Claims Manager at Pike Electric, Inc in Mount Airy, North Carolina

Job Description:

Position Summary:   Manages day-to-day claims operations, including claims evaluation, adjudication and customer service in accordance with agreed quality and production standards. Processes claims in a timely manner and complies with industry fair claims practices and applicable state regulations concerning the processing of claims. Prepares budget and sets goals, while being accountable for the results. Manages staff of claims professionals, which may include claims specialists and administrative support personnel. Maintains good, professional working relationship with superiors, peers, subordinates and other department managers and personnel.

Essential Functions:

• Manages day to day workflow and claims processing.


• Monitors personnel performance, training needs and counseling.


• Participates in inter-department business activities.


• Participates in extra-company business activities.


• Creates reports for specific departmental use.


• Meets monthly with claims committee to review claims/reserves setting.


• Manages company’s litigated matters.

Minimum Requirements:

• Bachelor’s degree or equivalent experience.


• 5-10 years of claims experience


• Minimum 3 year’s management/supervision experience


• North Carolina Company/Independent Adjuster’s License - preferred


• Certifications:  CRIS Certification, CCSMP Certification - preferred


• Maintain CE hours for Adjuster’s License and Certifications as needed.

Competencies:

• Excellent organizational, planning skills and attention to detail.


• Ability to work with various levels of management and clients.


• High level of commitment to achieving goals and plans.


• Demonstrated skills in verbal/written communication.


• Demonstrated negotiating and decision-making skills.


• High energy level with the ability to work in a fast paced and sometime ambiguous environment.


• Excellent ability to understand, interpret and modify contractual and legal language.


• Proficient in the use of MS Office and database tools


• Self-Motivated


• Team-Oriented


• Customer Oriented


• Problem Solving/Analysis


• Personal Commitment and Accountability


• Relationship Management


• Must be able to follow Company safety rules and all other Company policies

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand; walk; use hands and fingers to handle, feel, or operate objects, tools or controls; reach with hands and arms.

Work Environment:

While performing the duties of this job, the employee is not substantially exposed to adverse environmental conditions (such as in typical office or administrative work). The employee may be subject to one or more of the following atmospheric conditions that affect the respiratory system of the skin: fumes, odors, dust, mists, gases, or poor ventilation.

Travel is required (approx. 10-20%) for Mediations, court appearances, claims reviews with carriers; etc. 

EOE/Minorities/Vet/Disabled

NOTE:  This job description is not intended to be all-inclusive. Employee may perform other related duties as requested to meet the ongoing needs of the organization.