Mgr Corporate Claims

MANAGER CORPORATE CLAIMS – Risk Management Department


Job Summary


Develops, implements and monitors strategies to mitigate and control Pulte’s exposure to loss. Coordinates all claims-related activities including selection and use third party service providers, claims management and settlement strategies, and internal communication process.  Assures consistent claims reserving techniques and participates in loss trending analysis. Assists in the development of corporate loss prevention and loss control programs.


 


Primary Responsibilities


· Develops and implements claim reporting policies and procedures, claims management protocols, and TPA guidelines. Recommends improvements in loss prevention and claims management processes. Regularly reports to management regarding claims trends and large claims activity. Assists in actuarial reviews and assessment of liabilities for corporation and its captives reserves. Interacts with underwriters, reinsurers, insurer regarding loss control and loss prevention issues.


· Directs the handling of all General Liability, Workers’ Compensation, E&O, Auto and Property/Builders Risk claims for corporation and its captives.  Advises company management / legal / field operations / etc. regarding claims resolution strategies, coverage issues and settlement of large claims. Responsible for assuring implementation of proper post loss reduction measures. Attends mediations, arbitration and settlement conferences, as needed.


· Participates in development and implementation of various Risk Management finance/claims/safety programs directed at mitigating the companies exposure to loss.  Trains operations in the identification; assessment and management of exposure to loss.  Assists in enforcement of contractual insurance requirements.


· Conducts audits/reviews of insurance carriers and TPA’s to assure adherence to industry-accepted claims management standards, agreed upon guidelines, reinsurance requirements and proper claims reserving techniques.  Interfaces with TPA’s, insurers, reinsurers and insurance brokers regarding claims and loss control issues. Participates in underwriting presentations.


· Assist in the selection and analyzes the effectives of TPA’s, claims services providers (i.e. Experts, legal counsel, etc) and risk management service providers.


 


Management Responsibilities


· Ensures appropriate staffing to meet department needs


· Utilizes recruiting and selection tools/processes to build organizational talent


· Delegates work according to employee’s abilities and skills


· Evaluates employee’s performance and plans for compensation actions in accordance with that performance


· Provides developmental opportunities through identification of internal and external training opportunities


· Creates opportunities for employee growth


· Provides continuous coaching with regard to functional and leadership standards (technical skills and behaviors)


 


Required Education


· Minimum Bachelors degree in a related field


 


Required Experience


· Minimum 7-10 years risk management and/or claims experience


· Time in position: Minimum of 3 years in a  Manager level role


· General knowledge of financial accounting and insurance regulatory systems


· Strong knowledge of legal and insurance theory and practice


· Strong verbal and written communication skills


· Strong analytical and problem-solving skills