North American Risk Services (NARS) · 18 hours ago
Claims Unit Manager - General Liability
North American Risk Services (NARS) is seeking a Senior Claims Unit Manager to oversee a unit of 5-8 claims professionals. The role involves managing claims metrics, file handling, litigation management, and ensuring compliance with state statutes and company guidelines.
Responsibilities
Effectively supervise unit of 5-8 claims people and their respective caseloads in a proactive manner
Adhere to all file handling standards, NARS Best Practices, state statutes and requirements necessary to pass audits performed by regulatory agencies, carriers, and clients. Form well written emails and LLR's internally and externally
Demonstrate a strong commitment to the mission and values of the organization
Maintain strict confidentiality of client, company, and personnel information
Works closely with Quality Assurance to ensure company objectives are met
Review and respond to claim appeals and grievances, investigate, and respond to complaints
Adhere to the policy and procedures of NARS
Lead and manage by example to promote culture of service and continuous improvement
Provide leadership to achieve key business goals
Assign accountability for desired outcomes and hold adjusters to required dates
Communicate clearly and provide adequate direction
Track trends by program and unit – know the team’s claims when a client asks
Know the Team’s Clients and be able to confidently discuss their claims
Effectively manage corrective action processes in accordance with Human Resource guidelines
Responsible for overseeing adequate reserving of claims files and quality and efficient claim handling of files assigned to unit
Maintain appropriate diary on pending claims within the unit and ensure same for employees
Qualification
Required
Senior level claims position to oversee a unit of 5-8 people and their respective caseloads
Manage the units claim metrics and ensure they are kept current
Oversee all aspects of file handling on pending claims which will include facts of loss, coverage analysis, investigation, negligence/compensability/liability determinations, damage assessment and coordination of medical care as appropriate
Approve and monitor litigation management, settlement negotiations, and appropriate use of vendor table
Establish and approve reserves as needed
Ability to attend conferences, client meetings, mentor adjusters and assist management as requested
Ensure files assigned to the unit are handled within state statutes, Client Claim Handling Guidelines and NARS Best Practices
Effectively supervise unit of 5-8 claims people and their respective caseloads in a proactive manner
Adhere to all file handling standards, NARS Best Practices, state statutes and requirements necessary to pass audits performed by regulatory agencies, carriers, and clients
Form well written emails and LLR's internally and externally
Demonstrate a strong commitment to the mission and values of the organization
Maintain strict confidentiality of client, company, and personnel information
Works closely with Quality Assurance to ensure company objectives are met
Review and respond to claim appeals and grievances, investigate, and respond to complaints
Adhere to the policy and procedures of NARS
Lead and manage by example to promote culture of service and continuous improvement
Provide leadership to achieve key business goals
Assign accountability for desired outcomes and hold adjusters to required dates
Communicate clearly and provide adequate direction
Track trends by program and unit – know the team's claims when a client asks
Know the Team's Clients and be able to confidently discuss their claims
Effectively manage corrective action processes in accordance with Human Resource guidelines
Responsible for overseeing adequate reserving of claims files and quality and efficient claim handling of files assigned to unit
Maintain appropriate diary on pending claims within the unit and ensure same for employees
Company
North American Risk Services (NARS)
North American Risk Services, Inc.
Funding
Current Stage
Late StageLeadership Team
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2024-02-19
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