Corporate Claims Consultant

PMA Companies • Full-time • Remote (Mount Laurel Township, New Jersey, United States) • 18h ago

Provides the highest level of technical direction to the claims staff to ensure appropriate outcomes for claims of the most complex nature. Executes quality assurance programs to evaluate staff adherence to the claim handling standards. Develops and ensures compliance with corporate policies and procedures.

Responsibilities:

Provide technical oversight for unbundled claims assigned to TPA partners inclusive of reserve and settlement authority in excess of TPA discretionary authority limits.
Provide overflow support to bundled claims handled by PMAIC field claims inclusive of reserve and settlement authority in excess of field authority
Direct handle an assigned pending of corporately established liability files
Provide support to various compliance related activities relative to TPA's
Support Quality Assurance processes to assess quality of work product, identify improvement opportunities and foster discussions that are focused on solutions to enhance results.
Develops, communicates and ensures compliance with corporate policies and procedures. Leads project teams focused on resolving corporate claims issues.
Assesses staff training needs and conducts training focused on improving performance.
Demonstrate commitment to Company’s Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.

#LI-Remote

Qualifications

Qualifications

Bachelor's' degree or 5 or more years of equivalent work experience in an insurance related industry required.
Extensive knowledge of insurance contracts and adjusting techniques. Familiarity with medical terminology.
Demonstrated leadership, coaching, and teamwork skills.
Advanced skills in applying sound judgment/analysis, decision making/problem solving, planning and organization and negotiation.
Demonstrated customer service and collaboration skills.
Excellent verbal and written communication skills.
Computer literacy, including working knowledge of MS Office Product Suite, i.e. Word, Excel, PowerPoint.
Previous supervisory experience, Chartered Property Casualty Insurance (CPCU) and Associate in Claims (AIC), or similar professional designation, desired.

Related Jobs

Geotechnical Assistant Staff Project Manager

ECS Ltd • Full-time • Mount Laurel Township, New Jersey, United States • $0 / year • 1d ago

Engineering Jobs Project Manager

1d ago

Apply

Chief Construction Inspector

Urban Engineers • Full-time • Mount Laurel Township, New Jersey, United States • $220k - $280k / year • 2d ago

Construction Jobs Project Manager

2d ago

Apply

PIP Paralegal (Temporary)

Plymouth Rock Assurance • Contract • Mount Laurel Township, New Jersey, United States • 1w ago

Legal Jobs Microsoft Excel

1w ago

Apply

Subsidiary Director of National and Regional Accounts

ECS Ltd • Part-time • Mount Laurel Township, New Jersey, United States • $0 / year • 1w ago

Executive & Managerial Jobs Project Manager Sales Development Relationship Building

1w ago

Apply

Logistics Supervisor

Rhythmedix • Full-time • Mount Laurel Township, New Jersey, United States • $24.03 - $26.44 / hour • 1w ago

Logistics, Transportation & Distribution Jobs Microsoft Excel Fast paced multi task

1w ago

Apply

Travel Administrative Assistant

CFG HEALTH SYSTEM LLC • Part-time • Mount Laurel Township, New Jersey, United States • $35 / hour • 1w ago

Healthcare Jobs HRIS Microsoft Excel multi task

1w ago

Apply

1770 - Software Engineering Manager

Sigma Defense • Full-time • Mount Laurel Township, New Jersey, United States • 2w ago

Engineering Jobs Project Manager

2w ago

Apply

Resident Engineer

Urban Engineers • Full-time • Mount Laurel Township, New Jersey, United States • $150k - $210k / year • 2w ago

Construction Jobs Project Manager

2w ago

Apply

Facilities Manager I, Planned Maintenance

Leo Facilities Maintenance • Full-time • Mount Laurel Township, New Jersey, United States • $68k - $75k / year • 2w ago

Property Jobs Project Manager multi task

2w ago

Apply

Associate Facilities Manager - Planned Maintenance

Leo Facilities Maintenance • Full-time • Mount Laurel Township, New Jersey, United States • $58k - $67k / year • 2w ago

Property Jobs Fast paced Project Manager multi task

2w ago

Apply