Manager Regional Claims - Houston, Tx.
Location: Houston, Texas
Description: HEB is looking of Manager Regional Claims - Houston, Tx. right now, this job will be designated in Texas. Detailed specification about this job opportunity kindly read the description below. Regional Claims Manager - Houston, Tx.
H-E-B Company is one of the largest, independently owned food retailers in the nation with hundreds of stores throughout Texas and more than 76,00! 0 Partners (employees). Described by industry experts as a daring innovator and smart competitor, H-E-B has led the way with creative new concepts, outstanding service and a commitment to diversity in our workforce, workplace and marketplace.
H-E-B offers a competitive compensation and benefits program and comprehensive training that lead to successful careers.
Summary/Responsibilities of this position:
This position will supervise and direct the activities of all levels of Risk Solutions Representative position in efficient, prompt, fair and courteous claim service to all Partners, customers and third parties. Additionally, Regional Claims Manager will provide management support to the Director of Risk Solutions in the evaluation of the day-to-day operations of the department through territory and projects as assigned.
Essential Functions / Process Responsibilities include the following; other duties may be assigned as necessary
- Serve as liaison to assigned territory and regiona! l operations leadership including visibility in location and management meetings
- Communicates and monitors claim handling procedures
- Assesses policies and procedures and makes recommendations for changes as required by workflow processes
- Reviews, monitors and provides technical expertise to the claim staff to ensure proper adherence to the company standards and procedures
- Reviews and evaluates the workloads based on system reports and assigns the files and locations accordingly
- Works on a diary system and audits files for accuracy and compliance to policies and procedures
- Reviews and approves payments on claims within approved Authority Guidelines
- Reviews all settled claims and documents the file for each settlement check requested
- Addresses customer concerns and initiates resolution as merited by the circumstances
- Serves as the first contact for partners who are considering an appeal of a cove! rage decision under the Work Injury Benefit Plan
- Supervises Risk Solution Representatives
- Addresses developmental opportunities and offers/provides necessary training
- Assists the Risk Solution Representatives with direction on litigated files and provides guidance in the communication with defense attorneys
- Serves as liaison and represents the Risk Solution Department in the retail operation area meetings when necessary
- Analyzes and evaluates assigned areas and provides activity reports to document findings
- Collaborates with Safety Managers and effictively manages safety initatives and issues in assigned region
- Escalation point of contact for all Risk Solutions Matters
- Bachelor's Degree in Business or 3 years to 5 year management experience related field
- Working knowledge and understanding of medical and legal terminology
- Experi! ence in all lines of coverage claims; Work Injury, Return to Work and G! eneral Liability
- Experience in overview of Federal and OSHA regulations and administration of Safety programs
- Experience in administration of non-subscriber programs
- Current "All Lines" Texas adjusters license
- Valid Texas drivers license
- Advanced PC skills
- Training Experience preferred
- Strong organization and time management skills with ability to multi-task and attention to detail
- Demonstrates a high level of project management and strong analytical skills
- Ability to build relationsships and work complex issues with senior management
- Advanced negotiation and influencing skills
- Excellent communication, written skills and presentation skills
- Bilingual preferred
- Function in a fast-paced field environment within your assigned region to include retail operatio! ns, warehouse, manufacturing and office environment
- Travel by car or airplane with overnight stays
- Sit for an extended period of time
- Work flexible and extended hours, weekends and holidays based on the business needs
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If you were eligible to this job, please give us your resume, with salary requirements and a resume to HEB.
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This job will be opened on: Tue, 08 Oct 2013 00:38:53 GMT
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