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Sompo · 7 hours ago

AVP, Claims Account Manager

Los Angeles, CA

Full-time

Hybrid

Senior Level, Lead/Staff

$130K/yr - $190K/yr

10+ years exp

Sompo is a leading company in the insurance sector, and they are seeking an AVP, Claims Account Manager to join their North America Claims Account Management team. This role involves managing claim accounts in the Western region, developing client relationships, and ensuring the timely delivery of claims services.

Health InsuranceInsuranceRisk Management

Responsibilities

Foster and manage relationships between claim operation and clients, brokers and partners

Develops sales proposals that present competitive advantage and participate in sales presentations to potential clients

Timely execution of client service contracts and resolution of contract, billing and funding related issues

Manages all aspects of client claim file review meetings

Determine claims and reporting preferences, options and infrastructure to provide the most efficient delivery of service

Establish, monitor and maintain data integrity, especially with claims coding

Determine, establish and maintain electronic Claim Handling Instructions

Monitor claim activity for existing clients for adherence to established protocols

Work closely with management on the delivery of claim service to meet client expectations

Effectively communicate with all internal/external customers

Analyze claims data and identify trends within a client’s portfolio and collaborate with business partners on proactive solutions

Evaluate claims and provide settlement authority

Some travel is required

Qualification

Insurance claims experiencePropertyCasualty claimsAlternative Risk TransferMicrosoft Suite proficiencyLeadership skillsNegotiation skillsRelationship managementCommunication skillsProblem-solving skillsTeamwork skillsPresentation skills

Required

Minimum of 10 years insurance claims experience; Must have experience handling and managing claim service delivery to large national accounts and should be familiar with Alternative Risk Transfer mechanisms and unbundled claim programs

Knowledge or proficiency in all technical and service areas of Property, Casualty and, Workers' Compensation claims

Demonstrated knowledge and skill in leadership, teamwork, collaboration, problem solving and communication

Strong negotiation and presentation skills along with excellent written and verbal communication skills are required

Strategic, proactive and innovative skills to develop creative solutions and resolve problems to achieve desired business results

Advanced relationship management skills with internal staff and external partners are required demonstrated ability to develop and deliver financial and statistical analysis to clients

Effective communication with a wide spectrum of people both internally and externally

Demonstrated competency in Microsoft Suite including; Excel, PowerPoint and Word

Benefits

Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution

Pharmacy benefits with mail order options

Dental benefits including orthodontia benefits for adults and children

Vision benefits

Health Care & Dependent Care Flexible Spending Accounts

Company-paid Life & AD&D benefits, including the option to purchase Supplemental life coverage for employee, spouse & children

Company-paid Disability benefits with very competitive salary continuation payments

401(k) Retirement Savings Plan with competitive employer contributions

Competitive paid-time-off programs, including company-paid holidays

Competitive Parental Leave Benefits & Adoption Assistance program

Employee Assistance Program

Tax-Free Commuter Benefit

Tuition Reimbursement & Professional Qualification benefits