Casuatly Claims Manager

Job Description
This job description does not list all the duties of the job. You may be asked by supervisors or managers to perform other instructions and duties. You will be evaluated in part based upon your performance of the tasks listed in this job description.

Management has the right to review this job description at any time. The job description is NOT a contract for employment, and either you or the employer may terminate employment at any time, for any reason.

Position Purpose:
To manager the overall operations of a claims unit or units.

Essential Duties and Responsibilities:

Some claim managers (depending on number of staff) may have adjusters, supervisors or even other managers reporting to them. A claims manager’s role may vary because of the uniqueness of their department or unit, the overall responsibility is very similar.

It is the Claims Managers responsibility to advise the VP of claims of complex or high exposure type claims as soon as knowledge of the claim is known. Inform the VP as well as your staff, of changes in the legal climate in the area of responsibility.

As goals and standards are established, it is the manager’s responsibility to see that goals and standards are being met and are filtered down to the others in their units. It is also the claims manager’s responsibility to insure appropriate changes or enhancements are made in order to meet those goals and standards. This requires a manager to concentrate on details and procedures that insure the company is being represented by a customer focused and properly trained claims staff. These areas of concentration include:

• Large losses

• Claims that have the potential of turning into a problem

• Training

• File reviews – Both audits and staff reviews on a regular basis

• Management reporting

• Maintaining a diary on all high exposure cases

• Keeping up with changes in the law that affect claims handling and making sure their staff is fully aware of those changes.

Other Duties:

• The following lists some areas (not all inclusive) that the claims manager is responsible for:

• Workloads of all staff

• Claim expenses both legal and non legal (are we using the appropriate vendor)

• Cost per claim including average pay and expense averages (avoiding leakage)

• Pending and closures

• Subrogation activity

• Salvage activity

• Structured meeting and roundtables as needed

Performance Expectations:

This position will be assessed based on achievement of the following elements of performance:

This position will be assessed based on achievement of the following elements of performance: Attainment of goals/standards for this position; Dependability (Appropriate use of time and resources, including but not limited to phone use, attendance, promptness, funds or asset use; Customer service/sensitivity (of internal and external customers); Teamwork, Leadership, Development of Subordinates, Management Control and Performance Evaluations of Employees.

Required Education and/or Experience:

Claims Managers in the states of Texas, Oklahoma, Kentucky, and New Mexico must
have the appropriate adjuster’s licenses for that state including the following:

• Bachelor’s degree preferred or

• Equivalent work experience/skill set of Five plus years of Management Experience

Required Knowledge, Skills, and Abilities:

All claims positions require positive results in the following areas of performance:
Meeting established goals, dependability, customer service, teamwork, management control, judgment, decisiveness and technical ability.

The position requires reasoning ability to examine and evaluate coverage and liability issues, examine and comprehend data furnished in written or oral form. Apply practical mathematical skills commonly used in the adjusting of property and casualty claims.
The position requires specific audio, visual and hearing capabilities involved in the use of computers, recorder and dictation equipment, telephone and other devices commonly used in an office environment.

Work Environment:
Functions are generally performed on site and in the office. Must be able to work as a team member to solve problems and exchange information. Some travel is required and may involve overnight stay. The position may require attending medications or settlement conferences. Must maintain a good driving record in accordance with the company car guidelines (if applicable).

Physical Demands:
Employee is regularly required to use hands and fingers to handle or feel. Requires frequent keyboarding and lifting. Generally 20 lbs. or less of lifting is required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


Union Standard

Job Code

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