Saddle Brook, NJ, US
13 days ago
Claims Manager

Position Description: Manage and oversee clients’ disputes and related claims within assigned region, including but not limited to general liability, builders’ risk, professional liability, pollution and workers’ compensation claims.

Essential Duties & Key Responsibilities:

Manage and ensure claims within assigned region are reported in timely manner to applicable insurance carriers, and delegate or prepare claim documentation and report claim directly to applicable insurance carriers as applicable. Engage with Operations, Safety, and/or Legal teams to ensure initial investigation is conducted and documented via written report; determine and immediately assign third-party incident investigator as necessary. Participate in crisis response team activities within assigned region and assigned clients; provide guidance on steps to strategically manage crisis and claim processes. Direct claims specific carrier to ensure timely assignment of Claims Specialist. Create, maintain, and collect files for all claims records and documentation and within Claims Management System. Oversee flow of documentation and/or claim submission from client to carrier, per standard operating procedures for each claim type. Oversee payments from carrier to relevant party/parties, per standard operating procedures for each claim type. Analyze loss data for claim settlement and reserves and make recommendations to senior and/or client leadership. Prepare periodic reports, such as loss or benchmark reports, as directed using data management systems. Oversee settlement of claims up to permitted settlement authority, escalate to Director, Claims as needed. Partner with Regional Director to participate in selection of Legal representation for claim, as necessary. Lead litigation oversight, strategy, and direction with clients’ leadership and Legal department for assigned claims, as needed. Review legal strategy and documents produced for litigation and mediation statements for assigned claims. Attend trials, mediations, and arbitrations for assigned claims, as required. Participate in and advise on clients’ safety, environmental, operations, and/or legal meetings. May manage team of claims professionals, provide direction of work, assign claims, and serve as escalation point for Claims Analysts and Claims Coordinators. Deliver timely performance feedback to Claims team and execute and/or contribute to performance appraisals during annual performance cycle. Other activities, duties, and responsibilities as assigned.
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