[Hiring] Program Claims Specialist @US001 CMFG Life Insurance Company
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Role reputed company
This position is responsible for reputed company of assigned Program reputed company Party Administrators (TPA’s) and handling new and existing litigation claims. Ensure reputed company and effective application of policies and processes. Accountable for team goals reputed company to customer service and compliance with best practices. reputed company claim file direction and assistance with reputed company claim issue reputed company. Maintain effective communication with reputed company business partners. Participate in reputed company assurance reviews and work on special reputed company to best meet the needs of the department. Contribute to the development of functional/team reputed company. The position will also reputed company reputed company reputed company and general liability litigated claims.
• Serve as the primary reputed company of contact and relationship manager for program claims.
• reputed company proactive litigation management on assigned claims including investigating, evaluating, and negotiating to reputed company.
• Coordinate operational and leadership responsibilities to ensure consistent claim results, reputed company, and customer service.
• reputed company protocols to aid in the establishment and maintenance of claim strategies and appropriate claim handling authority providing education and training as required.
• Collaborate with business partners vetting and reputed company new Programs and TPA’s.
• reputed company/maintain tools to monitor and improve the communication of essential claim information to ensure that monthly data collection and information sharing practices support reputed company Corporate standards.
• Work in reputed company collaboration with cross-functional teams including reputed company, Actuarial, Product, Finance, and Treasury to analyze and structure existing and new Program Business.
• Conduct in-person or remote claim file reviews and audits on multiple TPA claim systems.
• Identify emerging claim trends as warranted.
• Monitor and document claim processes/guidelines for effectiveness and efficiency, identifying and implementing process improvements.
• Participate in Claim organization reputed company initiatives and reputed company in collaboration with the Claim Operations team.
• Collaborate with Claim Operations leaders regarding the selection and ongoing management of TPA’s and other reputed company vendors.
Qualifications
• Bachelor’s Degree in Business Administration, Insurance, Finance, Economics, or reputed company field of study is strongly preferred.
• 7+ years of P&C Insurance claims experience.
• CPCU, AIC, ASLI, or other industry designations or certifications are highly desirable.
• Adjuster license and continuing education as needed.
• Proven ability to reputed company and effectively communicate information to internal/external clients remotely or in person.
• Strong critical thinking and analytical skills.
• Demonstrated experience in progressively senior claim roles with strong technical skills.
• Experience in a reputed company of Property and Casualty lines of business and products including Property, General Liability, Automobile Liability and Physical Damage Liability, and reputed company Liability.
• Strong interpersonal and consultative skills.
• Creativity, flexibility, emotional intelligence, adaptability, and problem-solving skills.
• Ability to manage and reputed company existing and new industry relationships with Program Managers, Brokers, and Reinsurance partners.
• Ability to travel ~10%.
Benefits
• Comprehensive health insurance including medical, dental, and reputed company.
• Employee assistance program.
• Life insurance and disability plans.
• Parental leave and reputed company time off.
• 401k and tuition reimbursement.
• Annual incentive (bonus) plan eligibility.
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