Manager of Claims
Summary: Our client is looking for an experienced Claims Manager to oversee the full lifecycle of workers’ compensation, vehicle accident, and general liability claims. This includes reporting, investigation, resolution, record-keeping, and potential litigation monitoring. The role ensures efficient claims handling, risk mitigation, and compliance with policies and procedures.
Key Responsibilities:
Manage claims from initial notification to closure.
Report new claims to insurance carriers and third-party administrators (TPAs).
Supervise investigations of employee injury claims, coordinating with departments and TPAs.
Communicate with physicians, attorneys, nurse case managers, and employees to monitor recovery and approve medical treatments within authority.
Make claims decisions, negotiate, and authorize settlements within defined authority.
Handle reimbursement calculations and coordinate with payroll and employees.
Review and improve claims procedures and protocols regularly.
Participate in accident review meetings as a representative.
Develop and implement claims-related policies, procedures, and training programs.
Analyze claim trends and recommend corrective actions.
Maintain accurate and detailed records for all claims.
Provide support and guidance to employees and the public regarding claims.
Manage vendor insurance compliance and database of Certificates of Insurance.
Assist with financial and workers’ compensation audits.
Serve as the primary point of contact for incident reporting, including after-hours.
Preferred Qualifications:
Bachelor’s degree (preferably in an insurance-related field) or equivalent experience.
Valid driver’s license.
Knowledge of claims administration, South Carolina Workers’ Compensation law, and risk management principles.
Compensation:
$60-70,000 annual salary
Benefits included
Schedule:
Monday through Friday, 8am to 5pm
Hybrid work schedule
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