Manager, Claims Reso

Overview

The Resolution Manager is responsible for leading a team of resolution claim adjusters who are responsible for prompt, efficient review and disposition of workers compensation claims through effective investigation, settlement evaluation, negotiation, including direct telephonic interaction and negotiation, with insureds, claimants, and counsel. Maintains a solid understanding of AmTrust’s mission, vision, and values. Upholds the standards of the AmTrust Claims organization.

The salary range for this role is $105K-130K a year. This range is only applicable for jobs to be performed in California. Base pay offered may vary depending on, but not limited to education, experience, skills, geographic location, travel requirements, sales or revenue-based metrics. This range may be modified in the future.

Responsibilities

• May oversee the handling of all aspects of the claims assigned to the unit including reserving, communication, documentation, evaluation, negotiation, and settlement.
• Ensures claim processing is consistent with applicable policies, procedures, and department guidelines.
• Completes regular quality audits of staff’s work, records results, and collaborates with staff to bring work to or above standards.
• Prepares regular periodic reports and monitors system reports to ensure adherence to corporate and regulatory standards.
• Analysis of claims for full exposure and settlement value.
• Performs training and assists with negotiation and settlement of claims.
• Establishes and executes controls to assure that the quality of the work meets or exceeds standards.
• Reviews and analyzes processes, procedures, and workflows to identify opportunities for process improvement and efficiency.

Qualifications

• Bachelor's degree or equivalent combination of work experience and education required.
• 5+ years’ experience in workers compensation insurance industry. Preferred handling of litigated or complex workers' compensation claims.
• Valid California Claim Adjuster Certification with ongoing continuing education credits or ability to obtain such.
• Understanding of regulations, principles of coverage, liability, and insurance industry in general, with specific emphasis on workers’ compensation.
• Leadership skills: ability to plan, organize, delegate, manage and develop staff.
• Ability to work independently, with minimal supervision and direction.
• Ability to operate business technology.
• Ability to manage personnel administration including employee evaluations and salary administration.
• Proficient computer skills required to navigate our paperless claim file system.
• Possesses a high level of technical claim and legal knowledge and skills.
• Excellent oral and written communication skills.
• Ability to professionally interact at a high level with parties both internal and external to AmTrust.
• Easily adapts to changing situations requirements or priorities.
• The ability to effectively influence others.
• Skillful negotiator.

What We Offer

AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.

AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.

AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.