15 or more years of related experience, including 6 or more years of claims management experience
Advanced/specialized knowledge within the claims discipline
Holds expert level capability in the claims field
Responsibilities
Oversees activities within the Southwest regional Claims department
Provides file guidance: advises reporting staff on claim files and extends settlement authority as necessary after reviewing files
Reviews and determines coverage and/or liability
Secures/analyzes necessary information (i.e., reports, policies, appraisals, releases, statements, records or other documents) in the investigation of claims
Works toward the resolution of claims files, complaints and disputes and attends arbitrations, mediations, depositions or trials as necessary
May affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority
Ensures that department or functional area meets policies and procedures; may provide input to establishing policies and procedures; aligns business unit with business objectives
Ensures that claims handling is conducted in compliance with applicable statutes, regulations and other legal requirements, and that all applicable company procedures and policies are followed
May establish reserves and make recommendations or reports for Corporate Claims or senior management
Provides tactical leadership and strategic direction to the regional claims operation
Responsible for performance, development and coaching of staff (i.e., hiring, firing, performance management, salary increases, etc.)
Plans and ensures that the regional claims operation meets budget and performance targets