• Supervise all technical aspects of claims including coverage investigation, disability benefits management, medical management, file management, litigation management, subrogation, reserving and settlement.
• Provide team with technical training and claims handling guidance and direction
• Review reserve and settlement amounts over the Claims Representative authority level for approval
• Ensure claims are clearly and adequately documented, and ensures claims data is captured and coded correctly within the claims management software system
• Provide team support, leadership and motivation to promote a high level of performance
• Establish team performance goals and objectives in alignment with business plans
• Perform claims quality reviews in compliance with audit requirements and quality standards
• Identify and alert senior management to claims trends or issues
• Resolve escalated policyholder and claimant issues related to specific claims
• Conduct regular coaching and performance review discussions, establish performance and career development plans in collaboration with team members
• Assure claims representatives are properly licensed or certified in assigned jurisdictions