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Vice President - Claims

Employer
Crawford & Company
Location
Norcross, Georgia
Salary
Not Specified
Closing date
Jun 13, 2019

View more

Category
Claims, Executive / Management
Job Type
Not Specified
Career Level
Not Specified

Job Details

Excellence In Everything We Touch

Broadspire Claims

Position Summary

Manages the Service Center, as well as satellite branch locations to assure the claim operation is delivering the highest level of quality and service to our clients including prompt investigation, timely resolution of all claims and organize staff as well as workflows to maximize our service and productivity. The VP is accountable for overall claim quality, customer service, technical claim results and overall branch office administrative functions.

Responsibilities

  • Manages and monitors new and pending claim volume to ensure proper staffing levels. Monitors operations, productivity reports and staff and recommends, when necessary, changes in methods, procedures, structure, and additions or changes in personnel to secure optimum utilization of resources.
  • Prepares and submits an annual budget, establishes an expense control program, reviews and approves expenses to assure that expenditures are within the constraints of the budget.
  • Establishes Service Center objectives supportive of Corporate Headquarters and corporate objectives.
  • Provides guidance to claim supervisors to ensure proper investigation and timely equitable disposition of claims. Approves reserve recommendations, establishes reserves and makes recommendations on reserves exceeding authority; analyzes and reviews, on a continual basis, the reserve adequacy of a sampling of open claim files to ensure exposure is properly reflected.
  • Analyzes files on a periodic basis to determine accuracy and completeness and to maintain control of quality of work.
  • Administers all policies and procedures, communicates to staff, interprets as necessary, and ensures compliance.
  • Assures the staff adheres to our Best Practice, SOPs, Carrier and Client specific standards and objectives. The AVP oversees the communication of the performance standards and objectives as well. The AVP also oversees and manages the performance appraisals.
  • Selects, trains, and develops an effective and efficient department. Ensures Performance Reviews are conducted in accordance with corporate guidelines; reviews Performance results and develops actions plans to resolve identified areas of improvement. Recommends/approves salary adjustments, promotions, transfers and dismissals.
  • Develops managers and/or supervisors, particularly in the management techniques of planning, organizing, leading and controlling through continued coaching and feedback on performance.
  • Keeps senior claim management informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to manager for direction. Keeps department informed of current problems, changes, and new developments in the department and company by conducting periodic meetings.
  • Provides quality service to clients and carriers and ensures that claim personnel are knowledgeable on client special handling instructions and carrier requirements. Assures all security procedures pertaining to client, carrier and company funds and property are strictly adhered to.
  • Participates in sales presentations and meetings with current accounts in support of corporate revenue objectives.
  • Investigates local conditions which might affect claim handling and keeps senior claim management adequately informed.
  • Develops a thorough understanding of the claim adjudication system(s) and organizes workflow to provide for maximum productivity.
  • Performs other related duties as required or requested.
  • Upholds the Crawford Code of Conduct
Requirements

  • Twelve (12) or more years of progressive technical claim experience, including supervisory and/or management experience, demonstrating a high degree of judgment and discretion, is capable of providing adequate guidance and support on administrative and technical claim matters.
  • College Degree preferred or education equivalent to a college degree. Or industry work related experience.
  • Industry designations of AIC, ARM or CPCU preferred but not required.
  • Maintain frequent contact with Clients, Carriers and Brokers to assure our service delivery is meeting or exceeding expectations. Resolve issues professionally and /or escalate matters to Senior Management or other departments timely as appropriate.
  • Frequent contact with all staff members inclusive of workers compensation or liability claim professionals, management team and support team members.
  • Communicate routinely with Senior Management on appropriate matters as required or needing their involvement or assistance.
  • Ability to supervise a team of 50+ employees
  • Settlement Authority: Case Limit ($250,000)
  • Ability to manage an annual budget of $2 million+
  • Demonstrated ability to successfully manage the work of others.
  • Demonstrates effective and diplomatic oral and written communication skills, and promotes a favorable company image to the public.
About Us

Think all TPAs are the same? Think again. With Broadspire, our leading global third-party administrator (TPA), Crawford & Company is the consultative outsourcing partner that adapts to businesses needs and challenges at any point of the claims processing journey. We offer casualty claim and medical management services to assist large organizations in achieving their unique goals, increasing employee productivity and reducing the cost of risk through professional expertise, technology and data analytics.

As part of the One Crawford family, Broadspire brings together the best and brightest people in the industry to deliver smart, thoughtful solutions to our clients, and we are guided by our collective value system: RESTORE.

At Crawford, we:

  • Respect our culture of integrity and ethical behavior, while embracing the unique talents of the individual and encouraging an ownership mentality among everyone.
  • Are Empowered to advance the company mission and take ownership of our individual career progression.
  • Promote Sustainability through a corporate culture in which employees are good stewards of their communities.
  • Emphasize Training and an environment where employees continually seek and share knowledge and are engaged and satisfied with their work.
  • Are One Crawford, embracing a global mindset thats inclusive, agile, mission-focused, and customer-focused.
  • Give Recognition, participating in an environment where people are rewarded for jobs well done.
  • Embody an Entrepreneurial Spirit, sharing a passion to succeed, innovate, and outpace our competitors.

We believe in leading by example at work and in our communities. We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in mission, vision and values. Learn more at www.crawfordandcompany.com.

In addition to a competitive salary, Crawford offers you:

  • Career advancement potential locally, nationally and internationally. Crawford & Company has more than 700 locations in 70 countries
  • On-going training opportunities through every stage of your career
  • Strong benefits package including matching 401k; health, dental, and life insurance; employee stock purchase plans; tuition reimbursement and so much more.

Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.

Company

Welcome to Crawford & Company®. As the world’s largest publicly listed independent provider of claims management solutions, our focus is to help people and businesses quickly recover from losses. Our claims management solutions speed recovery time so that clients can resume their lives and work with as little disruption as possible. From large-scale catastrophic losses to short-term workers compensation claims, we offer total solutions that begin with first notice of loss and end with positive, measurable outcomes. The road to recovery begins with Crawford.

With 700 offices in 70 countries and more than 9,000 employees worldwide, Crawford careers span countless fields and disciplines. We offer compelling opportunities that make a difference in the lives of our clients. 

Company info
Website
Telephone
404.300.1000
Location
1001 Summit Blvd
Atlanta
GA
30319
US

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