Claims Manager - TPA Oversight - C. Winchell Agency : Job Details

Claims Manager - TPA Oversight

Property & Casualty Insurance Industry

Somerset County, New Jersey, United States

As Claims Manager you will work closely with team members from Program Management, Underwriting, Actuarial, Finance, and Reinsurance. The role is responsible for claims oversight including reporting and governance. Create and implement claims best practices Review reservation of rights, denials, large losses, and payment of claims Monitor cash flow for escrow accounts. Analyze monthly data feeds to identify trends and monitor contractual metrics. Lead preliminary review and Due Diligence of TPAs. Coordinate TPA claims review meetings with TPA, Program Management and Program Partners. Works on various claims related projects.

Associate Degree or equivalent; 4-year degree preferred. Minimum of 5+ years relevant claims experience. Knowledge and understanding of property/casualty insurance principles and practices. Prior claims experience involving TPAs and delegated claims authority preferred. Excellent computer skills – Microsoft Office Suite with emphasis on Word, Excel, SharePoint. Familiarity with various claims management systems preferred. Ability to establish priorities and to plan, coordinate, and monitor personal work plan maintaining status and oversight of multiple programs.

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