Dba Claims Manager Jobs

Create weekly, monthly and quarterly management reports based upon data from portfolios and document effectiveness of processes

Work closely with our actuarial, M&A, and finance teams to manage portfolios

Build and manage the relationship claims service providers

Assist Claims Portfolio managers on any issues as needed

Knowledge and understanding of claims processes, systems and handling

Deep experience of Excel and Power BI/PowerApps

Excellent interpersonal and time management skills as well as a high degree of sound judgment, discretion, and initiative.

Partner with business units and TPA to utilize all tools available for ‘Return To Work’ programs, nurse case management, etc.

Communicate with the Director, Claims Management to develop case strategy in effort to ensure the best possible results

Assist with general liability, auto liability, subrogation, property claims and other special claim management projects as necessary (5%)

Develop and manage fleet management safety and claims programs for company car drivers (5%)

Special projects assigned by Director, Claims Management and VP, Risk Management (10%)

Organization: Strong organizational skills to manage multiple claims effectively.

Non-Traditional: Embraces a flexible and adaptive approach to claim management.

Minimum of 3 years of demonstrated experience in a leadership/managerial role.

Proficiency in Xactimate and other relevant claims management software.

Intelligence: Possesses intelligence and problem-solving skills to handle complex claims.

Strong knowledge of estimating processes and scoping guidelines.

10 years relevant experience of which at least 3 years should have been in a management capacity/ leadership role.

Manage claims spend in line with growth cost per claims targets. (Average cost of claim.)

Identify, control, manage and minimise operational risks, fraud and claims leakage.

Manage relationships relating to the non- payment of claims

Develop work routines in line with operational plans / schedules in order to manage achievement of service delivery goals.

Share knowledge on, and participate in the creation of new standards, control systems and procedures to maintain service delivery.

Exceptional communication skills including the ability to develop and present clear and concise analysis and recommendations to senior management

Strong ability to engage/interact with leadership, writing and analysis skills, and autonomous/self-starter

Excellent written and verbal communication skills

One of the current certifications (CPC, CHC, CCS, CCS-P, CIC, COC, CRC, CPMA, RHIT, RHIA) strongly preferred

Ten years of experience including at least 5 years working/supervising in a claims department is required

Medical, Dental, & Vision benefits with employer contribution (pre-taxable savings)

Job Requirements (education, experience, skills):

· Must have at least 2 years’ experience as a supervisor or manager

· Bachelor’s degree or equivalent experience required.

· 10 + years of overall claims experience preferred

· Excellent oral and written communication skills

· Excellent customer service and negotiation skills

Bachelors degree or equivalent work experience required.

Minimum of 5 years of claims experience.

Leadership skills which fosters an environment of respect, support, and growth within team and peers.

Problem solving and analytical skills.

Excellent oral and written communication skills.

Plans and organizes the work of Examiners.

Excellent time management and organisational skills

Background in Claims management or adjusting

Through the use of human-centric technology, we will be a global leader in end-to-end risk management.

Other duties as assigned by your manager

Minimum of 3-5 years of experience within a similar claims or insurance position

Strong analytical and communication skills

5+ years of Project Management experience.

3+ years of Project Management experience working for a healthcare insurance provider (payer).

Report and escalate to management as needed.

Perform risk management to minimize project risks.

Operates within defined parameters using project management methodology.

Manage changes to the project scope, project schedule and project costs using appropriate verification techniques.

Job Requirements (education, experience, skills):

College graduate and/or applicable insurance industry training and/or experience.

Exceptional oral, written, and interpersonal communication skills

Excellent customer service and negotiation skills

Strong organizational skills, attention to deal, and ability to multitask.

Knowledge of MS Office applications, related claims and business software

· 3-5 years of logistics and freight claims management experience or in a similar field.

· Experience dealing with freight carriers, claims, and investigation management.

Experience, Abilities, and Qualities Preferred:

· Manage the carrier food safety program by assisting terminals with food safety issues.

· 1-3 years of LTL freight transportation and supervisory experience.

· Excellent customer service skills.

Experience in customer service and/or client account management.

Ability to effectively lead the coordination of workers compensation claims management processes and early intervention strategies.

Ability to interpret and apply workers compensation legislative standards and guidelines as they apply to organizational claims management and rehabilitation initiatives.

Demonstrated knowledge and experience with Environmental Health and Safety programs

Conduct onsite visits and safety audits to ensure facility is maintaining compliance with regulatory safety requirements.

Track safety committee compliance at the local level. Provide support and recommendations to enhance the employee experience and engagement with safety.

Execute on performance management; attract, hire, retain and provide high level of training

Collaborate with internal teams, such as Account Management, Compliance, and Claim Operations, to resolve complex or escalated claims-related issues

Passionate claims professional who cares about their team, the customer, and their experience

Develop and implement strategies to mitigate fraudulent claims and ensure compliance with legal and regulatory requirements

Bachelor's degree in insurance, business administration, or a related field; relevant certifications (e.g., CPCU, AIC) are a plus

Provide a manageable pending for you to deliver the service in a way you’ve always wanted and a dedicated account

Five (5) years of management experience in a high-volume customer-focused environment.

Serve as a mentor by providing coaching, career development, and inter-departmental relationship management for the team.

Bachelor’s degree in related field or combination of relevant education and work experience.

Monitor and audit daily performance to ensure the best possible customer service.

Ensure contractual agreements and goals are being met consistently.

Develop and maintain effective collaborative relationships with internal and external partners.

Provide high-level comprehensive claim management services by developing, planning, assessing, monitoring, and managing processes and cases.

Manage and oversee all claim support staff.

Educate staff on claim requirements by determining the correct approach for each claim to assist in the recovery of assets.

Demonstrated excellence in written and verbal communication skills.

Intermediate to Advanced skills in Office 365 Suite (with an emphasis on Excel and Word).

Must have prior experience with using a CRM software.

Minimum of 1 year of management experience

Requirements for the Operations Manager:

Salary: up to $68K/year (based on experience) + eligible for annual bonus

Compensation for the Operations Manager:

Proven track record of creating processes and leading a team to meet quality metrics

Location: On-site in North Dallas

Broad claims account and vendor management experience: Ideal candidates should have advance experience within a TPA or Insurance Carrier.

We’re looking for someone who has these abilities and skills:

Conducting meetings with clients as necessary to resolve issues and manage the ongoing client relationship.

Robust organizational abilities to track multiple projects and tasks.

Technical skills with Excel, PowerPoint and Word and /or business intelligence tools in order to perform loss run data evaluations.

Enhanced family friendly leave benefits

Education: 4 Year / Bachelors Degree, required. Graduate Degree JD, MBA, MS in Nursing Allied Health or MHA preferred, preferred.

Licensure/certification/registration: P&C adjustor licensure in appropriate state or obtain P&C adjustor license within one year of hire, required.

Our team members are part of an environment that fosters team work, team member engagement and community involvement.

The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.

* Strong working knowledge of claim file management techniques and processes.

Support staff management of litigated cases with focus on adherence to guidelines, effective defense, and cost containment.

In exchange for your talents, FCCI offers competitive salaries and an excellent benefits package.

Manage a Commercial Litigation team that primarily handles complex and/or litigated Auto and GL claims in Florida and Georgia.

Manage exposures and ensure that reserves are appropriate at the case level for assigned team.

* Six or more years of commercial liability experience with two years in a leadership role

Manage subrogation correspondence/recoveries and facilitate salvage or disposal of cargo.

Assist with compliance of DOT, EPA, OSHA, USCG regulations and other federal, state and local requirements as required.

Initiate cargo claims investigation, process claims and assist in mitigation efforts and implementing procedures to minimize future occurrence.

Coordinate services of Marine Surveyors when necessary

Communicate with attorneys during litigation processes

Produce monthly Newsletter to include HSSE topics and Cargo Claims information.