Military Spouse Connection Jobs

Position Purpose:

Responsible for defining, implementing, and managing internal programs and Third-Party Claims Administrator (TPA) practices to manage quality and costs associated with liability claims in USA, Mexico, and Puerto Rico.

Key Responsibilities:

• 20% - Claims Handling - Establishes claims handling standards and oversees quality assurance programs for adherence to standards.

• 20% - Communicates with Stakeholders - Establishes interface guidelines and communication channels between all parties, including the claims unit, TPA, Examiners, Store Management and Associates.

• 20% - Development of Staff - Responsible for appropriate selection, termination, performance appraisal and professional development of assigned staff.

• 10% - Drives Initiatives - Drives cost containment initiatives, including allocated expense control to include evaluation, reporting, and monitoring of various metrics.

• 20% - Operations of BI - Leads day-to-day operations of THD internal bodily injury ('BI') claims team as well as the TPA, monitoring the consistent application of the departmental standards, policies, and procedures, as well as TPA Customer Service Instruction compliance.

• 10% - Reviews Material - Reviews required written proposed settlement evaluations, forwarding to the appropriate authority level within THD for approval.

Direct Manager/Direct Reports:

• This Position typically reports to the Director of Casualty Claims

• This Position has up to 2 Direct Reports

Travel Requirements:

• Typically requires overnight travel less than 5% of the time.

Physical Requirements:

• Most of the time is spent sitting in a comfortable position and there is frequent opportunity to move about. On rare occasions, there may be a need to move or lift light articles.

Working Conditions:

• Located in a comfortable indoor area. Any unpleasant conditions would be infrequent and not objectionable.

Minimum Qualifications:

• Must be 18 years of age or older

• Must be legally permitted to work in the United States

• Proven ability for team management and strong leadership skills, including the ability to implement efficient work processes, effective oral and written communication skills and problem prevention, identification and resolution

• Superior interpersonal skills, including ability to mentor and guide staff and create a positive employee relations environment and to provide staff with an environment for creative problem solving

• Knowledge and experience in strong analytical and critical thinking abilities and capable of making timely decisions while functioning in a fast-paced, changing work environment

Preferred Qualifications:

• Working knowledge of Microsoft Office Suite

• Ability to negotiate, handle complaints, settle disputes, and resolve grievances with both internal and external customers

• Multiline and multi-jurisdictional claims experience

• Supervisory and management level experience in the claims industry, including strong general liability claims experience

• High dollar claims management

• Best practices file audit techniques. Successful negotiation skills

Minimum Education:

• The knowledge, skills and abilities typically acquired through the completion of a bachelor's degree program or equivalent degree in a field of study related to the job.

Preferred Education:

• The knowledge, skills and abilities typically acquired through the completion of a bachelor's degree program or equivalent degree in a field of study related to the job.

Minimum Years of Work Experience:

• 10

Preferred Years of Work Experience:

• 10

Minimum Leadership Experience:

• 3

Preferred Leadership Experience:

• 3

Certifications:

• None

Competencies:

• Decision Quality

• Drives Vision and Purpose

• Builds Effective Teams

• Develops Talent

• Organizational Savvy

• Strategic Mindset

• In-depth knowledge of general legal framework and systems/processes governing claims

• Superior interpersonal skills, including mentoring and guiding staff

• Strong analytical and critical thinking skills

• Strong customer-centric focus

• Superior organizational skills

• In-depth knowledge with regards to Outlook, Excel (including pivot tables) and Word

• Timely decision-making skills

• Team management and strong leadership skills

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. - $0.00 - $0.00