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USI Insurance Services · 12 hours ago

TPA Liability Claims Adjuster

Syracuse, NY

Full-time

Hybrid

Senior Level, Lead/Staff

$92K/yr - $109K/yr

10+ years exp

USI Insurance Services is one of the largest insurance brokerage and consulting firms in the world, committed to providing dynamic personal and professional development for its associates. The TPA Liability Claims Adjuster role involves supervising a claims handling department, ensuring compliance with policies, and maintaining strong client relationships while overseeing the processing and resolution of liability claims.

Commercial InsuranceConsultingEmployee BenefitsFinancial ServicesHealth InsuranceInsuranceRisk Management

Growth Opportunities

Responsibilities

Supervise 1 claim handler including: hiring, training, career development, performance reviews and performance improvement plans

Supervise activities of claim handlers with-in the third-party administration (TPA) claims handling unit responsible for supervising, processing, paying and resolving Liability claims according to established policies and procedures and applicable legal and regulatory guidelines

Supervise staff directly, providing direction, setting goals, evaluating results and ensuring that overall goals are attained. Provides leadership, coaching, counseling, training and guidance to staff and assigns responsibilities. Develops, assigns and monitors plans to ensure completion of goals and objectives and meeting deadlines. Ensures new staff members are trained in department policies, practices and procedures

Ensures adherence to policies, procedures, standards and guidelines. Coordinates compliance with overall division guidelines as well as regulatory agencies

Supervises ongoing claims activities, including receiving client claims, research and information gathering, clients and others as needed, payment determination and ongoing claims administration. Reviews claims files to ensure appropriateness of payments to clients, policy compliance and timeliness of work. Determines staff diary dates and reviews notes for active lost time claims. Ensures proper implementation of established policies and procedures

Visits clients regularly and maintains strong business relationships to exchange information and contribute to ongoing renewal of business. Communicates regularly with production and customer service areas to exchange account status

Assists staff with complex aspects of work as necessary. Resolves escalated issues and problems by conferring with staff, management, other internal departments, outside contacts and clients as necessary. Performs claims and other activities personally as workload requires

Manages scheduling and assignment of work and other activities to ensure that key deliverables meet established guidelines. Assesses internal and external customer needs and manages activities to ensure services are delivered in the most efficient way possible

Reviews and evaluates activities on a regular basis, ensuring that established policies and procedures are being followed. Provides management with regular updates on performance; takes corrective action as necessary

Maintains knowledge of current developments in the TPA claims industry, including regulatory issues and guidelines; alerts staff to developments and develops recommendations for consideration with division management in reviewing policies and procedures. Shares information with staff as appropriate

Participates in civic activities to promote growth and development of the community and a positive image for the Company

Participates in special projects and performs additional duties as required

Contributes to a positive, ethical and respectful working environment and communicates openly with others. Models Company culture both internally and externally

Qualification

NYS Casualty General Adjuster LicenseLiability claims experienceClaims management technologySupervisory skillsAnalytical thinkingNegotiation skillsCommunication skillsOrganizational skillsTeamwork