Commercial Lines Claims Manager - Madison, WI

Insurance agencies rely heavily on the counsel and expertise of risk management experts to demonstrate to clients the firm's capabilities as a valuable business partner.  This position, Claims Manager, is far beyond the typical paper pushing role that many agencies relegate their claims processing to.  It’s a leadership role that will oversee all of the agency's claims processes, deliverables and advocacy with active participation directly with clients.  It requires a very knowledgeable workers compensation claims professional who also possesses an understanding of other property and casualty claims to serve as the residence agency expert.  This role is also unique in that all the procedures and consulting methods put into practice in the claims team will interrelate with the internal loss control division.  This will help the agency create consistency within its resource practice group and also see both divisions grow over time through singular leadership.

Claims Manager Responsibilities
Work with internal and external parties as well as directly with the clients during the claims process. Direct and manage claims staff on appropriate reporting and follow up procedures with insurance companies, adjusters and other third parties involved.  Stay active in following complex open cases through conclusion including investigating and negotiating for timely settlements.  To the best of your ability with a favorable outcome for the agency's client.
Showcase the services of the agency's claims and loss control terms by  making presentations to current and prospective clients as a part of the sales process.  Create a proactive system of identifying and addressing business operations with insureds that create hazardous, frequent and severe risk management situations.  Make sure your team has accountability for client retention by constantly engaging with clients personally or by sending out claims and loss control specialists on your behalf.
Develop shared goals for the claims and loss control departments. Manage budgets, prepare reports for the executives to review and make recommendations of staffing needs.
Develop a claims review process with the account management and sales teams to communicate with clients throughout the year on claims handling.  Visit with clients in a consultative way about appropriate procedures and review loss run activity.
Maintain a professional relationship with underwriters, adjusters and risk management professionals to settle claims but also provide advocacy and handle negotiations as needed.  Issue drafts and other correspondence with clients related to coverage findings and settlements. 
Claims Manager Requirements:
At least 7-10 years of property and casualty claims experience.  Though a broad property and casualty background is beneficial the large majority of the agency's claims deal with workers compensation policies.  Therefore you must be very knowledgeable and experienced in work comp claims. 
Excellent communication skills. Able to write and present on claims findings to the management team and directly in front of clients.  Up to date on insurance industry trends particularly with workers compensation claims and risk management issues. 
Prior management experience is required. Proficient in leading a high performing team with oversight for workflows, policies and procedures, training and development of claims staff; able to manage goal setting expectations with your team.

The agency requires all of its employees involved in consulting with clients to hold a Wisconsin property and casualty license. Must be able to secure this within three months of employment. 

Please contact Scott Thompson for immediate confidential consideration and additional details. 

Email: sthompson@insurance-csg.com

Phone: 515-216-5455

See our website at www.csgrecruiting.com/jobs for a complete listing of nationwide opportunities.

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Environmental Claims Supervisor - Sacramento, CA

My client is a full-service professional environmental and engineering consulting firm. Their experienced personnel and extensive resources allow them to solve the most complex and technical problems, while consistently exceeding their client’s expectations, saving them time and money. Their business includes insurance archaeology and they presently seek an experience environmental/pollution claims professional to join their employee friendly organization.

Environmental Claims Supervisor Responsibilities

Coverage Analysis

Evaluation of Liability Exposure

Settlement Negotiations

Ability to work with counsel

Interaction (working relationship) with multiple carriers

File Documentation and Reporting

Environmental Claims Supervisor  Requirements

JD, CPCU, ARM preferred

Dedicated insurance professional with 10+ years of environmental/pollution claims experience

Knowledgeable about state and federal environmental agencies and regulations

Handled litigation in California and Oregon

Nationwide Experience

Working relationship with multiple carriers

Worked on a variety of environmental cases

Worked on cases with multiple carrier involvement

Worked closely with counsel in the development of coverage positions

Reviewed policies, analyzed coverage and issues, and prepared detailed coverage position letters

Communicates verbally and in writing with policyholders, attorneys, agents, other carriers

Documents, files, and provides comprehensive reports 

Please contact Scott Thompson for immediate confidential consideration and additional details. 

Email: sthompson@insurance-csg.com

Phone: 515-216-5455

See our website at www.csgrecruiting.com/jobs for a complete listing of nationwide opportunities.

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Vice President Disability Claims Operations - Chicago, IL, New York, NY, Bridgewater, NJ

My client is a leading global provider of insurance, annuities and employee benefit programs. They currently offer an opportunity to join their organization in a key executive role. This position has overall responsibility for claimant operations and associated service for all of claims within the Disability Claim Centers. The position is accountable for the development and execution of claim strategy, financial metrics, and budget development, expense management, service metrics, headcount, and relationships with all partners.  This newly created position will have overall responsibility for all of Disability Claims (both Group – STD, LTD, TAM – and IDI).  This position could be located in either Chicago, IL; New York, NY or Bridgewater, NJ.

Vice President Disability Claims Operations Responsibilities

Accountable for the overall operational effectiveness of the Disability claims operations with responsibility for approx. 1403 FTE’s, and provides direction Claim Transformation and Operational Efficiency.

Responsible for creating the strategy and providing direction to all aspects of Disability Claims.

Lead organization to high customer satisfaction/NPS results while motivating team to create partnerships.

Accountable for achieving operational metrics as it relates to claim performance and operating effectiveness.

Executes on the operational strategies of the organization to achieve appropriate claim management accuracy and operating results from a quality and productivity perspective.

Responsible for the development and execution of an operational budget.

Partner with and/or Implement Quality Improvement processes into the claim organization for all aspects of the claim process.

Vice President Disability Claims Operations Requirements

Must have demonstrated leadership skills that reflect experiences as a significant change agent and innovator that drive to meaningful change in the operations of the organization, in the areas of operational effectiveness and productivity.

Possess significant disability management experience, including knowledge of other Employee Benefit programs (e.g., Worker’s Compensation, Life Insurance) and relative Federal and State Laws.

Significant experience with claim processes and technology to effectively support the various claim management processes and provide the foundation for service and innovative change.

Exceptional presentation skills required.

Proven ability to manage multiple priorities and possess strong project management skills.

Possess excellent analytical, decision making and problem solving skills.

Please contact Scott Thompson for immediate confidential consideration and additional details. 

Email: sthompson@insurance-csg.com

Phone: 515-216-5455

See our website at www.csgrecruiting.com/jobs for a complete listing of nationwide opportunities.

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Vice President of Claims

Our client is a property and casualty carrier providing insurance primarily for small businesses, such as restaurants, apartments, auto repair shops, and night clubs. They presently offer an opportunity to join their claims team in a leadership role. This position will have overall responsibility for performance of their claims department. Our Client's offices are freeway close with many restaurants and shops nearby. In addition to providing a professional environment that respects employees' time with their families, they offer competitive compensation and excellent benefits. Their success is due in part to the retention of valued and loyal employees, many of whom have been with the Client for over 20 years. 

Vice President of Claims Responsibilities
This is a high-level position that will have overall responsibility for the entire claims staff.
The successful candidate will manage all claims specialties, including Casualty, Property, Primary, Excess and Reinsurance.
This hands-on leader will assure a professional and consistent presence in claims operations and files, ensuring achievement of organization objectives, key organizational initiatives, and close oversight of the department.

Vice President of Claims Requirements
This position requires a bachelor’s degree and a minimum of 10 years of diverse experience with commercial lines property and casualty claims.
You must offer proven ability to oversee and direct claims practices and methodology; Set goals that support corporate objectives.
Design processes and procedures to ensure that goals are attained.
Ensure compliance with corporate and legal requirements.
Convey working knowledge of contract and tort law, coverage analysis, claims investigation, valuation and adjusting techniques, and litigation management.
Solid understanding obtained from a continued hands-on approach of case value and proper reserving.
Proven effective leader and manager of people.
California claims handling experience required.

Please contact Scott Thompson for immediate confidential consideration and additional details. 

Email: sthompson@insurance-csg.com

Phone: 515-216-5455

See our website at www.csgrecruiting.com/jobs for a complete listing of nationwide opportunities.

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Commercial Claims Specialist - Detroit, MI

The role of Claims Specialist is a dynamic role that will oversee all the commercial claims for this independent agency in the Detroit area.  It is an opportunity for an experienced property and casualty claims professional to design the functionality of the agency's claims department and show how true advocacy, consultation and client service can flow from this person directly to the insured and also impact the work with the account management and sales teams.  This is part of the agency's ongoing commitment to client service and value added resources for its business insureds.

Commercial Claims Specialist Responsibilities
Work with internal and external parties as well as directly with the clients during the claims process. Create files for new incoming claims, gather and manage requests for information and work with insurance company adjusters to settle open claims.
Develop a claims review process with the account management and sales teams to communicate with clients throughout the year on claims handling. Visit with clients in a consultative way about appropriate procedures and review loss run activity.
Maintain a professional relationship with underwriters, adjusters and risk management professionals to settle claims but also provide advocacy and handle negotiations as needed. Issue drafts and other correspondence with clients related to coverage findings and settlements.
Commercial Claims Specialist Requirements

At least 3-5 years of property and casualty claims adjusting experience.
Agency experience preferred.

Professional designations such as AIC a plus.

Please contact Scott Thompson for immediate confidential consideration and additional details. 

Email: sthompson@insurance-csg.com

Phone: 515-216-5455

See our website at www.csgrecruiting.com/jobs for a complete listing of nationwide opportunities.

Check out some of my recent articles on the blog here:

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Fraud Specialist - Iowa

My client operates in 12 states throughout the Midwest. They have been named an Iowa Top Workplace.  For more than a century, they have offered challenging work, a quality work environment, and opportunities for personal and professional growth.  With hometown values, their focus is on job satisfaction, professional growth and development, health, and wellness. They currently offer an opportunity to join their organization in a newly created position of Fraud Specialist. In this role you will develop, coordinate, and implement processes and procedures to objectively investigate and evaluate potentially fraudulent activities related to a claim to determine if a legitimate claim exists and eliminate waste and abuse in all lines of the Claims business.

Fraud Specialist Responsibilities

Develops criteria based on analysis of trends, data, and patterns to identify claims that have the highest potential of fraudulent activity. 

Evaluates information in claims file against selected criteria to identify claims with potential fraudulent activity.  Utilizes cost/benefit analysis to make recommendations concerning the pursuit of additional investigation into high potential fraud claims. 

Gathers data to support fraud claim including completion of relevant field work and coordination with insurance industry fraud units, counsel, and law enforcement agencies. 

Develops fraud awareness training programs on detection, deterrence, and prevention of fraud for internal and external audiences as requested.  Partners with law enforcement or any related public and private sectors to increase opportunities to combat insurance fraud.

Develops standardized and repeatable procedures to ensure consistency when faced with a potential fraud situation.

Fraud Specialist Requirements

A minimum of five years property-casualty claims adjusting experience.

At least three or more years in a fraud related role within a claims unit.

Certified Fraud Examiner (CFE) or Certified Insurance Fraud Investigator (CIFI) preferred.  

A minimum of five years medical related claims experience preferred.  

Please contact Scott Thompson for immediate confidential consideration and additional details. 

Email: sthompson@insurance-csg.com

Phone: 515-216-5455

See our website at www.csgrecruiting.com/jobs for a complete listing of nationwide opportunities.

Check out some of my recent articles on the blog here:

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Agency Claims Account Manager-Memphis, TN

This claims position is with an independent agency in Memphis that wants a person with strong client management skills with familiarity interpreting and reporting claims to be dedicated to its claims practice.  This is an inside role within the service team where you will work beside account managers and producers to help facilitate the process when an insured reports a property, casualty or workers compensation claim.

  
Agency Claims Account Manager Responsibilities:

• Accept calls from insureds that are reporting new claims.  Take information, prepare reports to submit to the insurance companies and enter data into the agency's computer system.  Build a file that includes pertinent reporting information and share it with the sales team as well as start the process with insurance company adjusters.
• Pull the client's file during the claims process to review policies and check for areas of concern related to coverage gaps and/or exclusions.
• Work with the agency's sales and service team on claims tracking and loss history analysis.  Run loss reports in preparation for renewals where open or outstanding claims items can be resolved to improve the client's pricing and coverage options.

Agency Claims Account Manager Responsibilities:

• Bachelor's degree is preferred.
• At least 2-3 years of commercial lines insurance career experience with exposure to claims handling and/or reporting.  This can be through work as a customer service representative or account manager for an insurance agency or through a more traditional claims adjusting background. 
• Must offer a broad property and casualty coverage background with workers compensation policies being an area you are particularly comfortable in.  This includes an understanding of how to report and assess workers compensation injuries along with ways to read and factor experience modification factors.
• Strong proficiency with Microsoft Excel.

Please contact Scott Thompson for immediate confidential consideration and additional details. 

Email: sthompson@insurance-csg.com

Phone: 515-216-5455

See our website at www.csgrecruiting.com/jobs for a complete listing of nationwide opportunities.

Check out some of my recent articles on the blog here:

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