The Claims Manager will primarily analyze, review and adjust general liability and pollution claims. In addition, he/she will manage and train one claims adjuster. Other duties will include handling complex litigated claims and preparing and presenting monthly and quarterly reports to all business units.
Conduct investigations including onsite inspections, claimant statements, witness statements, liability and property evaluation, and application of setting appropriate reserves for assigned claims.
Negotiate and settle claims as appropriate.
Coordinate and manage litigated claims with defense and in-house counsel.
Attend mediation, trial, and other legal proceedings, as required.
Review and interpret legal pleadings and case law as necessary.
Draft routine claim correspondence including tenders to third parties and settlement documentation.
Process claims receivables and payments, validate and update system.
Respond to inquiries from internal and external customers.
Prepare, present and provide claim data for monthly and quarterly reports/updates.
Train and manage other department team members.
Perform other related duties as assigned.
Demonstrates strong written and verbal communication skills.
Must have strong organizational, analytical, negotiation and communication skills.
10+ years handling claims at an insurance carrier, broker or risk management department.
Bachelor’s degree or equivalent experience.
Associate in Claims preferred.
Computer literacy in Microsoft Word, Excel, Google and claims management software (CS Stars preferred).
Paralegal or investigative experience, a plus.
Essential Job Functions:
Working well with others in a fast-paced, collaborative environment that is also intellectually challenging.
Excellent customer service skills and a passion to help others.
Ability to be a self-starter and work independently.
Strong critical thinking, negotiation and decision-making skills.
Excellent time management skills.
Strong written and verbal communication skills.
Excellent reading comprehension.
Understanding of medical terms.
Strong computer, typing and grammar skills.
About The Irvine Company
We are master planners, community builders, real estate investors, and asset managers committed to a comprehensive master plan for The Irvine Ranch® drafted in the early 1960s. We plan and bring to life balanced, sustainable communities with a full range of housing, job and retail centers, schools, recreation, trails, parks, greenbelts and permanently preserved open spaces. Our vision — like our history on this precious land — is long-term. We invest our talent, energy and resources in the highest quality planning, design, and construction that will last for generations, and assure an unparalleled quality of life for those who live and work here.