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Sompo · 1 day ago

AVP, Claim Account Manager

Chicago, IL

Full-time

Onsite

Senior Level, Lead/Staff

$130K/yr - $190K/yr

10+ years exp

Sompo is seeking an AVP, Claims Account Manager to join their North America Client Experience Team. This role will manage claim accounts across the Midwest Zone, ensuring timely service delivery and maintaining relationships with clients and brokers.

Health InsuranceInsuranceRisk Management

Responsibilities

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

Develop sales proposals that present competitive advantages

Participate in sales presentations to potential clients and brokers

Ensure timely execution of client service contracts and resolve contract, billing, and funding-related issues

Manage all aspects of client claim file review meetings

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

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

Determine, establish, and maintain electronic Claim Handling Instructions

Monitor claim activity for existing clients to ensure adherence to established protocols

Collaborate with management to deliver claim service that meets client expectations

Communicate effectively with all internal and external customers

Analyze claims data, identify trends within client portfolios, and collaborate on proactive solutions

Evaluate claims and provide settlement authority

Serve as a single claim point of contact for aligned brokers

Support Underwriting and Business Development for broker presentations, marketing, and claims-related needs in the Western Zone

Qualification

Insurance claims experiencePropertyCasualty claimsRelationship managementAlternative Risk TransferFinancial analysisNegotiation skillsMicrosoft Suite proficiencyLeadership skillsTeamworkProblem-solvingCommunication skillsPresentation skills

Required

Minimum of 10 years of insurance claims experience, including managing claim service delivery to large national accounts

Familiarity with Alternative Risk Transfer mechanisms and unbundled claim programs

Proficiency in Property, Casualty, and Workers' Compensation claims

Demonstrated leadership, teamwork, collaboration, problem-solving, and communication skills

Strong negotiation and presentation skills with excellent written and verbal communication

Strategic, proactive, and innovative mindset to develop creative solutions and resolve problems

Advanced relationship management skills with internal staff and external partners

Ability to develop and deliver financial and statistical analysis to clients

Effective communication across a wide spectrum of stakeholders

Proficiency 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