HDI Global Insurance Company is a commercial property and casualty insurer headquartered in Chicago, IL. We are a wholly owned subsidiary of HDI Global SE, which manages the industrial lines division of the Talanx Group. Our broad and flexible portfolio of products and services combined with our international network of local insurers in more than 150 countries, provide us the ability to offer a wide range of domestic and global insurance solutions for U.S. based multinational companies.
The Executive Claims Specialist is responsible for day-to-day supervision of programs or captives whose claims are handled by a Third Party Claims Administrator (TPA). The Executive Claims Specialist will be responsible for account management and providing leadership and support to both HDI personnel and TPA personnel.
Essential Functions:
- Identify and proactively address TPA issues to ensure highest levels of service.
- Communicate directly with TPA to address and resolve issues or concerns and to resolve complaints.
- Audit a representative sampling of each TPA and program's claims at least once per year, including formal written report and meeting to present results. Monitor action plans generated by the audits to drive improvement.
- Ensure that claims are being processed as expeditiously as possible, and that all inventories are regularly reviewed, and all possible actions are taken to move the claims to closure. This involves review of aging inventory and other reports to identify problems and to take corrective action.
- Work with HDI Claims team to constantly improve TPA claim handling processes, systems, communications and overall program effectiveness.
- Respond to correspondence from TPA's.
- Provide guidance and direction to TPA's on complex claim handling, strategy or negotiation and resolution.
- In event of a catastrophe that requires a ramp-up and response, support efforts to prepare the staff.
- Accomplish tasks in a dynamic environment with an aptitude for analyzing data and making practical and forward-looking decisions to drive success.
- Work on intra-departmental teams, collaborating and participating to deliver solutions.
- Other duties as assigned.
Requirements:
- Bachelor's degree
- Five years of commercial claims experience
- Three years of supervisor experience
- Previous Program or TPA supervision experience for P&C carrier strongly preferred
- Industry certifications or designations a plus.
- Strong organizational, critical thinking, problem solving, analytical, and quantitative skills including the ability to analyze and interpret financial and claims data.
- Excellent oral and written communication skills, including ability and experience supporting strategic initiatives.
- Proficient computer and typing skills; working knowledge of MS Office Word, Excel, Outlook; Teams; and Zoom.
- Ability to work effectively within numerous claims systems.
- Adjuster licensing in all required states
- Benefits
- Competitive cafeteria benefit plan offered, including health care, dental, vision, disability, life insurance, wellness program, 401k plan with generous company match, paid vacation, and sick leave.
- Employees are eligible for bonuses based on combined individual and overall corporate performance.
HDI Global Insurance Company offers a competitive benefit package: 401k, Company Match, Paid Time Off, Sick Leave, Medical, HRA, Telemedicine, Wellness Program, EAP, Dental, Vision, Accident, Critical Illness, FSA, DCFSA, Group and Voluntary Life, STD, LTD, Pet Insurance, Transit, and Parking.
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HDI Global is an Equal Opportunity Employer
Individuals seeking employment at HDI Global Insurance Company are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, or sexual orientation.
HDI Global Insurance Company participates in E-Verify.