Manages claims functions performed in accordance with company claim policies, practices, procedures and delegated authority. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.
Prepares operating budget for large regional claim office and monitors and controls expenses.
Maintains override capability, authorizes settlements up to designated authority limits, and submits recommendations to designated officials for those claims in excess of authority level.
Oversees combined loss ratio and productivity numbers and ensures they are in compliance with company standards.
Oversees and controls allocated claims expenses.
Plans, controls and coordinates claims activity and workflow in order to maintain the highest professional customer service and technical standards.
Ensures the timely settlement of claims and maintains acceptable closing ratios for the office or department.
Recommends claims procedural changes and plans, organizes and implements these changes in accordance with company guidelines. Keeps current on all changes affecting office or department's work production.
Evaluates personnel for settlement authority.
Plans reviews and conducts claims reviews and settlement conferences.
Mediates complaints and disputes regarding claim resolution.
Selective is an Equal Employment Opportunity employer. Selective maintains a drug-free workplace.