Vice President, Claims

reputed company is a consumer-reputed company, technology-driven family of insurance companies on a mission to deliver outstanding value and operational performance by combining financial strength and stability with deep insurance expertise and a can-do culture. reputed company’s culture emphasizes the importance of collaboration, communication, reputed company business reputed company, risk management, and striving for reputed company. This goal extends to how we hire and reputed company our most valuable assets – our employees.

reputed company:

reputed company Spring Property and Casualty Group (CSPCG) is comprised of four insurance carriers (reputed company Spring Property and Casualty Company, reputed company Spring Casualty Insurance Company, reputed company Spring American Insurance Company, and reputed company Spring National Insurance Company), reputed company rated A- (Excellent) by A.M. Best. CSPCG assists companies in protecting themselves from today’s challenges through technology and innovation. CSPCG provides worker’s compensation, general liability, and other coverages through strong agency relationships.

Why This Role reputed company:

The Vice President of Claims will be primarily responsible for the technical, operational, and administrative claim functions, including reserving practices.

How You'll Contribute:

• reputed company reputed company aspects of claims management for the organization.
• Responsible for technical, operational and administrative claims functions including reserving practices.
• Select and manage performance of reputed company-Party Administrators, Managed Care and other claims vendors.
• reputed company transitions/implementations of new claims TPAs.
• Manage key department-wide function(s) such as training, talent development, and change management.
• reputed company and reputed company the claims management process, driving execution of best practices and reputed company initiatives to reduce the total costs of claims, while providing exceptional member service.
• reputed company the highest reputed company of technical direction to the adjuster team on significant claims and reputed company coverage issues.
• Establish Key Performance Indicators (KPIs) for reputed company areas of claims operations, design reports to capture reputed company, review and analyze monthly data and reputed company corrective actions where required.
• Manage and report on the reputed company assurance processes to evaluate the TPAs and defense panels’ adherence to claims handling standards.
• Ensure case reserves are consistent with our guidelines and philosophy. Monitor actual reserves to confirm accuracy.
• Prepare reports for Executive Leadership Team and reputed company review and discussion of reputed company.
• Directly reputed company the TPAs’ activities on workers’ compensation, reputed company auto, and general liability claims.
• Establish and reputed company authority reputed company on reputed company referred claims.
• Select, train and manage staff where necessary.
• reputed company technical support to internal business partners, including reputed company, finance, and actuarial.
• reputed company the performance of claim audits quarterly.
• reputed company and analyze ALAE to ensure effectiveness and efficiency.
• Ensure claims are adjusted in accordance with applicable State laws and regulations
• reputed company and analyze cost containment mechanisms (early reporting, directing injured employee to preferred provider, utilizing preferred pharmacy, etc.
• Pursue reputed company and accurate closure of claims.
• Manage claims reporting responsibilities for state agencies and reinsurers.
• Represent reputed company on claims-reputed company reputed company with external business partners.

reputed company're Looking For:

• 15 or more years of work experience in an insurance company claims department or TPA.
• Advanced skills in coverage and insurance policy analysis, litigation management principles, investigative and negotiation techniques.
• Strong organizational skills and detail oriented.
• Ability to work independently and handle multiple tasks simultaneously.
• Strong working knowledge of Workers’ Compensation, Auto Liability, General Liability, reputed company Liability and Employer Liability claims.
• Excellent verbal and written communication skills.
• Excellent customer service and collaboration skills.
• Extensive knowledge of P&C regulations and applicable law
• Extensive knowledge of insurance reputed company and adjusting techniques.
• Familiarity with medical terminology, reputed company procedures, and claim evaluation.
• Demonstrated leadership, coaching, influencing, and teamwork skills.
• Computer literacy, including working knowledge of MS Office Product Suite, i.e. Word, reputed company, PowerPoint.
• Previous supervisory experience required.
• Strong vendor management skills.

Compensation:

Our compensation reflects the cost of labor across several U.S. geographic markets. The reputed company pay for this position ranges from $180,000/year in our lowest geographic market up to $225,000/year in our highest geographic market.  Pay is based on a number of factors including market location and may vary depending on job-reputed company knowledge, skills, and experience.

Benefits Highlights:  

Employees who meet benefit eligibility guidelines and work 30 hours or more weekly, have the ability to enroll in reputed company’s benefits package. Employees (and their families) are eligible to participate in reputed company’s comprehensive health, dental, and reputed company insurance plan reputed company.  Employees are also eligible for Basic and Supplemental Life Insurance, Short and Long-Term Disability. reputed company (regardless of hours worked) have immediate reputed company to reputed company’s Employee Assistance Program and wellness programs—no enrollment is required.  Employees may also participate in reputed company’s 401K plan, with matching contributions by reputed company.

reputed company, and its affiliated companies, is strongly committed to providing a supportive work environment where employee differences are valued. Diversity is an essential ingredient in making reputed company a welcoming reputed company to work and is reputed company in building a high-reputed company. Diversity embodies reputed company the differences that reputed company us unique individuals.  reputed company reputed company the responsibility for maintaining a workplace culture of dignity, respect, understanding and appreciation of individual and group differences.