Commercial Lines Insurance Risk Manager

Job Description

Job Description

The Risk Manager is responsible for providing claim advocacy, handling, and oversight for all client losses in all lines of coverage, assuring complete and sound investigations and resolutions, reviewing and monitoring files to ensure carrier adjusters are achieving desired outcomes. Providing clients and carrier adjusters with leadership, direction, and problem-solving strategies.

Responsibilities:

• Building a relationship with your designated clients.
• Manage detailed incident investigation, loss mitigation, and the timely resolution of a variety of claims relating to General Liability, Workers' Compensation, Professional Liability, Management Liability and Automobile claims to specifically include Hired Non-Owned (HNOA) Coverage.
• Secures/analyze necessary information (i.e. police reports, policies, releases, statements, records or other documents) in the investigation process.
• Assists with resolving claims, complaints and disputes and may attend arbitrations, mediations, etc. as needed.
• Ensures that claim payments within the client SIR are invoiced and paid in a timely manner.
• Administer emails and phone communications with clients.
• Respond timely to inquiries and claim status updates.
• Serve as claims point of contact for clients and respond to difficult claims situations with carrier adjusters as needed.
• Analyze complex claims/risks information to effectuate creative and timely problem-solving solutions.
• Facilitate delivery of all relevant documentation regarding work related injuries to carrier adjusters as needed to assist in the determination of compensability, recordability, and OSHA reporting requirements.
• Report losses to carriers as required.
• Inform Producers/Account Managers and clients on status of claims, advising of claims settlements/reserve changes as necessary.
• Update Origami with new and ongoing loss information.
• Prepare reports outlining loss data, open claim summaries, and other documentation as needed.
• Input claims/risk information into Origami in an accurate and timely manner.
• Attend loss review meetings with clients and/or insurance agency Producers, as needed, based on claim activity.
• Review with client and/or insurance agency Producer/Account Manager claims with higher value reserves and settlements and collaborate on appropriate handling/resolution strategy.
• Build relationships with clients and carrier partners, as well as internal business partners and external service providers.
• Communicate with plaintiff attorneys, carrier legal counsels, and other experts as needed.

Qualifications:

• Active Adjusters License (preferred)
• Claims adjustment and handling experience including Self Insured Retentions (preferred)
• Excellent communication skills, both verbal and written communication (required)
• Effective negotiation and time management skills
• Full understanding of the litigation process
• Experience working with insurance policies
• Solid research skills using the internet and first-person interviews
• Ability to handle confidential information appropriately
• Adaptable to change in a fast-paced environment
• Possess a strong work ethic, positive attitude and be a team player