- Responsible for the overall management and coordination of a branch claims office consisting of two or more supervisory units.
- Establishes department goals, projects staff requirements and budget requirements.
- Evaluates training needs, drafts plans and implements solutions to address requisites via branch and corporate resources.
- Assures compliance with corporate claim policy and performance standards.
- Conducts personnel performance evaluations and manages branch salary budget.
- Responsible for hiring, promotions, disciplinary actions, terminations etc. of branch claim personnel.
- Reviews and approves claim creations, reserve increases and 90-day reviews and reserve changes within designated authority delegated by Home Office Claims.
- Establishes internal quality review program to monitor and manage demonstrated performance of claim staff in accordance with corporate and branch objectives.
- Responsible for providing quality customer claim service to policyholders and agents.
- Establishes on-going, working relationship with clients and adjusts claim handling techniques to deliver quality customer service and meet corporate objectives.
- Where applicable, with assistance from Assistant Claims Manager and Supervisor, supervises daily operation of department technical and clerical staff.
- Responsible for devising plans and implementing solutions for controlling adverse claim trends.
- Participates in research and evaluative studies as requested.
- Performs public relations, problem solving and educational functions for agents, policyholders and other departments.
- May be appointed account coordinator for high profile insureds.
- Performs other duties as assigned.
- High School Diploma Or equivalent required
- Bachelor's Degree or equivalent combination of training/experience required
- Claims experience managing claims technical and clerical staff. insurance experience handling workers' compensation claims.
- Expert technical workers' compensation claim knowledge or education acquired through seminars and classes a plus.,
- Knowledge of the Labor Code of the State of California and prevailing case law.,
- Excellent verbal and written communication skills necessary.,
- Good time management, organizational, and negotiation skills a must.,
- Ability to integrate claims process with rehabilitation services.,
- Excellent managerial skills.,
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Workers' Compensation Claims Manager - Orange, United States - Zenith
Description
This role is eligible to participate in Zenith's hybrid work schedule which provides the flexibility to work from home on select days of the week according to the in-office schedule established by regional executive leadership.
A Brief Overview
Responsible for the management of a branch claims office. Establishes goals, adheres to and supports corporate objectives, projects staff requirements, prepares budget, evaluates and formulates plans for meeting claims training needs.
What you will do
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact a Human Resources Representative at Zenith Insurance Company.
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