Manager Laserfiche Jobs in Rutherford, NJ (NOW HIRING)

Operational 20%

• Review and assign all new loss notices to ensure the timely assignment of new claims to the appropriate claims staff.

• Manage and direct activitiesof claimrepresentatives to ensure full compliance with MSMM Claim Handling Guidelines and jurisdictional requirements.

• Manage open claim files, including completion of supervisory diary to ensure adequacy of investigation, case reserving, evaluation, and reporting.

• Manage expenses in accordance with claims handlingprocedures. EnsureHome Office Claim Staffistimely informed of allnewand continuing developmentsonclaims being reportable under published guidelines.

• Monitor and maintain required licensing and certification/designation as stipulated by respective state agencies.

Quality Control 50%

• Provide technical and managerial oversight to the assigned staff by encouraging the timely, professional and appropriate handling of all reported claims in accordance with applicable contract provisions, legal regulations and guidelines, and company claim handling policies and procedures.

• Ensure compliance of Laserfiche file documentation and claim system documentation as required by company claim manuals and procedures.

• Conduct and register formal quality assurance audits for all assigned staff in the appropriate audit database totrack compliancewith MSMM Claims Handling and Regulatory requirements.

• Complete documented reviews of all open liabilityclaimsevery 30-45 days to ensure timely and appropriate disposition of all reported claims.

• Participate in the preparation and approval of agreed litigation plans. Direct and monitor litigated matters to determine future course of handling and appropriate methods of resolution.

• Participate in Home Office audits and/ monthly claim reviews to ensure compliancetoCompany Claim Handling Guidelines.

Employee Development 20%

• Direct, guide and develop staff, including providing ongoing performance feedback and coaching to maximize individual contributions to achieve desired business results within the department and company.

• Communicate toassigned claimsstaff information regarding policy, plans, trends, results and objectives of the company and industry to ensure a proactive approach towards full participation and compliance with internal and industry standards.

• Develop, implement and monitor claim staff training to ensure compliance with continuing education requirements as well as established business and career development goals.

Customer Service 10%

• Services theclaimneeds of our customers including insureds, claimants, brokers, etc., in accordance with company policy and procedures, and attends clientvisitationswith underwriters and other parties to conduct presentations and reviews.

• Maintains ongoing communication with all customers throughout the claimsprocessin an effort toprovide timely and appropriate claim status as appropriate and/or required by statutory regulations.

• Organize and/or participate in on-site and teleconference claim reviews, client visits, and service presentations as required.

Additional projects as assigned.