About the role

What you'll do

• Serves as a resource for areas of knowledge and provides guidance;
• Grants authority for settlement and coverage decisions;
• Development and management of claim supervisors, including mentoring, coaching, and training as needed;
• Produces grammatically correct and clearly written correspondence including letters, memos, reports, and claim file documentation;
• Assist in the operations of the claims department, including making recommendations and implementing an organizational structure adequate for achieving the department's goals and objectives;
• Pro-actively monitoring, analyzing, and making recommendations for improvement of claims performance in all areas including, claim handling, loss control, LAE, customer satisfaction, and employee engagement and development.
• Clearly communicate, implement, and monitor claim procedures, goals, and objectives;
• Ability to achieve targeted performance goals.
• Provide leadership and management of claims professionals with the accountability to investigate evaluate and resolve claims or lawsuits;
• Ensure successful hiring and placement, performance management, salary recommendation and administration, training and development, workflow and organizational planning, and disciplinary action;
• Comply with state and federal laws, Department of Insurance criteria, and insurance carrier criteria and follow and enforce Aspire General Insurance Company/partner’s policies, procedures, and work rules;
• Communicate and provide timely notification to the Human Resources Department for all things related to employee attendance, punctuality, or possible leave-related situations;
• Provide appropriate and accurate reports for areas within your job responsibility;
• Complete thorough and accurate CDI Consumer Complaint responses;
• Regular and predictable punctuality and attendance;
• Other duties as necessary or assigned.

Qualifications

• Bachelor’s degree or equivalent work experience required;
• Eight plus years in property/casualty claims operations, including at least five-six years in claims supervision or management;
• California experience required, multi-state experience desired;
• Understanding of claims systems, reserving philosophies, and extensive knowledge of organizational and structural aspects of automobile claims handling;
• Non-standard experience is a plus.
• Review automobile claim investigations;
• Make handling recommendations, and provide direction to subordinates;
• Ensure ongoing adjudication of claims within company standards and industry best practices and regulations;
• Determine, recommend, and grant authority for settlement and payment processes;
• Responsible for overall file handling and work product quality of subordinates;
• General knowledge of all facets of auto claims handling;
• Possess and provide specific knowledge and expertise in the area assigned. For example, a material damage manager needs broad knowledge of material damage claims handling including salvage, subrogation, total loss, and appraisal practices. A liability manager needs a thorough understanding of claim handling including investigation, evaluation, and negotiation of claims. A bodily injury manager needs a thorough understanding of bodily injury claim handling including evaluation, negotiation, and litigation.
• Must have the ability to work in a high-volume, fast-paced environment while managing multiple priorities;
• Diary and document claims that require supervisory involvement according to the Standard Operating Procedures;
• Confirm the accuracy of all requests for settlement authority, coverage denials, and releases;
• Analyze management report data to identify trends that impact customer service, quality, and profitability;
• Ensure compliance with reserving and documentation practices;
• Ability to interpret coverage as well as a thorough knowledge of California-mandated claims handling regulations with experience implementing these regulations;
• Demonstrated decision-making skills, including the ability to recognize and improve claims performance;
• Detail-oriented with strong organizational management and leadership skills;
• Ability to work well under tight deadlines in a changing environment with the ability to manage multiple tasks effectively;
• Ability to work effectively and make sound judgment in decision-making both independently and within a collaborative team environment;
• Possess and use general business computer skills including Word, Excel, and other required programs/applications;
• Must have a disciplined approach to all job-related activities;
• Must have a solid foundation of personal organization, sound decision-making and analytical skills, and strong interpersonal and customer service skills.