Senior Casualty Claims Examiner & Compliance Leader

AAMGA AssuranceAmerica Managing General Agency, LLC; Atlanta (GA); Vor Ort; USD 70.000 - 110.000; Vollzeit

Zusammenfassung

AAMGA AssuranceAmerica Managing General Agency, LLC in the United States seeks a Casualty Claims Examiner responsible for oversight of complex large exposure losses and reporting to the National Casualty Claims Manager. The role provides direction to claims staff, ensures compliance with best practices and state/local guidelines, and assesses the department’s performance against regulatory standards.

You will review casualty files, mentor staff, and make recommendations on procedures.

Qualifikationen

• Bachelor’s degree or equivalent work experience.
• A minimum of five years of adjusting claims. At least two years adjusting/overseeing casualty claims with high complexity.
• Prior claims management experience and/or auditing preferred.

Aufgaben

• Review home office casualty files, provide direction as required to ensure that handling is within best practice guidelines and local jurisdiction regulations.
• Responsible for providing guidance and direction to claims staff in order to ensure proper handling and risk mitigation.
• Provide authority and guidance on all bodily injury claims regarding coverage, liability and damages, as required.
• Provide feedback to leadership and adjusting staff as required for continually improved file handling.
• Responsible for collaboration with claims staff, front line claims management, senior claims management and legal counsel.
• Available to answer questions and participate in roundtable discussions with claims staff and management to provide feedback and guidance on claim handling procedures.
• Complete research pertaining to complex coverage issues, industry trends, and related topics.
• May assist with targeted audits of a particular process or function (e.g. total loss handling, BI evaluations, cycle times, regulatory reviews, customer service skills, etc.) and/or management re-audits to verify calibration and accuracy of the first level reviews completed.
• Assist in designing and delivering casualty training as needed to ensure compliance and proper claim handling

Kenntnisse

Claims adjustment

Casualty claims management

Auditing

Leadership abilities

Communication

Analytical ability

Team coordination

Ausbildung

Bachelor’s degree or equivalent work experience

Jobbeschreibung

AAMGA AssuranceAmerica Managing General Agency, LLC in the United States seeks a Casualty Claims Examiner responsible for oversight of complex large exposure losses and reporting to the National Casualty Claims Manager. The role provides direction to claims staff, ensures compliance with best practices and state/local guidelines, and assesses the department’s performance against regulatory standards.

You will review casualty files, mentor staff, and make recommendations on procedures.