General Position Summary
The Casualty Claims Director is responsible for the day-to-day management of the company’s casualty claims unit. This position is responsible to ensure fair, accurate, and responsive casualty claim handling for all lines of business in accordance with the Company’s mission statement and goals. The Casualty Claims Director also is responsible for staff development and training and will participate in departmental business planning, budgeting, and will assist with overall Claims Department management.
- Manage the day-to-day operations of the casualty claims unit. Responsible to identify improvements to workflows, departmental claims tools and software, and processes to increase efficiency and reduce expenses.
- Analyze claim reports to identify trends and develop recommendations to address those trends.
- Oversee all phases of the casualty claims life cycle. As necessary, work with all interested parties to bring claims to a prompt conclusion. Ensure customer service levels are maintained and internal claims guidelines and processes are followed.
- Ensure timely reporting to reinsurers. Assist with maintaining positive reinsurance relationships.
- Review and cross-check claim statistics. Coordinate with the IT and Accounting Departments to resolve issues
- Oversee and manage the company’s independent casualty adjuster network.
- Oversee files with active litigation in coordination with the Litigation Manager
- Supervise, counsel, monitor performance, provide feedback, provide formal performance assessments and salary recommendations, and recommend and implement disciplinary actions for staff under direct supervision.
- Develop and implement specialized training and development plans for staff members to ensure professional development and to enhance departmental succession planning.
- Analyze staffing needs and recommend appropriate staffing levels.
- Interview, screen and hire new Claims Department employees.
- Handle and resolve complaints and questions from internal and external complainants.
- Responsible to ensure compliance with statutory and regulatory requirements.
- Active participant of the Claims management team. Assist with developing and executing the Claims Department strategic plan. Assist with budgeting and lead special projects as requested by the Vice President-Claims or Executive Management.
- Other responsibilities and duties as assigned.
- Meet expectations of attendance and punctuality.
- Maintain current knowledge of policy forms and application of statutory, regulatory, and judicial requirements and interpretations.
- Participate in continuing education and industry events.
- Present a professional and helpful appearance.
Required Knowledge, Skills and Abilities:
- Skills required to perform the essential functions in this job description.
- Must be a self-starter with the ability to lead a team.
- Ability to think critically and anticipate, recognize, identify, and develop solutions to problems in a timely manner.
- Strong knowledge of and ability to interpret property and casualty insurance contract forms and claim handling regulatory compliance requirements for the company’s lines of business.
- Strong knowledge and understanding the legal and judicial system for the company’s states of operation.
- Ability to communicate clearly, professionally, and empathetically. Must be able to timely and effectively communicate with insureds, claimants, attorneys, agents, medical providers, vendors and others through frequent written and telephone communication.
- Ability to manage a remote workforce and to cultivate and maintain constructive working relationships.
- Strong analytical, organizational, and time management skills.
- Mastery of all Inside Claims Adjuster positions essential functions, required knowledge, skills, and abilities. Mastery of technical and negotiation skills.
- Knowledge and understanding of current claims and reporting technologies. Ability to provide oversight for implementation of new systems to improve productivity/reduce expenses.
- Ability to maintain quality work product and professionalism, even when work volume is high.
- Ability to travel overnight on a periodic basis.
- Satisfactory work history and excellent attendance records.
- Bachelor’s degree (B.S./B.A.) from a four-year college or university.
Industry Education and Experience:
- Associate in Claims - Management (AIC-M); and
- Seven or more years industry experience, with five years claims experience in Property & Casualty.
- Minimum of five years supervisory/management experience preferred.
- Equivalent combination of industry education and experience may be substituted for the above.