Claims Manager - Complex Claims

POSITION SUMMARY: The Claims Manager, Complex Claims is responsible for implementation, execution and outcome of the complex claim handling function and its associated goals as assigned by the Director or Sr. Claims Manager.

ESSENTIAL FUNCTIONS OF A CLAIMS MANAGER: THE FOLLOWING ARE THE USUAL, BASIC AND ESSENTIAL FUNCTIONS OF THE CLAIM MANAGER POSITION. HOWEVER, THIS JOB DESCRIPTION DOES NOT PRECLUDE THE PERFORMANCE OF OTHER DUTIES BY THE INCUMBENT. THESE FUNCTIONS ARE NOT TO BE CONSTRUED AS AN EXHAUSTIVE LIST OF ALL RESPONSIBILITIES, DUTIES, AND SKILLS REQUIRED:

• Manages all commercial claims from First Notice of Loss to final disposition of the claim

• Manages complex residential claims to include TWIA and TFPA claims with larger exposures, generally over 100k in damages.

• Manages disputed commercial claims including the appraisal process, mediation process and defense of lawsuits

• Drives technical excellence on commercial claims

• Manages productivity of the commercial claims function

• Reinforces corporate communications and enforces compliance issues

• Serves as a liaison to customers, agents and other stakeholders in the commercial claim function

• Temporarily assume other Claims roles and responsibilities, as needed

• Contributes to functional execution and results

• Drafts and recommends functional and potentially cross-functional policies and procedures

• Drives claim outcomes through application of policies, practices and management to optimize operating performance

• Recruits, hires and trains qualified staff

• Serves in a back-up capacity to the Sr. Claims Manager.

REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES:

• Strong customer focus in the organization

• Excellent leadership skills in functional areas within Claims and excellent relationship building skills

• Ensures clear and consistent internal communications in all areas of direct responsibility

• Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle multiple priorities simultaneously; and ability to meet deadlines

• Skilled in critical thinking, problem solving; creativity in resolving unique and challenging business problems; good business judgment

• Ability to be both proactive and reactive in a fast-past, highly visible, heavily regulated entity.

• Strong sense of urgency, personal responsibility, accountability; self-motivated, efficient, effective

• Able to initiate, organize, prioritize, and coordinate multiple & complex projects and cases

• Able to work autonomously and as part of team; to lead, follow, and collaborate.

• Comprehensive knowledge of property claims practices, personal and commercial lines, and legal terminology

• Strong analytical, negotiation and communication skills

• Ability to evaluate people, processes, and outcomes, identify issues, and develop, recommend and implement corrective and continuous improvement plans

• Ability to recognize, communicate, and act on emerging trends and impact of trends on organization and function

• Self-starter with ability to handle multiple and competing priorities

REQUIRED EDUCATION AND EXPERIENCE:

• Bachelor’s Degree

• TX All Lines Adjuster’s License

• 5+ years of industry experience in progressively more responsible roles

• 1+ years supervisory experience

PREFERRED KNOWLEDGE, SKILLS, AND ABILITIES:

• AIC, CPCU

PHYSICAL REQUIREMENTS:

• This position requires the ability to sit, hear, converse over the telephone, and key frequently on a computer for long periods of time.

• This position may require some limited overnight travel to complete training programs, activities, and meetings.