepare statistical reports of claims activity and submit reports/findings as requested. Will lead claim file reviews as requested.
• Ensure the Company is taking appropriate measures to minimize claim losses and comply with government regulations.
• Create a positive and productive work atmosphere by communicating and behaving in a professional and team-like manner with all employees.
• Other duties as assigned.

MINIMUM REQUIREMENTS

• Must have extensive claim experience, no less than seven (7) years in a senior level claims role
• Must have extensive knowledge of liability claims administration to include litigation avoidance.
• Must have a thorough understanding of complex medical treatments, treatment outcome indications, tort, venue, and jurisdictional matters, as wells as highly developed investigative and analytical skills.
• Demonstrate success exercising independent decision making, problem solving and effective negotiation skills.
• Must be able collaborate with cross functional teams.
• Excellent communication (verbal and written), presentation, interpersonal, and analytical skills required.
• Proficiency with personal computer word processing and spreadsheet software; Microsoft Windows, Word, and Excel preferred.
• Knowledge of statistical process control desirable.