- Claims Department Development: Collaborate with the President and other stakeholders to establish and refine the claims department's structure, policies, and procedures. Contribute to the development of a streamlined and efficient claims management system.
- System Refinement: Work closely with the IT department and external vendors to enhance and optimize the claims system, ensuring it meets the company's specific requirements and aligns with industry best practices.
- Team and TPA Management: Build, lead, train, and mentor a claims team, providing guidance on coverage determination, claims investigations, litigation strategies, settlement negotiations, and customer service. Manage relationships with TPAs, ensuring effective communication, adherence to service level agreements, and quality control.
- Claims Adjudication: Oversee the evaluation, investigation, and adjudication of complex claims, including those related to commercial auto, trucking/transportation,general liability, property, and personal lines. Provide guidance and support to adjusters in claim resolution and settlement strategies.
- Performance Evaluation: Monitor the performance of the claims team and TPAs, establishing performance metrics and conducting regular evaluations. Identify areas for improvement, implement corrective measures, and provide ongoing training to enhance team effectiveness and efficiency.
- Compliance and Regulations: Stay updated with industry regulations, legal requirements, and emerging trends in claims management. Ensure compliance with regulatory standards and company policies, including timely reporting, documentation, and adherence to claims handling protocols.
- Customer Service: Foster a customer-centric approach within the claims department, emphasizing prompt and accurate FNOL, coverage determination, claim investigations, timely response to litigation, and effective communication with policyholders, brokers, claimants, plaintiff counsel, and other stakeholders, with a focus on customer satisfaction.
- Collaboration: Collaborate with other departments, such as underwriting, legal, finance, and IT, to ensure seamless operations and optimize overall company performance. Provide insights and recommendations to senior management regarding claims-related matters.
- Bachelor's degree in business, Insurance and Risk Management, or a related field (equivalent experience may be considered)
- Minimum of 7 years of experience in claims management, with a focus on commercial auto, trucking/transportation, general liability, property, and personal lines
- Strong knowledge of claims handling processes, insurance industry regulations, and best practices
- Experience in developing and implementing claims systems and processes
- Proven leadership and team management skills
- Excellent communication and interpersonal skills
- Excellent writing skills
- Detail-oriented and highly organized
- Proficiency in using claims management software and related tools
- Experience working with TPA's is highly desirable
- Relevant professional certifications (e.g., AIC, CPCU) are a plus
- License to adjust property & casualty claims in home state. Other States is a plus.
- Medical, Dental, Vision, Supplemental Life Insurance, LTD, and Flexible Spending Account
- 401K and Employee Stock Ownership Program (employer matching)
- Metro Tap Card and Metro-link Reimbursement
- Career Path Opportunities
- Onsite Yoga, Pilates, Onsite Gym
- UKG Wallet (access to your pay before payday)
-
Claims Manager
1 week ago
SoCalGas Los Angeles, United StatesAbout Us · At SoCalGas, we believe that every Californian deserves a resilient energy future. We are working to achieve that future by empowering California to reach its sustainability goals through innovation, collaboration, and decarbonization. As our state's energy needs chang ...
-
Avp, Claim Manager
4 days ago
Chubb Los Angeles, United StatesChubb is currently seeking an AVP, Claims Manager to manage a team of examiners dedicated to handling litigated Employment Practices Claims and higher severity non-litigated claims. The team will be responsible for handling claims on behalf of Chubb Insureds across the United Sta ...
-
Manager, Claims Integrity Provider Remediation
18 hours ago
L.A. Care Health Plan Los Angeles, United StatesManager, Claims Integrity Provider Remediation (ALD) · **Job Category**:Claims**Department**:Claims Integrity**Location**:Los Angeles, CA, US, 90017**Position Type**:Full Time**Requisition ID**:11166**Salary Range**: $102, Min.) - $132, Mid.) - $156, Max.)- Established in 1997, L ...
-
Claims Manager
2 weeks ago
Whiteboard Risk & Insurance Solutions Los Angeles, CA, United StatesJob Description · Job Description · The Claims Manager will be responsible to act as a liaison for our clients in the management of Worker's Compensation claims. On behalf of the client, you will communicate (through phone and email as necessary) with doctors, insurance adjuste ...
-
Claims Manager
1 day ago
Regal Medical Group Los Angeles, United StatesJob Description · Position Summary: · Claims processing from data entry to review of all claims prior to payment. Customer service. MM Department support. · Essential Duties and Responsibilities include the following: · Daily claims data entry/ manual adjudication · Daily rev ...
-
Claims Manager
1 week ago
Whiteboard Risk & Insurance Solutions Los Angeles, United StatesThe Claims Manager will be responsible to act as a liaison for our clients in the management of Worker's Compensation claims. On behalf of the client, you will communicate (through phone and email as necessary) with doctors, insurance adjusters, Worker's Comp attorneys in order t ...
-
Claims Manager
1 week ago
Frederick Fox Los Angeles, United StatesMUST LIVE IN CALIFORNIA - ROLE IS REMOTE · Must Have · Must be a current resident of either CA or TX. · Minimum of 5 years of claims management experience. · Significant experience with CA auto claims, preferably non-standard auto. · Must have a current CA adjusting license. · M ...
-
Claims Manager
1 week ago
Crum and Forster Los Angeles, United States· Claims Manager - TPA · Job Locations · US-CA-LOS ANGELES · Job ID · Category · Claims · Type · Regular · Division · Surplus & Specialty · Crum & Forster Company Overview · Crum & Forster (C&F) with a proud history dating to 1822, provides specialty and standard commercial line ...
-
Claims Manager
2 weeks ago
Whiteboard Risk & Insurance Solutions Los Angeles, CA, United StatesJob Description The Claims Manager will be responsible to act as a liaison for our clients in the management of Worker's Compensation claims. On behalf of the client, you will communicate (through phone and email as necessary) with doctors, insurance adjusters, Worker's Comp atto ...
-
Claims Manager
3 days ago
Regal Medical Group Los Angeles, United StatesJob Description · Position Summary: · Claims processing from data entry to review of all claims prior to payment. Customer service. MM Department support. · Essential Duties and Responsibilities include the following: · Daily claims data entry/ manual adjudicationDaily review ...
-
Claims Manager
2 weeks ago
Whiteboard Risk & Insurance Solutions Los Angeles, CA, United StatesThe Claims Manager will be responsible to act as a liaison for our clients in the management of Worker's Compensation claims. On behalf of the client, you will communicate (through phone and email as necessary) with doctors, insurance adjusters, Worker's Comp attorneys in order t ...
-
Claims Manager
1 week ago
Jacobs Engineering Group Inc Los Angeles, United StatesYour Impact: · Our People & Places Solutions business – reinforces our drive to improve the lives of people everywhere and epitomizes the "why" of what we do – the tremendous positive impact and value our solutions bring to our communities and society as a whole. From facilities ...
-
Claims Manager
5 days ago
Knight Management Insurance Services Los Angeles, United StatesClaims Manager: Property and Casualty Lines · Los Angeles | Remote | Insurance Claims · Pay Range: · $80,000- $120,000 Per Year. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire and will be dependent on a wide rang ...
-
Claims Manager
5 days ago
Whiteboard Risk & Insurance Solutions Los Angeles, United StatesJob Description · Job DescriptionThe Claims Manager will be responsible to act as a liaison for our clients in the management of Worker's Compensation claims. On behalf of the client, you will communicate (through phone and email as necessary) with doctors, insurance adjusters, W ...
-
Claims Manager
2 days ago
Crum and Forster Los Angeles, United States· Claims Manager - TPA - Remote · Job Locations · US-CA-LOS ANGELES · Job ID · Category · Claims · Type · Regular · Division · Surplus & Specialty · Crum & Forster Company Overview · Crum & Forster (C&F) with a proud history dating to 1822, provides specialty and standard commer ...
-
Claims Manager
1 week ago
Crum & Forster Los Angeles, United StatesCrum & Forster Company Overview: · Crum & Forster (C&F) with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A" (Excellent) ...
-
Manager, Claims
1 week ago
L.A. Care Health Plan Los Angeles, United States Full timeJob Summary · The Manager, Claims directs the efforts of others in the achievement of the strategic, regulatory and operational objectives of the Health Plan. Provides direct supervision to a team of claims examiners, data entry clerks and claims assistants and continuously moni ...
-
Manager, Claims
3 weeks ago
L.A. Care Health Plan Los Angeles, United StatesSalary Range: $102, Min.) - $132, Mid.) - $163, Max.) · Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly opera ...
-
Field Claims Manager
6 days ago
Oliver James Associates Los Angeles, United StatesJob Summary: · The position will be responsible managing our field claims process and supporting our claims team in the delivery of accurate and efficient claim outcomes with the highest levels of customer satisfaction. This role requires demonstrated experience in field claims m ...
-
AVP, Claim Manager
1 day ago
Chubb Los Angeles, United StatesJob DescriptionChubb is currently seeking an AVP, Claims Manager to manage a team of examiners dedicated to handling litigated Employment Practices Claims and higher severity non-litigated claims. The team will be responsible for handling claims on behalf of Chubb Insureds across ...
Claims Manager - Los Angeles, United States - Knight Management Insurance Services
Description
Claims Manager: Property and Casualty LinesLos Angeles | Remote | Insurance Claims
Pay Range: $80,000- $120,000 Per Year. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire and will be dependent on a wide range of factors, including but not limited to geographic location, skill set, experience, education, credentials, and licensure when applicable.
Knight Insurance Group is seeking a skilled and experienced Claims Manager to join and grow with our team. As the Claims Manager, you will have a unique opportunity to assist in establishing and developing our claims department. Reporting directly to the President of the Company, you will play an important role in refining the claims system, building a team of adjusters, and overseeing Third-Party Administrators (TPAs) for our program business. This is a full-time position.
What You'll do as a Claims Manager:
What we look for in our Claims Manager?
What do we offer?
If you are a motivated and experienced Claims Manager with a background in commercial auto - trucking/transportation, construction defect, general liability, property, and personal lines, we invite you to join our team and be a key player in establishing and growing our claims department. Apply today to embark on an exciting career with Knight Insurance Group
Note: This job description is intended to provide a general overview of the position and does not encompass all tasks or responsibilities that may be assigned or required.