Catastrophe Claims Manager (Remote)

POSITION SUMMARY

The Catastrophe Claims Manager develops and implements the department’s Catastrophe claims handling programs as they relate to statutory compliance and adherence to the Department of Insurance regulations. The Catastrophe Claims Manager is responsible for the Association’s CAT readiness and response. Responsible for the management of and oversight of the Catastrophe claims team. Lastly, this role will manage the Vendor Services team and is responsible for developing and implementing vendor service level agreements, billing guidelines and onboarding of new independent adjusting firms and other pertinent claims vendors

PRINCIPAL DUTIES & RESPONSIBILITIES

• Draft, maintain, and own the Catastrophe (CAT) Response Plan, including ongoing updates and execution oversight.
• Lead and supervise the CAT Claims and Vendor Services team, providing support and overseeing daily operations.
• Assist with departmental budget and staffing analysis.
• Collaborate with the Head of Claims Quality to identify areas of training/QA needs for temporary claims examiners and vendors.  
• Identify training needs and provide instruction to IA’s in accordance with California FAIR Plan policies.
• Monitor and update the IA billing guidelines.
• Implement policies to manage compliance with claim handling guidelines and ensure good faith claim handling.
• Collaborate with QA to measure vendor performance.
• Create and implement metrics to set standards, monitor, evaluate, and report on vendor performance.
• Secure CAT adjusting firm capacity and pre-negotiate terms with IA’s.
• Collaborate with QA and Training to review, evaluate, and modify existing and proposed training programs.
• Recommend changes to existing training programs based on research and trends.
• Closely monitor new department of insurance compliance developments that may affect operations.
• Recommend improvement strategies utilizing internal audits of vendors.
• Create and maintain reports and dashboards that reflect departmental performance, trends, and operational status.
• Conduct audits of service level agreements.
• Willing to travel up to 30%, if needed.
• Adhere to Federal and State laws and regulation.
• Any other duties needed to help fulfill the Associations Mission, abide by the Association’s Values and fulfill the Association’s Strategic Objectives.

EDUCATION & EXPERIENCE

• Bachelor’s degree or equivalent
• Insurance industry certifications are preferred.
• 8 – 10 + years of property claims adjusting experience, including CAT claims
• 5+ years of claims management, including 2+ years vendor management
• Excellent oral and written communication skills
• Working experience with MS-Office (especially Word and Excel)
• Comprehensive understanding of policy contract/statutes and claims processes
• Certified in CEA and Fair Claims Settlement Practice