Liability Claims Manager
Role Overview
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.
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
About TRISTAR Insurance Group
Privately held U.S. third-party claims administrator providing property-casualty, benefits, managed-care, and risk-control services.
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