Claims and Incident Manager

We are seeking a dynamic and detail-oriented Claim and Incident Manager to lead our claims operations and incident response efforts. In this pivotal role, you will oversee the end-to-end process of property, casualty, liability, and workers’ compensation insurance claims, ensuring efficient resolution while maintaining compliance with industry regulations. Your expertise will drive fraud prevention initiatives, facilitate claims negotiation, and uphold exceptional standards., * Manage the entire lifecycle of insurance claims, including property, casualty, liability, and workers’ compensation cases, from initial report to resolution.

• Lead investigations into potential fraud cases using fraud detection techniques and analysis skills to identify suspicious activities.
• Coordinate with adjusters, legal teams, and clients to facilitate claims adjudication in accordance with insurance law and regulatory compliance standards.
• Negotiate claim settlements effectively through strong claims negotiation skills while balancing company policies and client expectations.
• Ensure all claims processing activities adhere to insurance regulations and company policies, maintaining thorough documentation for audit purposes.
• Analyze incident reports and claim data to identify trends, improve processes, and implement proactive risk management strategies.
• Communicate clearly with clients through various channels to provide updates, answer inquiries, and deliver exceptional customer service.
• Maintain organizational efficiency by managing multiple claims simultaneously using financial software and claims management systems.

• Proven experience with insurance claims processing, casualty insurance adjusting, or liability insurance claims management.
• Strong knowledge of insurance law, workers’ compensation law, and relevant regulations governing claims handling.
• Demonstrated skills in claims negotiation, analysis, fraud prevention/detection techniques, and regulatory compliance.
• Excellent organizational skills with the ability to prioritize tasks effectively in a fast-paced environment.
• Exceptional client communication skills to foster trust and ensure customer satisfaction throughout the claims process.
• Experience with insurance regulation standards and claims adjudication procedures is highly desirable.
• Ability to analyze complex data sets related to casualty or workers’ compensation incidents for actionable insights.

Pulled from the full job description

• 401(k)
• Health insurance
• Paid time off
• Vision insurance
• Dental insurance, * 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance