3200-Claims Operations - Manager, SIU & Appraisals

Frankenmuth Insurance Company; United States; On-site; USD 90,000 - 120,000; Full time

Job summary

Frankenmuth Insurance Company seeks a senior supervisor for the Special Investigation Unit (SIU) and appraisal claims operations. This role directs investigations, appraisals, reserves, and payments within authority, while coordinating vendor programs and monthly reporting.

You will train and lead staff, drive process improvements, and serve on project teams to ensure compliant, high-quality claims handling in a fast-paced environment.

Qualifications

• Directs and coordinates the investigation and appraisal claims functions.
• Oversees reserves and payments within authority level.
• Manages SIU monthly reporting, compliance, anti-fraud plan, vendor management and expenses.
• Trains, coaches, and leads staff.
• May serve as project team member or leader.

Responsibilities

• Directs and manages the investigation and appraisal claims functions including approving reserves and payments.
• Manages adjusting vendor programs and desk audits.
• Oversees SIU monthly reporting and anti-fraud initiatives.
• Leads staff through training and performance reviews.
• Coordinates project teams to achieve objectives.

Skills

Supervision

Claims investigation

Vendor management

Team leadership

Performance review

Education

Bachelor’s degree

Job description

Summary:

Under limited supervision and with significant independent judgment, supervises and coordinates the activities of the special investigation unit and the appraisers by performing the following duties:

Essential Duties and Responsibilities:

1. Directs and manages the investigation and appraisal claims functions including:
   
   
   
   1. Oversees the management of all claims as assigned by function
   
   
   2. Approves reserves and payments within authority level
   
   
   3. Manages investigations of a litigated SIU claim and best practice/quality review
   
   
   
   

1. Manage adjusting vendor programs that provide claims services as assigned, such as direct repair programs, ISO, independent adjusters, and desk audit.


2. Manages Special Investigation Unit monthly reporting, compliance, anti-fraud plan, vendor management and expenses. Also oversees the following:
   
   
   
   1. Department Fraud Education
   
   
   2. New Hire SIU training
   
   
   
   

1. Manages Appraiser monthly reporting, vendor management and expenses.

1. Functions as a Supervisor of a business unit, either directly or through subordinate leaders, including but not limited to:
   
   
   
   1. Recommends and communicates goals. Directs operations to ensure the achievement of required results
   
   
   2. Develops, recommends, and implements operational plans and procedures
   
   
   3. Trains, coaches, and leads staff
   
   
   4. Prepares and/or reviews performance appraisals. Conducts performance review meetings
   
   
   5. May recommend and/or implement employment actions, including employment/termination, corrective action, promotions/demotions, salary changes, etc.
   
   
   
   

1. May serve as a contributing member of project team(s), or leader of project team(s), coordinating resources to ensure achievement of project activities

1. Performs other duties as assigned

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience:

Level 5: Bachelor’s degree (B.A.) from four-year college or university; or four to six years related experience and/or training; or equivalent combination of education and experience.