Claims Manager

TROXELL; Springfield (IL); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) with Employer match

Paid Time Off

Job summary

TROXELL in Springfield, Illinois is seeking a Claims Manager to coordinate the handling and processing of client claims. The ideal candidate will be responsible for reviewing claims for accuracy and completeness, providing guidance to clients and new employees while promoting the company’s core values.

You will need 3-5 years of experience in the insurance industry and possess necessary licenses. This full-time role requires excellent communication skills and a strong ability to prioritize tasks. A comprehensive benefits package is offered.

Qualifications

• 3-5 years prior account management or claims experience in the insurance industry.
• Property & Casualty License and Life & Health License required.
• Must demonstrate competence in computers and office operations.

Responsibilities

• Coordinate the handling and processing of client claims.
• Conduct detailed reviews of client policy claims for accuracy.
• Provide guidance in all aspects of customer claim service requests.

Skills

Account management

Claims handling

Communication skills

Organizational skills

Analytical skills

Education

High School Graduate or GED

Advanced training at technical, business, or college level

Tools

MS Office (Word, Excel)

Job description

About Us

Top trusted risk advisor and solution provider for personal and business insurance where we work together to create the ultimate experience. We educate, advocate, and protect our people. We safeguard your future. We win by protecting people.

CLAIMS MANAGER

About The Role

The Claims Manager will coordinate the handling and processing of client claims to proper conclusion, including reviewing for adequacy, completeness, and accuracy. Will also provide guidance, assistance, and follow-up in all aspects of customer claim service requests from management, producers, or clients. Will train and mentor new employees while promoting the Company’s Core Values.

What You’ll Be Doing (Essential Responsibilities)

• Conduct detailed reviews of client policy claims for accuracy in completeness, documentation, and signatures; coordinate electronic input of claim transactions, submit loss requests to appropriate carrier adjuster, or to management if under agency draft authority, and ensure documents are delivered/mailed to appropriate parties.


• Prepare requests to clients for additional information if necessary for the processing of claims. Provide education on best outcome. Work closely with carrier and insured to get a timely resolution. Respond to inquiries and complaints from customers in a courteous and professional manner.


• Provide assistance to producers, customer service staff, and management in researching or interpreting insurance claim language and coverage, and likelihood of claim acceptance.


• Maintain frequent contact in person, by phone and mail (electronic/postal), with carriers, producers, clients, and management to facilitate appropriate and professional customer claim service.


• May conduct informational presentations to client employee benefits meetings; may accompany producers to meet with new clients to establish understanding of the claim benefits program.


• Maintain electronic and/or paper files in an orderly, timely manner. Contribute to a suspense system to ensure follow-up on outstanding or pending business matters.


• Act as a mentor/trainer to new employees including the administrative support staff. Will be in the office during training.


• Responsible for finding efficient ways to work with systems and internal processes. Will give recommendations as needed.


• Actively manage and review claim reserves in partnership with carriers and clients to ensure accuracy, timely adjustments, and optimal financial outcomes, supporting overall client and organizational profitability.


• Handle more complex claims.


• Be a role model for Troxell’s Core Values and exhibit engagement within the team.


• Perform special projects at management’s request.

You Will Succeed by:

Working Together | Inclusive | Open Communication

Creating WOW | Professional | Consistent | Passionate

Earning Trust | Positive | Empathy | Respect

Embracing Innovation | Proactive | Problem Solvers | Openminded

What You’ll Bring To Us

• High School Graduate or GED required. Advanced training at technical, business, or college level is highly desired.


• 3-5 years prior account management or claims experience in the insurance industry.


• Experience with handling personal and commercial claims is desired.


• Property & Casualty License and Life & Health License at hire or within 180 days of hire. Must maintain during employment.


• Excellent written and verbal communication skills and enjoy working with people in a high-volume customer service environment.


• Must be highly organized, yet flexible, in dealing with shifting priorities, fluctuating workloads, and evolving procedures.


• Must be proficient in reading and interpreting complex industry documents such as policy limitations, underwriting standards, and procedure/policy manuals, and apply within prescribed routines and practices.


• Ability to thoroughly analyze product information and make timely and practical recommendations to managers, producers, and clients.


• Ability to work independently with limited supervision while maintaining positive staff relationships within a teamwork environment.


• Must demonstrate competence in computers and office operations. Experience with MS Office products (Word and Excel) and the Internet are highly desirable.

What We Need You To Know

• Full-time


• Hours are 8:00 am to 4:30 pm


• Travel: Minimal

The Fine Print

• Work is typically performed in a standard office setting with minimal travel required.


• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


• May be required to work more hours than normally expected during a regular workweek.


• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Benefits

TROXELL is an Equal Opportunity Employer and offers a competitive salary with a comprehensive benefit package including Medical, Dental, Vision, Flexible Spending, Employer Paid Life Insurance, Short Term and Long Term Disability, 401(k) with Employer match, Paid Time Off, and Continuing Education.