Unknown Company

Claims Manager

montvale, nj • Posted 4 days ago
Remote Contract Compliance & Regulatory Affairs

4 days ago Be among the first 25 applicants

Oversee all daily functions of the Claims Department
Liaise between Upper Management and Claims Department
Essential Duties and Responsibilities:

  • Strive to provide excellent customer service to our associates, agents, adjusters, attorneys and all who require our assistance
  • Hiring and Training of claims department staff
  • Advise CEO/Underwriter/Branch Manager of any potentially large exposures and/or any problems that may arise beyond the normal everyday occurrences
  • Report all E&O exposures to CEO with full details and claim file
  • Review problem files: ie: Insured’s disputing denials, complaints filed with the
  • Insurance Department and/orLondon Complaint Department
  • Recommend and assign attorneys as appointed by London to defend losses or request coverage opinions.
  • Keep all parties involved updated
  • Direct claims staff with coverage issues
  • Review daily checks prepared by the claims team
  • Work with accounting to determine availability of funds for weekly claim payments
  • Review all incoming mail and distribute accordingly for processing
  • Prepare yearly staff performance evaluations and goal setting for claim staff
  • Encourage the claims team to pursue continuing education and recommend training when needed
  • Run monthly Bordereaux reports and work with accounting to tie out payments
  • Perform Peer Reviews for the London contracts
  • Review adjuster performance and keep records of E&O certificates.
  • Interview adjusting firms to determine if they are compatible with our needs.
  • Review London contracts to be sure we are in compliance with the contracts Review adjuster panels for each contract.
  • Prepare our claim files for annual audits
  • Comply with Subpoenas served on Jimcor, document production

Oversee all daily functions of the Claims Department
Liaise between Upper Management and Claims Department
Essential Duties and Responsibilities:

  • Strive to provide excellent customer service to our associates, agents, adjusters, attorneys and all who require our assistance
  • Hiring and Training of claims department staff
  • Advise CEO/Underwriter/Branch Manager of any potentially large exposures and/or any problems that may arise beyond the normal everyday occurrences
  • Report all E&O exposures to CEO with full details and claim file
  • Review problem files: ie: Insured’s disputing denials, complaints filed with the
  • Insurance Department and/orLondon Complaint Department
  • Recommend and assign attorneys as appointed by London to defend losses or request coverage opinions.
  • Keep all parties involved updated
  • Direct claims staff with coverage issues
  • Review daily checks prepared by the claims team
  • Work with accounting to determine availability of funds for weekly claim payments
  • Handle incoming phone calls
  • Review all incoming mail and distribute accordingly for processing
  • Prepare yearly staff performance evaluations and goal setting for claim staff
  • Encourage the claims team to pursue continuing education and recommend training when needed
  • Run monthly Bordereaux reports and work with accounting to tie out payments
  • Perform Peer Reviews for the London contracts
  • Review adjuster performance and keep records of E&O certificates.
  • Interview adjusting firms to determine if they are compatible with our needs.
  • Review London contracts to be sure we are in compliance with the contracts Review adjuster panels for each contract.
  • Prepare our claim files for annual audits
  • Comply with Subpoenas served on Jimcor, document production
Qualifications/Requirements:
  • Strong knowledge of standard property and casualty insurance statutes, regulations and practices; casualty/liability claims adjusting including analyzing and coordinating disposition of claims
  • Good supervisory practices
  • Good analytical skills for interpreting laws and regulations as a basis for decision-making

We offer a total compensation package which includes salary (80k-95k) plus a full comprehensivebenefits package. Package includes Paid Time Off Days, Paid Holidays, Hybrid Work Schedule, Retirement Plan with Employer Match, 100% Single Employer Paid Medical, Dental, Vision, Life Insurance, Education Assistance, Various Voluntary Benefits, Wellness Program Including Mental Health Support and an Employee Assistance Program (EAP) and More.

Seniority level

  • Seniority level

    Mid-Senior level

Employment type

  • Employment type

    Full-time

Job function

  • Job function

    Sales, General Business, and Education
  • Industries

    Wireless Services, Telecommunications, and Communications Equipment Manufacturing

Referrals increase your chances of interviewing at Jimcor Agencies by 2x

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