Claims Manager – Property and Casualty with focus on No Fault

A claims manager is responsible for overseeing the insurance claims process, ensuring that claims are handled efficiently and fairly. To succeed in this role, a claims manager needs a combination of technical skills, soft skills, and industry knowledge. The manager must also maintain a constructive relationship with the third-party administrator management and company. The manager must complete file audits, targeted reviews, and action plan improvements. Complete reporting requirements for monthly, weekly, and daily production and expense control.

Technical Skills

Insurance knowledge: A deep understanding of various insurance policies, including property and casualty, with a focus on No Fault.
Claims handling procedures: Familiarity with the steps involved in processing claims, from initial investigation to settlement.
Legal knowledge: Basic understanding of insurance law and regulations.
Risk assessment: Ability to evaluate the potential risks associated with claims.
Negotiation skills: Proficiency in negotiating settlements with claimants and third-party vendors.
Analytical skills: The ability to analyze data and identify trends to improve claims processes.
Computer skills: Proficiency in using various software applications, including claims processing systems and Microsoft Office Suite.

Soft Skills:

Leadership: Ability to lead and manage a team of claims adjusters.
Communication: Effective communication skills, both written and verbal, to interact with claimants, adjusters, and other stakeholders.
Problem-solving: Ability to identify and resolve complex claims issues.
Decision-making: The ability to make informed decisions quickly and effectively.
Customer service: Excellent customer service skills to ensure claimants are treated fairly and with respect.
Time management: The ability to manage multiple tasks and prioritize workload effectively.

Requirements:

Education: A bachelor's degree in insurance, business administration, or a related field is often preferred, but not always required.
Experience: Several years of experience in claims handling, preferably in a supervisory role.
Certifications: While not always mandatory, certifications such as the Associate in Claims (AIC) or Certified Insurance Claims Adjuster (CICA) can demonstrate expertise in the field.
Licenses: NYS Adjuster

Tower Management of NY

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Claims Manager