Commercial Lines Insurance - Claims Service Manager

Commercial Lines Insurance - Claims Service Manager

McConkey Insurance & Benefits, a twelve-time Best Places to Work in PA recipient and nationally recognized as a Best Place to Work in Insurance, is experiencing growth within our Claims & Risk Solutions department. The Claims Service Manager is an important part of the client service team and will be collaborating with Business Insurance Executives and Client Service Managers to maintain a high level of service to clients.

The Claims Service Manager will work as part of the McConkey Claims & Risk Solutions Department. Claims Service Managers will work directly with Clients, Carriers, and Claims Adjusters to help guide the client through the claims process and proactively manage clients’ claims. Claims Service Managers will act as an advocate for the client by helping to report, investigate, monitor, and resolve submitted insurance claims. The Claims Service Manager will have the opportunity to work on all types of insurance claims. The Claims Service Manager will work independently and at the direction of the Director of Claims.

Essential Duties and Responsibilities include:

· Proactively assist clients in managing their open claims

· Independently aid the client in properly documenting and reporting potential claims for investigation by carrier adjusters

· Independently advise clients of their insurance coverage under various policies and assist in submitting their claims to the appropriate company or third-party administrator

· Maintain internal claim files and record information in agency management system, Epic, in accordance with department standards

· Prepare and forward claims accord forms or other documentation to insurance carriers as needed

· Proactively assist clients in negotiating claim settlements with insurance carriers and in determining adequate reserves or proper coverage interpretations

· Consult with the Director of Claims and the Business Insurance Executive as needed regarding coverage decisions, unusual problems, and/or difficult claims

· Perform status reports as requested for all lines of coverage by Business Insurance Executive and/or the Director of Claims

· Client visitation as requested by Business Insurance Executive and/or Director of Claims

· Respond timely to all incoming telephone calls and emails including questions from clients, carriers and co-workers

· Review and process open activities daily with the ability to reprioritize tasks based on incoming client requests

· Develop and maintain effective working relationships with Business Insurance Executives, Business Insurance Consultants, the Director of Claims and clients

· Maintain clear, concise, and open communication with all relevant parties

· Gather claim data and input into various summary exhibits to aid in client presentation; exhibits include Loss Trend Analysis document, Open Claim Summary Documents, Loss Summaries, Loss Fund Analysis exhibits, as well as other client deliverables as requested

· Attend and participate in all department and company meetings

· Ensure that the professional standards of McConkey are being met

The best candidate for this position will have:

· College degree or advanced education strongly preferred or relevant claims experience

· Must maintain Property & Casualty insurance license at all times

· Once licensed, obtaining an insurance designation is strongly encouraged

· Proficient with Microsoft Office Suite, including Excel

· Proficiency in client management system and workflows; understanding integration between technology systems

· Participate in seminars and educational classes to develop skills and keep current of regulations and best practices

· Strong attention to detail

· Resourceful, innovative approach to problem solving

· Strong professional communication skills both written and verbal

· Maintain empathetic and positive attitude when discussing claims with clients

· Must be able to work in a collaborative environment and work independently to meet deadlines

· Ability to take direction yet show initiative to be proactive

· Interpersonal skills to build outstanding relationships and foster team environment

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Work Location: Hybrid remote in York, PA 17402