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 Claims Manager

Details
Country: USA
Location: New York-Long Island Long Island
Total applied: 25
Job Category:Accounting/Finance/Insurance
Location:US-NY-Long Island
Status:Full Time, Employee
Occupations:Claims Review and Adjusting
Career Level:Manager (Manager/Supervisor of Staff)
Claims Manager

Claims Manager opening in Connecticut. Effectively manage claims and provide overall direction to local network adjusters and defense counsel to bring claims to an acceptable resolution. Provide guidance to adjusters, defense counsel, and employers with respect to claims policy as promulgated by the management by performing the following duties. Responsibilities include: direct claims handling in accordance with guidelines and criteria established by management; provide direction with respect to jurisdictional issues and provide guidance on acceptance or controversion of claims; provide effective service in a professional and courteous manner in response to claims issues and information requests; perform duties as Claims Manager to employers assigned and act as point of contact to resolve all employer questions of a general nature. Coordinate response with respect to questions on specific types of claims (e.g., hearing loss and pulmonary disease claims); coordinate and direct resolution of claims, including authorization of lump sum settlements, acceptance of stipulations, waiver of liens, pursuit or waiver of Second Injury Fund relief and resolution of all issues in global settlements; effectively manage all litigated cases including the authorization of strategies and any lien waivers or settlements and establish third party recovery procedure; approve all recommended claims reserves or establish reserves as appropriate; perform periodic review of claims for consideration for closed year status, for consideration of commutation by reinsurer, for claims trend analysis, as well as quarterly status of LTC cases, semi-annual review for conformance to reserving policy, for yearly renewal, and such other purposes as directed by management; provide assessment and recommendation for potential LTC candidates for consideration of transfer to LTA accounts. Bachelor's degree (B. A.) from four-year College or university; or three to five years related experience and/or training; or equivalent combination of education and experience. Ability to read and interpret documents such as, workers compensation regulations and forms, medical and legal reports, The Longshore and Harbor Workers Compensation Act, professional journals and procedure manuals. Ability to write reports and business correspondence. Ability to effectively present information and respond to questions from groups of managers, clients, adjusters, attorneys, and medical professionals. Salary $Open.

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