Claims Manager

Aspire General Insurance Company and its affiliated general agent, Aspire General Insurance Services, are on a mission to deliver affordable specialty auto coverage to drivers without compromising outstanding service.

Our company values can best be described with ABLE: to always do the right thing, be yourself, learn and evolve, and execute. Join our team where every individual takes pride in driving their role for shared success.

JOB SUMMARY:

Under direction of Senior Management, the Claim Manager is primary responsible for directing and overseeing claim supervisors. This includes aspects of planning, implementing, controlling and monitoring areas of the claims operations under their direction. The position will report directly to the Vice President of Claims.

Candidates must have been employed with Aspire General Insurance Company’s claims department, in a manager or supervisory capacity, for at least six months.

The selection of the candidate may be delayed until such time as a suitable replacement is found for the position of the candidate selected for this position.

Must perform the essential functions of the position, which includes but is not limited to:

DUTIES AND RESPONSIBILITIES:

• Serves as a resource for areas of knowledge and provides guidance;
• Grants authority for settlement and coverage decisions;
• Development and management of claim supervisors, including mentoring, coaching and training as needed;
• Produces grammatically correct and clearly written correspondence including letters, memos, reports and claim file documentation;
• Assist in the operations of the claims department, including making recommendations and implementing organizational structure adequate for achieving the department's goals and objectives;
• Pro-actively monitoring, analyzing, and making recommendations for improvement of claims performance in all areas including, claim handling, loss control, LAE, customer satisfaction, and employee engagement and development.
• Clearly communicate, implement and monitor claim procedures, goals and objectives;
• Ability to achieve targeted performance goals.
• Provide leadership and management of claims professionals with the accountability to investigate evaluate and resolve claims or lawsuits;
• Ensure successful hiring and placement, performance management, salary recommendation and administration, training and development, workflow and organizational planning, and disciplinary action;
• Comply with state and federal laws, Department of Insurance criteria, insurance carrier criteria and follow and enforce Aspire General Insurance Company/partner’s policies, procedures and work rules;
• Communicate and provide timely notification to the Human Resources Department for all things related to employee attendance, punctuality or possible leave related situations;
• Provide appropriate and accurate reports for areas within your job responsibility;
• Complete thorough and accurate CDI Consumer Complaint responses;
• Regular and predictable punctuality and attendance;
• Other duties as necessary or assigned.

QUALIFICATIONS AND SKILLS:

• Bachelor’s degree or equivalent work experience required;
• Eight plus years in property/casualty claims operations, including at least five-six years in claims supervision or management;
• California experience required, multi-state experience desired;
• Understanding of claims systems, reserving philosophies and extensive knowledge of organizational and structural aspects of automobile claims handling;
• Non-standard experience a plus.
• Review automobile claim investigations;
• Make handling recommendations, and provide direction to subordinates;
• Ensure ongoing adjudication of claims within company standards and industry best practices and regulations;
• Determine, recommend and grant authority for settlement and payment processes;
• Responsible for overall file handling and work product quality of subordinates;
• General knowledge of all facets of auto claims handling;
• Possess and provide specific knowledge and expertise in area assigned. For example, a material damage manager needs broad knowledge of material damage claims handling including salvage, subrogation, total loss and appraisal practices. A liability manager needs a thorough understanding of claim handling including investigation, evaluation, and negotiation of claims. A bodily injury manager needs a thorough understanding of bodily injury claim handling including evaluation, negotiation and litigation.
• Must have the ability to work in a high volume, fast paced environment while managing multiple priorities;
• Diary and document claims that require supervisory involvement according to the Standard Operating Procedures;
• Confirm accuracy of all requests for settlement authority, coverage denials and releases;
• Analyze management report data to identify trends that impact customer service, quality and profitability;
• Ensure compliance with reserving and documentation practices;
• Ability to interpret coverage as well as a thorough knowledge of California mandated claims handling regulations with experience implementing these regulations;
• Demonstrated decision-making skills, including the ability to recognize and improve claims performance;
• Detail oriented with strong organizational management and leadership skills;
• Ability to work well under tight deadlines in a changing environment with the ability to manage multiple tasks effectively;
• Ability to work effectively and make sound judgment in decision-making both independently and within a collaborative team environment;
• Possess and use general business computer skills including word, excel and other required programs/applications;
• Must have a disciplined approach to all job-related activities;
• Must have a solid foundation of personal organization, sound decision making and analytical skills, strong interpersonal and customer service skills.

INTER-RELATIONSHIP COMPONENT:

• Ability to develop excellent working relationships with Staff, Partners, Clients and Insurance Carriers;
• Ability to communicate with others in an effective and friendly manner, one that is conducive to being a conscientious team member, fostering a spirit of good will, indicative of a professional environment and atmosphere;
• Ability to be a team player and work cohesively with other Aspire General Insurance/Partners and Companies’ staff to achieve company goals;
• Ability to represent the Company in a professional manner and contribute to the corporate image;
• Ability to consistently provide excellent client service.

WORKING CONDITIONS:

• This is an exempt position which complies with alternative work schedule when applicable;
• This work environment is fast-paced and accuracy is essential to successful task completion;
• Requires extended periods of computer use and sitting.
• The office is that of a highly technical company supporting a paperless environment;
• Travel may be required;
• Vision abilities to work at close range and with small print;
• Physical efforts required include typing, repetitive small motor activity, grasping, stooping; reaching, standing, lifting light objects under 10 pounds frequently and climbing occasionally (small step ladder to reach supplies).