Esis Claims Assistant Vice President, Wc - Tampa, United States - Combined Insurance

Combined Insurance

Verified Company

Tampa, United States

2 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

The Claims Assistant Vice President is a challenging opportunity for a leader to join our Tampa Claims Office servicing Workers Compensation clients in Alabama, Florida, and Georgia as well as DBA (Defense Base Act) claims.

This is a critical leadership role in effectively executing ESIS business strategies and plans for our customers.

The position partners with internal and external constituents to help shape the organizations claim strategies and leads team of over 50 ESIS professionals to deliver superior technical claim handling and customer service.

The Claims AVP reports to and receives direction from the ESIS Claim Vice President in New York, and directly supervises Workers Compensation Team Leaders in the region.

KEY OBJECTIVE:

Responsible for leading a WC claim operation within a leading TPA with a national scope.

Leads individuals in the managing of the claims investigation and settlement activities for WC to assure quality and timely claims service in the most cost-effective and fairest manner.

Collaborates with internal and external partners to meet client agreed upon outcomes while maintaining an integrity driven organization with a focus on results.

MAJOR DUTIES & RESPONSIBILITIES:

Leads managers, claim handlers and operations personnel in the support of organizational objectives.
Partners with ESIS Client Services to manage various accounts.
Manages controls, directs and takes corrective action with specific strategies to ensure claim quality meets company standards and procedures.
Delegates/controls specific settlement/draft authority to appropriate subordinate claims personnel.
Manages work flow to provide the client with superior service. Develops and implements specific action plans to correct deficiencies. Establishes client service standards for claim processing services.
Interfaces with home office claims to ensure high quality and equitable claim file handling.
Manages the local claim reserve process to ensure that reserves are adequate to cover losses.
Ensures that organization design, staff selection, performance management, reward programs and related actions are consistent with company policies, procedures and sound business judgment.
Facilitates change by addressing points of resistance and individual issues and concerns. Acts as a facilitator to help remove barriers and resolve department issues.
Participates as an accountable member of the Claims Leadership Team and promotes division/company strategies and values.
Handles other management responsibilities as required by individual business line.