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| POSITION DESCRIPTION | GENERAL INSURANCE INDUSTRY NOVEMBER 2008 |
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National Claims Manager - Multiple Lines |
| Position Code: | 4300 | | Career Level: | 6 |
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Responsible for
Establishing, monitoring and controlling claims management systems, standards and techniques to ensure claims, functional and operational units provide an effective, economic and prompt claims management service. |
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Reports To
General Manager. |
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Supervises
Regional/Branch Claims Managers. |
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Main Activities
Developing and implementing claims management strategies and plans that reflect the Company’s overall business development and profit objectives.
Formulating and implementing a business strategy that provides improved financial results and a clear strategic direction that reflects the business initiatives of the Company.
Performing claims quality control, providing guidance and authority to adjusters, and ensuring compliance with all state statutory requirements.
Providing direction, leadership and training to in-house claims professionals.
Monitoring ongoing insurance trends and recommending and/or implementing appropriate strategies to address emerging issues and participating in industry-wide forums to represent the company in such matters and to ensure the company remains well informed.
Monitoring and controlling ongoing claims administration to ensure efficient and appropriate handling of claims and ensuring that recoverable income is maximised through efficient administration and follow-up.
Managing vendor relations to develop optimum case outcomes, cost performance and measurement criteria.
Establishing working relationships with Regional/Branch Claims Managers and General Counsels on claims related issues, including strategic loss reduction initiatives.
Approving substantial claims within appropriate authority levels.
Developing and implementing policy with regards to fraudulent claims.
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Key Skills
Broad knowledge of insurance industry and claims processes.
Strong management and business skills.
Ability to negotiate at high levels.
Excellent interpersonal and communication skills.
Strong analytical and presentation skills.
Strong customer service focus.
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Internal Contacts
Management. |
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External Contacts
Management within the General Insurance Industry, General Counsel as required. |
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Typical Experience
At least 15 years management experience with 7+ years claims management experience, together with relevant qualifications. |
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