MSIG USA

Casualty Claims Manager

MSIG USA  •  $150k - $170k/yr  •  Warren, MI (Hybrid)  •  2 months ago
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Job Description

MSIG USA continues to grow!

MSIG USA is the US-based subsidiary of MS&AD Insurance Group Holdings, Inc., one of the world’s top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business’s unique risks.

Job Purpose:

Provide oversight and technical advisement for casualty claims. Overseesthebundledauto physical damageTPA business including technical claim oversight. Responsible for thedirect oversightofcoverage issuesto ensure timely recognition and referral in full compliance with MSMM Coverage GuidelinesEnsurescompliance with all MSMM claim handling procedures, guidelines and manuals and other special unit procedures, as developed. Provides timely claim handling and service, timely compliance with case reserve practices, Fair Claim Practices Acts, and other compliance policies as adopted by MSMM.

EssentialFunctions

Percentage of Time

Operational20%

  • 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 Control50%

  • 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 Development20%

  • 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 Service10%

  • 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.

Supervisory Responsibilities:

Responsible for providing leadership and maintaining an enthusiastic and appropriately trained claims staff ensuring they have appropriate knowledge and skill set while adhering to regulatory requirements and Company Claims Practices, Policies and Procedures.

Directly supervises 6 non-supervisory employees. Carries out management responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

Delegates work assignments; Matches the responsibilities to the staff’s knowledge and expertise; Gives authority to work independently; Sets expectations and monitors delegated activities; Provides appropriate structure for career development andproverecognition for results

Education Requirements

Bachelor's degree (B. A.) from four-year college or university

  • 10+ years related claims experience including 5+ years at a management / supervisory level, advanced claim technical training, proven leadership ability at the field management level, excellent verbal and written communication skills, effective interpersonal skills and superior problem solving anddecision makingskills

Salary: T he base pay range for Senior Underwriter is $150,000.00 - 170,000.00. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location.

Additional Benefits:

  • Healthcare and Retirement Benefits
  • Comprehensive medical, dental, and vision coverage
  • 401(k) with a generous employer match and profit-sharing contribution
  • Wellness incentive program
  • Life and accidental death and dismemberment (AD&D) insurance
  • Flexible spending programs
  • Short-term and long-term disability plans


Additional Benefit Programs

  • Paid time off program
  • Paid charitable leave
  • Paid parental leave
  • Tuition reimbursement program
  • Personal insurance (auto/homeowners) discounts

#LI-HYBRID

It's an exciting time for our company and a great opportunity to join a financially sound and growing global insurance group!


It is the policy of MSIG USA to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, MSIG USA will provide reasonable accommodations for qualified individuals with disabilities.

MSIG USA

About MSIG USA

MSIG USA is the partner that businesses rely on for creative, customized insurance solutions. Owned by a global P&C carrier with an A+ rating and a 300-year heritage, MSIG USA helps protect leading businesses across a wide range of industries. The company’s financial strength and deep capacity enable it to cover a wide range of risks and deliver responsive, personalized service through a nationwide team. MSIG USA is admitted in all P&C lines in all 50 states, the District of Columbia, and Puerto Rico.

MSIG USA is the marketing name used to refer to certain underwriting subsidiaries of MSIG Holdings (U.S.A.), Inc. (“MSIGH”), and its subsidiary companies. U.S. Companies Only: MSIG insurers are subsidiaries of Mitsui Sumitomo Insurance Company, Limited, a member of MS & AD Insurance Group. MSIG refers to the insurers underwriting coverage: Mitsui Sumitomo Insurance Company of America, Mitsui Sumitomo Insurance USA Inc. and MSIG Specialty Insurance USA Inc

Industry
Finance & Insurance
Company Size
501-1,000 employees
Headquarters
New York, NY
Year Founded
Unknown
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