Property & Casualty Claims Consultant - Regulatory Insurance Job
Location: Dallas, Texas
Description: McGladrey is in need of Property & Casualty Claims Consultant - Regulatory Insurance Job right now, this vacancy will be presented in Texas. More details about this vacancy opportunity kindly see the descriptions. Property & Casualty Claims Consultant
Risk & Regulatory Consulting LLC
-**Based out of any state in the United States of America! ***
Position Overview:
This is an opportunity to work as a part of Risk & Regulatory Consulting LLC and is available in major marketplaces. The work performed varies and may include any of the following: review and evaluation of claims processing operations, supervision of company claims operations, selection and/or supervision of independent claims firms, supervision of proof-of-claim processing, review and adjudication of claims in receivership and resolution of customer complaints regarding claims. Candidates must be willing to commit to travel throughout the United States.
Specific Duties and Responsibilities
- Monitor performance, reviewing open and closed claims to ensure that claims are handled according to company policies and procedures, resulting in an equitable resolution within the company's contractual and legal liability.
- Perform claims reviews in connection with market conduct examinations when not needed ! for receivership work
- Ensure salvage and subrogation ! opportunities are identified and coordinate third party recovery with the asset recovery team.
- Direct and control the establishment of appropriate claim case reserves to ensure that future costs are accurately assessed and the company can determine its financial position.
- Manage all types of investigative activity on major claims. Coordinate discovery and litigation strategy with defense counsel or panel attorneys.
- Negotiate highly complex settlement packages, set reserves and authorize payment within scope of authority, settling claims in most cost effective manner and ensuring timely issuance of disbursements.
- Make recommendations on claims policy and processes to management.
- Analyze claims activities; prepare and present reports to management.
- Work with attorneys, account representatives, agents, doctors and insured's regarding the handling and/or disposition of highly complex claims.
- Properly utilize claims ! systems to document losses to minimize the possibility of erroneous payments.
- Participate and lead tactical and strategic projects both within claims and within the larger company structure.
- Based on effective investigative efforts, ensure all resolution and negotiation strategies are considered including the pursuit of all appropriate third parties/collateral sources.
- Present cases and share expertise through the claim committee process.
- Adhere to all statutory regulations and Unfair Claims Practices Acts
- Timely and appropriately communicate with internal and external customers relative to account trends, service issues and claim losses.
- Ensure the establishment, documentation, and execution of appropriate strategies to bring early resolution to assigned claims.
- Contribute to a collaborative environment by consistently demonstrating teamwork, high motivation, positive behavior and effort to achieve goals and ob! jectives.
- Make decisions regarding payment amounts and claim s! ettlements.
- Provide direction and development to staff to ensure that they have sufficient knowledge and skills to resolve claims timely and equitably.
- Ensure that staff provides prompt and courteous service.
- Adhere to all Information Security policies/practices including reporting any security breaches, and comply with Company password management and PC locking policies
- Manage the responses to complaints; communicate complaint trends and create action plans to solve claims adjusting problems. Provides input to Best Practices process for long-term solution to problems. Ensure customer satisfaction.
- Bachelor's Degree; MBA and/or professional certification/s preferred
- Licenses/Designations: State licensing where required. Successful completion of required/applicable claims certification training/classes.
- Minimum of 5 years hands-on claims administration experience with specific exp! erience in Property & Casualty Insurance and Business Interruption
- Advanced technical and product specific expertise, claims resolution skill and knowledge of insurance and claims principles, practices and procedures.
- The incumbent must demonstrate self-motivation and the ability to effectively plan, organize, and complete tasks independently without supervision.
- Experience in best practices or business process improvement; demonstrated project management skills; excellent interpersonal and written communication skills
- Familiarity with state and government regulations which relate to the Claims Department
- Demonstrated ability to deliver high caliber customer claim service.
- Advanced listening and negotiation skills
- Advanced knowledge and attention to detail in insurance coverage and contracts, investigating mid level to severity claims, as well as setting timely and accurate reserves.
- Knowledge of Micros! oft Office Suite and other business-related software.
- A person! al commitment to superior performance that adds value to our company.
- The ability to multi-task along with strong time management and organizational skills.
- Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.
- The incumbent must demonstrate good people skills, communication skills (both oral and written), and have the ability to work extremely well with internal and external customers.
- Ability to deal with ambiguous situations and issues.
- Must be open to travel, extensive at times
RRC was formerly a business segment of McGladrey until 2012 when the separate legal entity was formed. RRC is a strategic business partner with McGladrey providing actuarial and insurance industry consulting services to McGladrey clients.
Risk & Regulatory Consulting, LLC (RRC) is a national, leading professio! nal services firm dedicated to providing exceptional regulatory services to clients. With over 70 experienced insurance professionals located in 22 states, we believe RRC is uniquely positioned to serve state insurance departments. We offer services in the following regulatory areas: financial examinations, market conduct examinations, insolvency and receiverships, actuarial services and valuations, investment analysis, reinsurance expertise, market analysis and compliance, and special projects. We are a results oriented firm committed to success that builds long term relationships with our clients.
RRC is managed by six partners and our practice includes full time professionals dedicated to our regulatory clients. We are focused on listening to your needs and designing customized examination, consulting, and training solutions that address your needs. We bring multiple service lines together to provide superior and seamless service to our clients. We are committed! to training our customers and our team. We have developed various comp! rehensive in house training programs that have been tailored to meet the needs of our regulatory clients. We offer competitive pricing, outstanding experience, credentials and references. RRC is an active participant in the NAIC, SOFE, and IRES.
You have high expectations for yourself and your career. So does McGladrey. Imagine what we will achieve together.
You want your next step to be the right one. You've worked hard to get where you are today. And now you're ready to use your unique skills, talents and personality to achieve great things. McGladrey is a place where you are valued as an individual, mentored as a future leader, and recognized for your accomplishments and potential. Working directly with clients, key decision makers and business owners across various industries and geographies, you'll move quickly along the learning curve and our clients will benefit from your fresh perspective.
Experience McGladrey. Experience the power of bein! g understood.â„¢
EEO/AA
Location Street Address : 13355 Noel Road, One Galleria Tower, 8th Flr
City : Dallas
State : TX
Region : RRC / Public Sector
Position Type : Full Time
Job Type : Experienced
Degree Required : Bachelor
Travel Required : No
Relocation Eligible : No
Sponsor candidates who are not eligible to work in US: No
Requisition ID : NCON11476
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If you were eligible to this vacancy, please give us your resume, with salary requirements and a resume to McGladrey.
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This vacancy starts available on: Wed, 06 Nov 2013 07:43:44 GMT
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