Job Description:
Summary: Manage and coordinate activities of staff engaged in examining insurance claims. Ensure all claims are handled according to company and department procedures by performing the following duties.
Essential Duties and Responsibilities include the following. Other duties assigned as needed.
- Review new losses to confirm contact with insured and claimant within 24 hours.
- Review new loss files at 7, 30, 60 and 90 days to ensure coverage issues are identified, liability investigation is progressing, confirm potential exposures are identified and files are reserved accordingly.
- Provide direction to adjusters on coverage issues, denials and liability determination.
- Review and approve all claim payments over adjuster limit.
- Review and Submit Reservation of Rights and coverage denial letters.
- Review and submit Large Loss Reports.
- Assist reinsurers as needed and prepare for audits.
- Review closed files for audit procedure quarterly.
- Assist in training for Property Damage and Bodily Injury Fast Track department.
Supervisory Responsibilities:
Manage employees in the Claims department. Carry out supervisory responsibilities in accordance with the organization’s policies and applicable laws. Responsibilities include interviewing, hiring and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience:
Bachelor’s degree from a four-year college or university; or 5-7 years related experience and/or training; or equivalent combination of education and experience.
Knowledge/Skills:
- Solid experience in management of Claims Operations.
- Detailed oriented with the ability to work in a team environment and be flexible to daily changing needs and job duties.
- Ability to analyze and problem solve, working closely with others to coordinate and complete projects.
- Excellent oral, written and interpersonal communication skills.
Computer Skills
Advanced Microsoft Office Skills
Certificates, Licenses, Registrations
Must have current certificates, licenses and registrations as required.
Hallmark Financial Services is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
What We Do
Hallmark Financial Services, Inc. is a diversified specialty property/casualty insurer with offices in Dallas-Fort Worth, San Antonio, Chicago, Jersey City and Atlanta. Hallmark markets, underwrites and services over half a billion dollars annually in commercial and personal insurance premiums in select markets. Hallmark is headquartered in Fort Worth, Texas and its common stock is listed on NASDAQ under the symbol "HALL."