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Liability Claims Manager

TRISTAR Insurance Group
Philadelphia, USA
Full-time
Senior Level
Hybrid
USD 115000-145000 yearly
Discovered 1 months ago

Full Job Posting

Position Summary

Under minimal supervision, manages and directs the activities of a claims unit to ensure high-quality claim handling, client service excellence, and compliance with applicable state laws, regulations, and company policies and procedures.

Duties And Responsibilities

  • Directly supervises Claims Examiners and Claims Assistants, including monitoring attendance, performance, coaching, performance evaluations, and disciplinary matters.
  • Reviews and addresses scheduled claim activities, including initial reviews, periodic reviews, delays, denials, and other claim-related issues.
  • Reviews and approves reserve changes, settlements, awards, and payments within authority limits.
  • Conducts file reviews to ensure compliance with company policies, client requirements, and applicable laws and regulations.
  • Coordinates, conducts, and documents training sessions related to legislative changes, company procedures, and best practices.
  • Conducts and documents internal and external educational sessions.
  • Ensures appropriate staffing levels are maintained to support workload demands and service expectations.
  • Supervises and approves daily check runs and payment registers.
  • Responds to claimant, client, and vendor concerns and resolves issues as appropriate.
  • Monitors vendor performance and effectiveness to ensure service quality and compliance.
  • Ensures client service instructions and account-specific requirements are consistently followed.
  • Provides operational coverage for examiner vacancies resulting from vacations, leaves of absence, or open positions.
  • Prepares, reviews, and evaluates monthly client reports and management information.
  • Facilitates internal, external, and client audits.
  • Partners with Corporate Operations, Sales, and Client Services teams in support of RFPs, implementations, and client service initiatives.
  • Participates in client claim reviews and stewardship meetings.
  • Provides account management support for accounts that do not have an assigned Account Manager.
  • Monitors branch expenses and approves invoices and related expenditures in accordance with company guidelines.
  • Performs other duties as assigned.

*Essential Job Function

Equipment Operated And Used

Computer, calculator, printer, copier, scanner, telephone, and other standard office equipment.

Special Equipment Or Clothing

Appropriate business attire as required by company policy

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