Job Summary: 

• Reviewing new losses and assigning them to the appropriate claim professional based on loss complexity and severity.
• Maintaining a diary on all open claims that are handled by assigned claim staff to ensure reserve accuracy and adherence to claim guidelines.
• Providing technical direction and training to assigned claim staff to elevate their knowledge and claim-handling ability.
• Maintaining a portfolio of self-handled Litigation/Non-litigated claims inventory.
• Assisting with any day-to-day direction and feedback to service providers to achieve the best outcomes.
• Conducting claim file audit reviews to ensure compliance with Claim Guidelines and service goals.
• Working with the MCU Claim Director on any projects and assignments focused on improving efficiency, results, quality, and customer service.
• Reviewing management reports to identify trends that may require further improvement initiatives.
• Ensuring conformance to applicable laws and regulations while maintaining a high level of service.
• Filling in for MCU Claim Director
• Evaluate staff Claim Representatives and clerical personnel and make recommendations for their salary/wage reviews
• Make Recommendations on hiring and terminating assigned staff

Skills on Resume: 

• Claims Handling Expertise (Hard Skills)
• Diary Management (Hard Skills)
• Training and Development (Hard Skills)
• Litigation Management (Hard Skills)
• Vendor Management (Hard Skills)
• Audit and Compliance (Hard Skills)
• Project Management (Hard Skills)
• Analytical Skills (Hard Skills)

Job Summary: 

• Design or modifying cost management initiatives in response to data analysis
• Provide management oversight to workers’ compensation claims personnel
• Participate in claim file reviews and audits and manage return-to-work programs
• Ensure workers’ compensation and auto liability claims are thoroughly investigated internally
• Authorize defense counsel assignments, and approve surveillance and Medical Case Management assignments
• Work closely with adjusters and attorneys on claim resolution strategies and settlement agreements
• Communicate with internal Finance and Human Resources teams relative to insurance claims and personal issues respectively
• Other Risk Management department duties as required
• Supervise staff Claim Representatives on their handling of claims
• Supervise Independent Adjusters and Experts on their handling of claims
• Train, educate, develop and monitor workloads of assigned staff

Skills on Resume: 

• Data Analysis and Cost Management (Hard Skills)
• Workers' Compensation Claims Management (Hard Skills)
• Claim File Reviews and Audits (Hard Skills)
• Investigation and Resolution Strategies (Hard Skills)
• Claim Resolution and Settlement (Hard Skills)
• Communication and Collaboration (Soft Skills)
• Risk Management (Hard Skills)
• Leadership and Team Development (Soft Skills)

Job Summary: 

• Responsible for designing, implementing, assessing and improving processes and procedures within the department for optimal file handling
• Training and development of teammates within the department
• Responsible for retail and non-retail facing department tools and strategy
• Continuous improvement of average days a file and coaching teammates to standards and efficiency
• Handling of escalated and files previously denied
• Identifies and ensures service levels are established, measured, and met as it pertains to issues such as customer compliments and complaints, store claims, subrogation
• Identifies and ensures productivity levels are being attained
• Establish and maintain service handling targets and assign claims or files to the team as deemed appropriate
• Subject matter expert on the creation and maintenance of SOPs for the respective area
• Continually work to identify and make process improvements
• Maintain and improve standards including monitoring the performance of individual employees and the team as a whole and identifying and resolving problems
• Prepare and complete action plans and initiate and take corrective actions

Skills on Resume: 

• Process Improvement (Hard Skills)
• Training and Development (Hard Skills)
• Strategic Management (Hard Skills)
• Continuous Improvement (Hard Skills)
• Issue Resolution (Hard Skills)
• Performance Metrics (Hard Skills)
• SOP Development (Hard Skills)
• Problem-solving and Action Planning (Hard Skills)

Job Summary: 

• Meet financial objectives of the department estimate requirements
• Review annual budget recommendations and reports to ensure cost-effective processing of claims
• Review performance reports to provide feedback and identify needs
• Develop best practices and share them amongst department
• Provide input on denied or complex matters, manage and negotiate resolution
• Collaborate with Sr. Operational Claims Specialist regularly for file platform improvements
• Industry liaison to department inclusiveness
• Handle escalated complaints and review the decision-making of those claims (approving or reversing claims).
• Leads a team of direct reports and provides work direction and evaluations
• Manage Vendor Relationships and Contracts and one-on-one coaching with direct reports
• Set departmental goals and provide strategic direction to employees
• Work with cross-functional partners and leaders to ensure claims are handled appropriately
• Manage a team of staff from diverse backgrounds, staffing and hiring open positions

Skills on Resume: 

• Financial Management (Hard Skills)
• Performance Evaluation (Hard Skills)
• Best Practices Development (Hard Skills)
• Claims Management and Resolution (Hard Skills)
• Collaboration and Communication (Soft Skills)
• Leadership and Team Management (Soft Skills)
• Vendor Relationship Management (Hard Skills)
• Industry Liaison and Inclusiveness (Soft Skills)

Job Summary: 

• Supervise the day-to-day workload of the Claims Unit
• Identify issues, system processing issues, and problems with claims submissions 
• Process complex, difficult, and non-routine claims for multiple lines of business
• Ensures that training manuals are current and that policies and procedures are followed
• Plans, Develops and Conduct training programs to maintain the proficiency of staff
• Provide input to the Manager related to the development and performance of employees
• Allocates staff based on workload and participates in special projects
• Responsible for employee supervision, performance and employee development of assigned personnel in areas of responsibility and accountability
• Supervise the unit in the absence of the manager
• Promotes accurate claim reserving and recommends a claim closure strategy.
• Serves as liaison to vendors, contractors and other third parties.
• Serves as liaison to store on claim problems and allocation questions.

Skills on Resume: 

• Claims Processing Expertise (Hard Skills)
• Leadership and Supervision (Hard Skills)
• Training and Development (Hard Skills)
• Problem Identification and Resolution (Hard Skills)
• Performance Management (Hard Skills)
• Project Management (Hard Skills)
• Communication and Liaison (Soft Skills)
• Strategic Thinking (Hard Skills)

Job Summary: 

• Provide exceptional customer service to customers, brokers, and preferred partners
• Provide leadership and technical guidance to the Casualty Claims team, with a focus on Commercial Liability claims
• Coordinate and supervise daily activities of the casualty claims team
• Manage team performance by overseeing indemnity and expense payments, monitoring the standard of work and setting priorities
• Ensure maximum efficiency and productivity as guided by corporate policies, procedures and business plans
• Provide direction and leadership in areas such as policy interpretation, coverage investigation, liability determination, quantum assessment, reserving and settlement negotiations
• Conduct consistent reviews of casualty claims files and coach the team to strive for continuous improvement and development by setting and tracking individual and team performance objectives
• Conduct or contribute to employee development, and employee performance management through coaching and following up on the development of their team’s technical competencies
• Contribute to overall claims strategy initiatives and implementation
• Ensures compliance with established claims management procedures and quality controls.
• Provides direction to claims adjusters relative to the most beneficial settlement alternatives and final disposition.
• Provides adjusting training on Home Depot Quality Standards.

Skills on Resume: 

• Exceptional Customer Service Skills (Soft Skills)
• Leadership and Technical Guidance (Hard Skills)
• Team Coordination and Supervision (Hard Skills)
• Performance Management (Hard Skills)
• Claims Management Expertise (Hard Skills)
• Continuous Improvement (Soft Skills)
• Employee Development and Coaching (Soft Skills)
• Claims Strategy and Compliance (Hard Skills)

Job Summary: 

• Supervise a group of Team Members whose main function is to evaluate alerts related to regulatory sanctions on wire transfers.
• Helps implement department policies/procedures to maximize efficiency, enhance the customer experience 
• Ensure compliance with government regulatory requirements including AML and BSA and also participate in department projects.
• Assists in establishing performance standards, evaluates performance, and trains/coaches Team Members
• Work is typically accomplished through a team of specialists, although some higher-risk, more complex cases may require hands-on involvement from the supervisor.
• Reviews, verifies and/or identifies customer transactions to claim activities, policy violations and suspicious situations to mitigate and/or recover losses.
• May identify control failures in bank processes, procedures, and customer or Team Member decisions and then categorize losses and assign loss accountability.
• Reviews more complex/unique situations with senior department staff.
• Maintain a current list of qualified candidates and succession planning among direct reports
• Work with talent acquisition team and education for continual development of direct reports
• Monitor staff turnover, absenteeism and overtime

Skills on Resume: 

• Regulatory Compliance Management (Hard Skills)
• Team Supervision and Leadership (Hard Skills)
• Policy and Procedure Implementation (Hard Skills)
• Risk Assessment and Mitigation (Hard Skills)
• Problem Solving and Decision Making (Hard Skills)
• Training and Development (Hard Skills)
• Analytical Skills (Hard Skills)
• Communication and Collaboration (Soft Skills)

Job Summary: 

• Supervise staff and assist with difficult cases
• Set goals and prepare/present performance reviews and train new employees.
• Monitor and direct workflow and loan activity and review cases regularly.
• Review department performance and plan regular department meetings.
• Work in conjunction with attorneys, VA/PMI companies, investors and master servicers to expedite the completion of the foreclosure process and minimize losses.
• Adhere to VA, PMI, investor, insurer and master servicer guidelines, rules and regulations, as well as local/federal laws.
• Manage conveyances and claims
• Analyze loans for escrow analysis and oversee filing of supplemental claims and plan for subservicing transfers.
• Manage and monitor the performance of vendors and update written procedures.
• Make recommendations for change and monitor and review vendor payments timely.
• Order and prepare weekly/monthly reports.
• Answer calls escalated to the supervisor and direct employees for special projects  

Skills on Resume: 

• Supervisory Skills (Hard Skills)
• Goal Setting and Performance Reviews (Hard Skills)
• Workflow Management (Hard Skills)
• Performance Monitoring and Planning (Hard Skills)
• Compliance Knowledge (Hard Skills)
• Claims Management (Hard Skills)
• Analytical Skills (Hard Skills)
• Vendor Management (Hard Skills)

Job Summary: 

• Oversee and supervise the daily activities of the claims team.
• Provide superior customer service, guidance and leadership to the claims team.
• Organize, distribute, monitor workflow and provide training and assistance
• Establish priorities to ensure maximum efficiency and productivity.
• Coach team on technical competencies and conduct regular review of claims files.
• Establish and track individual and team performance objectives.
• Provide direction and leadership in liability determination, investigation, policy interpretation, settlement negotiations and establishing reserves for claims.
• Approve leaving and time off and review and assign work
• Keep updated with any new information and ensure completion of required tasks and activities
• Management to work procedures for UPCIC
• Evaluate files for quality and timeliness of handling

Skills on Resume: 

• Leadership and Supervision (Hard Skills)
• Customer Service Excellence (Soft Skills)
• Workflow Management (Hard Skills)
• Training and Development (Hard Skills)
• Performance Management (Hard Skills)
• Claims Handling Expertise (Hard Skills)
• Time Management and Prioritization (Hard Skills)
• Quality Assurance (Hard Skills)

Job Summary: 

• Coaches, trains, develops and provides direction and guidance to claims adjusters at various levels of experience.
• Supervises and reviews cases for proper handling by the Claims Operating Guidelines, Audit Protocols and best practices established within the company for assigned claims personnel.
• Establishes and maintains an open line of communication with employees, claimants, and attorneys to address and resolve issues.
• Supervises the performance management process for all assigned employees.
• Reviews and approves proposals for claim resolution, including settlement or stipulation.
• Provide appropriate analysis of same when authority requested is above theirs.
• Maintains and updates Claims Operating Guidelines and communicates to staff regularly any updates or modifications to such.
• Participates in phases of recruitment and interviewing.
• Assists claim management in various projects, including training and other departmental projects.
• Conducts on-site visits to policyholders to review claims and services.
• Measures customer and store service satisfaction.

Skills on Resume: 

• Leadership and Supervision (Hard Skills)
• Claims Management (Hard Skills)
• Communication Skills (Soft Skills)
• Performance Management (Hard Skills)
• Analytical Skills (Hard Skills)
• Policy and Guideline Maintenance (Hard Skills)
• Recruitment and Interviewing (Hard Skills)
• Project Management (Hard Skills)

Job Summary: 

• Responsible for the management of day-to-day auto liability operations within a specific claims unit
• Responsible for supervising all complex and semi-complex claims which will typically involve multiple vehicles in the accident and may have injuries identified at the time of report or have multiple issues.  
• Maintains performance metrics for supervising staff
• Ensures accuracy and consistency in the assignment of the claims process
• Oversees and directs claims according to organizational standards, procedures, and guidelines (SPG). 
• Reviews and evaluates the performance of staff by company performance guidelines
• Resolves personnel/workflow problems and leads staff unit meetings
• Attends client and company meetings
• Conducts claim reviews with clients, carriers and other stakeholders
• Assures consistent and accurate claims coding throughout the unit
• Prepare monthly MBRs and present them to Management
• Respond to any complaints and address underlying issues promptly

Skills on Resume: 

• Claims Management (Hard Skills)
• Supervision (Hard Skills)
• Performance Metrics (Hard Skills)
• Process Oversight (Hard Skills)
• Leadership (Soft Skills)
• Client Relationship Management (Soft Skills)
• Quality Assurance (Hard Skills)
• Communication (Soft Skills)

Job Summary: 

• Supervise and direct the activities of the Claims/REO Department to ensure compliance with internal policies and procedures, investor guidelines and applicable state and federal laws and regulations
• Enhance staff performance through goal setting, training and coaching
• Monitor all claims are filed by investor/agency/insurer requirements
• Conduct a quality review of all claims before submission
• Participate in the implementation/development of procedures to increase efficiency and adjust to required changes
• Participate in weekly/monthly conference calls with clients providing the status of the defaulted portfolio
• Manage eviction and property preservation needs for agency and private loans
• Prepare a response for internal QC audits
• React to change productivity and handle other essential tasks as assigned
• Responsible for requesting, creating/preparing, updating/revising, reviewing, testing, finalizing/approving
• Conduct training and maintain the department's policies and procedures
• Oversee technological processes to enhance efficiency.

Skills on Resume: 

• Leadership and Supervision (Hard Skills)
• Performance Management (Hard Skills)
• Claims Management (Hard Skills)
• Process Improvement (Hard Skills)
• Client Communication (Soft Skills)
• Property Management (Hard Skills)
• Quality Control and Compliance (Hard Skills)
• Technological Integration (Hard Skills)