Claims Manager at Stratostaff

Job Description

Claims Processing and Management:

• Oversee the end-to-end claims process, from initial claim notification to settlement and closure.
• Ensure that all claims are processed in a timely and accurate manner, adhering to company policies and regulatory requirements.
• Review and assess complex and high-value claims, providing guidance and support to claims adjusters.

Team Leadership:

• Lead, mentor, and develop the claims team, ensuring they have the skills and knowledge required to perform their roles effectively.
• Conduct regular performance reviews and provide feedback to team members to drive continuous improvement.

Customer Service:

• Ensure a high level of customer satisfaction by addressing customer inquiries, complaints, and disputes promptly and professionally.
• Develop and implement customer service strategies to enhance the overall claims experience for policyholders.

Claims Analysis and Reporting:

• Monitor and analyze claims data to identify trends, risks, and opportunities for improvement.
• Prepare regular reports on claims performance, including loss ratios, claims processing times, and customer satisfaction metrics, for senior management.

Compliance and Risk Management:

• Ensure that all claims activities comply with legal and regulatory requirements, as well as internal company policies.
• Work closely with the risk management team to identify and mitigate potential risks associated with claims.

Process Improvement:

• Identify and implement process improvements to enhance the efficiency and effectiveness of the claims department.
• Utilize technology and data analytics to streamline claims processes and reduce processing times.

Vendor Management:

• Manage relationships with external service providers, such as loss adjusters, legal firms, and repair contractors, to ensure quality service delivery.

Requirements

• Bachelor’s degree in Business Administration, Insurance or a related field.
• Proven experience in a similar role, from the insurance industry.
• Professional certification in insurance (e.g., ACII, AIIK) is preferred.
• Advanced training in claims management or risk management is an advantage.
• Proficiency in Microsoft Office Suite and other relevant software applications.