What are the responsibilities and job description for the Vice President of Auto Claims position at Questpro?
JOB TITLE: Vice President - Claims
DEPARTMENT: Claims
REPORTS TO: CEO
Leadership role in our expanding non-standard auto claims department within a dynamic, growing organization; providing opportunity to advance your career and grow professionally.
SUMMARY: Leads overall Claims operations. Responsible for staff performance and development, establishes best claims practices, and overall claims results.
Duties And Responsibilities
DEPARTMENT: Claims
REPORTS TO: CEO
Leadership role in our expanding non-standard auto claims department within a dynamic, growing organization; providing opportunity to advance your career and grow professionally.
SUMMARY: Leads overall Claims operations. Responsible for staff performance and development, establishes best claims practices, and overall claims results.
Duties And Responsibilities
- Oversees all claims personnel including the litigation department, CSR’s, and all managers/adjusters.
- Administers staff performance appraisals and compensation; rewarding and disciplining employees; addressing complaints and resolving problems.
- Directs the selection, training, and development of a high performing team.
- Demonstrated progressive leadership experience with increasing responsibility in claims operations and people management.
- Manages and provides guidance on complex coverage investigations, policy construction, policy language, and applicability of case laws.
- Establishes best practices to assess liability and apply comparative negligence according to state specific liability laws.
- Provides guidance to employees and vendors regarding investigations, evaluations, damages, and settlements.
- Oversees reviews of claim correspondence and provides counsel on further action.
- Guarantees quality assurance of claims in process on a regular basis and ensures appropriate follow-up or closing action was taken.
- Ensures time limit demands and attorney involved bodily injury claims are handled within company standards.
- Proven ability to lead, scale, and manage a large, multi-level claims organization across multiple functional areas.
- Leads claims AI initiatives to create automation, additional claims tools, and cost savings within the unit.
- Directs, coaches, and manages the performance of the team.
- Establishes exceptional customer service and high-quality work standards for the department and vendors; routinely monitoring for compliance.
- Continuously assesses procedures, processes, and structure to optimize resources and utilize best practices to align with business goals.
- Collaborates with other department leaders to help achieve company goals.
- Analyzes claims and management information to measure performance and identify strengths and weaknesses to improve overall department.
- Minimum of 3–5 years of experience in a Vice President–level role or equivalent senior leadership position within claims or insurance operations.
- Collaborates with managers, adjusters, appraisers, insureds, claimants, vendors, and attorneys as needed to facilitate claim investigations and settlement processes.
- Stays current with insurance industry trends, market conditions, and competitor information for the states company operates in and follows trends in other states that might potentially impact the company.
- Represents company to outside parties in a professional manner.
- Performs other related duties as assigned by management.
- Supervises a team of directors, managers and supervisors and their direct reports.
- Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws.
- Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
- Bachelor's degree in Risk Management/Insurance, Business or related field
- Experience in a leadership role.
- 10 years of nonstandard auto liability and casualty experience required.
- Exceptional communication, customer service and relationship building skills.
- Expanded knowledge of claims, the insurance industry, and insurance legal and regulatory rules and guidelines.
- Demonstrated ability to teach, coach and train staff for technical claims handling and excellent customer service.
- Candidates can show how they drive efficient management of claims and key metrics.
- Must be well organized with effective negotiation and problem-solving skills.
- Demonstrated ability to supervise and motivate subordinates.
- Adaptability - able to effectively manage multiple demands, shifting priorities, and changing situations; willingness and openness to policy and procedure changes
- Claims Communication – Ability to effectively and courteously communicate with policyholders, claimants, attorneys, and vendors; Maintains a professional demeanor
- Conflict Management- good listener; committed to finding solution to problems; works well with difficult people; diffuses difficult situations strives to understand contributing factors.
- Decision Making – able to make quality decisions independently and seeks input when needed; takes thoughtful approach when considering options
- Employee Development – teaches employees their duties; offers feedback and coaches employees appropriately; takes mentoring role; challenges and develops employees; offers growth opportunity
- Employee Management – defines responsibilities; motivates employees; delegates well; provides appropriate/fair feedback; recognizes accomplishments; takes appropriate disciplinary action when needed.
- Insurance Knowledge - Claims – Has a practical understanding of the insurance policies, products, and services offered by The Company; recognizes and applies jurisdictional code, statutes, and case law when suitable; adheres to internal procedures and guidelines
- Interpersonal Skills– Works well with others; Solicits feedback; Builds strong relationships; Manages disputes and disagreements in a positive manner
- Knowledge of System – Functional understanding of all systems and software used; ability to maneuver through systems to answer questions and resolve issues; asks questions when needed
- Leadership – motivates and inspires subordinates; leads by example; supports company goals, vision, and policies; creates a positive environment
- Organizational Skills – Able to prioritize workday; maintains efficient workspace; Keeps up with diaries and deadlines; Delegates tasks as needed; Consistently manages time well; identifies workflow inefficiencies and communicates to management
- Vendor Management – is effective at managing the relationship with 3rd party vendors (HR, benefits, staffing, hardware, software, legal, subro, salvage vendors, etc.) to ensure Connect receives best value for services; negotiates optimal terms and pricing; looks for better opportunities in pricing and service