Claims Manager jobs in Virginia

Claims Manager manages the operations of an insurance claims department to meet operational, financial, and service requirements. Oversees the intake and processing of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Being a Claims Manager manages appraisal and examination staff and processes. Assures timely and proper disposition of claims based on policy provisions. Additionally, Claims Manager recommends and implements best practices to ensure complete and thorough claim settlements, legal reviews, and investigations following company policies and insurance industry regulations. Determines the value of settlements for escalated claims. Manages negotiations of settlements and administration of claims in litigation. Typically requires a bachelor's degree. Typically reports to a director. The Claims Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Claims Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Manager, Claims QA
  • James River Group
  • Richmond, VA FULL_TIME
  • Come grow with James River Insurance!
    James River Insurance is an excess and surplus lines segment of James River Group Holdings, Ltd. and operates on an approved non-admitted basis in 50 states and Washington, DC. Since 2003, James River has provided thousands of commercial property and casualty customers with innovative and creative solutions for particular insurance needs.
    At James River Insurance, we are committed to providing a stable and rewarding work environment supported by our Core Values and Guiding Principles: Integrity, Accountability, Innovation, Customer Service, Communication, and Teamwork. We are proud of our recent national recognition as a 2023, 2022, and 2021 Top Workplaces USA awards.
    James River Group Holdings, Ltd. is a Bermuda-based insurance holding company which owns and operates a group of specialty insurance and reinsurance companies. The Company operates in three specialty property-casualty insurance and reinsurance segments: Excess and Surplus Lines, Specialty Admitted Insurance and Casualty Reinsurance. The Company tends to focus on accounts associated with small or medium-sized businesses in each of its segments. Each of the Company's regulated insurance subsidiaries are rated "A-" (Excellent) by A.M. Best Company.

    Job Summary
    The Manager, Claims Quality and Training is responsible for assuring the Claims department is adhering to the company’s Claims handling standards, ensuring Claim professionals maintain appropriate licensing, and developing training to advance continuous improvement. The Manager, Claims Quality and Training manages the quality assurance team members by providing guidance, coaching, and monitoring of day-to-day work product. This position supports the Claims department in achieving excellence in service quality and claim resolution, in accordance with state and company guidelines.
    Duties and Responsibilities
    • Continuously exhibit and uphold Core Values of Integrity, Accountability, Communication and Teamwork, Innovation and Customer Service
    • Responsible for leading the quality and learning and development functions within the Claims department
    • Analyze and audit claims to ensure accurate coverage analysis, investigation, valuation, reserving, and disposition of claims
    • Work with Claims Leadership to refine, update and maintain Claims best practice guidelines
    • Partner with internal stakeholders to ensure the efficacy of the Claims audit program
    • Manage the Claims quality assurance program
    • Monitor Examiner licensing and training
    • Develop and deliver all Claims learning and development programs to improve job performance effectively and efficiently within the Claims department
    • Ensure learning and development programs are in line with the overall cadence and tenor of enterprise training and development programs by partnering with the Human Resources department
    • Analyze data on the effectiveness of Claims training programs and reporting the ROI of training and development initiatives
    • Develop and maintain library of training materials and tools
    • Ensure that project and department milestones and goals are met
    • Interview, select and train new employees
    • Guide and help team members with project issues
    • Responsible for continued development of Claims best practices and procedures
    • Track employee performance and provide regular and appropriate feedback
    • Provide employee feedback through regular check-ins and writing and delivering performance reviews
    • Lead team through obstacles and time constraints to overcome barriers and successfully deliver results
    Knowledge, Skills and Abilities
    • Advanced knowledge of claims handling principles and best practices
    • Advanced knowledge of multiple P&C lines of business
    • Advanced knowledge and experience managing claims and litigation process
    • Ability to work on assignments that require a high technical level of expertise due to complexity and exposure, under minimal supervision
    • Ability to stay current on emerging trends in learning design and development
    • Ability to convey both technical and conceptual material in a clear and concise manner
    • Excellent written and verbal communication skills
    • Ability to develop an operation plan that aligns with and supports the overall business goals
    • Ability to provide insights and recommendations from quantitative and qualitative data
    • Ability to identify and make process and procedure improvement recommendations
    • Ability to demonstrate business acumen and forward thinking-skills
    • Ability to lead, motivate, influence, and mentor staff
    • Ability to set clear expectations, effectively monitor progress, provide constructive feedback and guidance, and hold staff accountable
    • Excellent organizational skills
    • Ability to effectively communicate with all levels of the organization
    • Advanced proficiency in MS Office (Word, Excel, Outlook)
    • Ability to travel occasionally
    Experience and Education
    • Bachelor’s Degree in related field required
    • Minimum seven years’ insurance claims industry experience required
    • Minimum of two years of people management experience required
    • Three years’ experience with program instructional design, development and delivery preferred
    • Three years’ experience with insurance quality assurance preferred
    #LI-KS1
    #LI-Remote
  • 11 Days Ago

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Manager Rating/Claims Analysts
  • Elevance Health
  • VA, VA FULL_TIME
  • Description Manager Rating/Claims Analysts Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint ...
  • 3 Days Ago

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Manager Rating/Claims Analysts
  • Elevance Health
  • Norfolk, VA FULL_TIME
  • Job Family: IFT > IT Bus Systems Solutions Planning Type: Full time Date Posted: Apr 09, 2024 Anticipated End Date: Apr 23, 2024 Reference: JR112047 Description Manager Rating/Claims Analysts Location...
  • 3 Days Ago

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ASSISTANT MANAGER
  • Sport Clips - Manager - VA109
  • Fredericksburg, VA FULL_TIME
  • Sport Clips Haircuts of Cosner's Corner in Spotsylvania is NOW HIRING FOR A FULL TIME ASSISTANT MANAGER! $30-$40/Hr with Base Pay Retail/Service Bonuses & GREAT TIPS! ($60,000-$80,000 annually) $1 EXT...
  • 12 Days Ago

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Assistant Manager
  • Sport Clips - Manager - VA505
  • Christiansburg, VA FULL_TIME
  • Sport Clips Haircuts is Hiring Hair Stylists! Do What You Love. Love What You Do. Pay: $16.25/hr. plus TIPS, Bi-weekly Bonuses, and Quarterly Bonuses! PLUS Medical, Dental, and Vision insurance! Work ...
  • 28 Days Ago

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Co Manager - Garage Clothing
  • Garage Clothing - Co Manager
  • Mc Lean, VA FULL_TIME
  • Seize the opportunity to join a global fashion retailer with two brands at the heart of its success, Garage and Dynamite, selected as one of Montreal's Top Employers 2020 and as one of Canada’s Top em...
  • 28 Days Ago

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Claims Manager
  • Solis Health Plans
  • Miami, FL
  • Job Description Job Description **Position is fully onsite Mon-Friday, Bilingual in Spanish is required** Location: 9250...
  • 4/16/2024 12:00:00 AM

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AVP, Claim Manager
  • Berkley
  • Atlanta, GA
  • Company Details: W. R. Berkley Corporation, founded in 1967, is one of the nations premier commercial lines property cas...
  • 4/16/2024 12:00:00 AM

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Sr. Claims Manager
  • Law Firm
  • Houston, TX
  • Job Description Job Description The applicant must have extensive experience in personal injury case screening, intake, ...
  • 4/16/2024 12:00:00 AM

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Casualty Claims Manager
  • Grange Insurance Association
  • Seattle, WA
  • Join Grange Insurance Association, a well-established leader in the insurance sector for over 130 years! Headquartered i...
  • 4/15/2024 12:00:00 AM

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Claims Manager
  • Martin & Zerfoss, Inc.
  • Nashville, TN
  • About Us Martin & Zerfoss, Inc. is an independent insurance firm in Nashville, TN. We specialize in all areas of Persona...
  • 4/14/2024 12:00:00 AM

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Insurance & Claims Manager
  • Zeeba Automotive Group Inc
  • Los Angeles, CA
  • Job Summary As an Insurance & Claims Manager, you will be Zeebas superstar insurance guru who will partner with our CX, ...
  • 4/13/2024 12:00:00 AM

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Claims Manager
  • Pyramid Consulting, Inc
  • Rosemont, IL
  • Immediate need for a talented Claims Manager. This is a 04+ Months Contract opportunity with long-term potential and is ...
  • 4/12/2024 12:00:00 AM

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Medical Claims Manager
  • Robert Half
  • San Antonio, TX
  • Robert Half is partnering with an established and rapidly growing company in the heart of the San Antonio market seeking...
  • 4/12/2024 12:00:00 AM

Virginia (/vərˈdʒɪniə/ (listen)), officially the Commonwealth of Virginia, is a state in the Southeastern and Mid-Atlantic regions of the United States located between the Atlantic Coast and the Appalachian Mountains. Virginia is nicknamed the "Old Dominion" due to its status as the first English colonial possession established in mainland North America and "Mother of Presidents" because eight U.S. presidents were born there, more than any other state. The geography and climate of the Commonwealth are shaped by the Blue Ridge Mountains and the Chesapeake Bay, which provide habitat for much of ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Manager jobs
$121,245 to $162,466

Claims Manager in Green Bay, WI
A claims manager runs the claims department, while performing many of the same duties as the processors.
January 17, 2020
Claims Manager in Port Arthur, TX
Manages and monitors the investigation, evaluation and resolution of Bus claims and litigated actions of assigned staff.
November 27, 2019
Claims Manager in Spokane, WA
Collaboration with internal partners to ensure timely and accurate claims processing and clinical outcomes related to formulary decisions.
December 06, 2019