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SIU Claims Manager
Claims

US-FL-Miami

Posted: 11/2/2017
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Job Snapshot
CATEGORY: Claims LOCATION: US-FL-Miami
POSTING ID: 2824/1906/15903 EMPLOYEE TYPE: Full-Time
EXPERIENCE: Not Specified
Job Description

Primary Purpose:

Responsible for supervising all aspects of team member investigations which includes managing, assigning and providing investigative direction.  Responsible for developing and updating department procedures and standards, as well as, serve as Subject Matter Expert in the assigned territory regarding all anti-fraud initiatives.

 

Essential Duties and Responsibilities:

Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.

  • Review investigations for closure to ensure investigations have been thorough and efficient, and abide by company standards
  • Evaluate performance, provide coaching and feedback, conduct performance reviews and recommend salary changes for personnel
  • Interview and select new personnel
  • Conduct field re-inspections of underwriting cases to ensure quality and integrity of assignments
  • Conduct monthly review of all active investigations
  • Assists in monitoring and controlling allocated/unallocated expenses to include indirect oversight of the vendor relationship
  • Integrate within the industry by attending and participating in local and state anti-fraud initiatives
  • Assist with the development and implementation of the company’s anti-fraud initiatives and fraud awareness education; provides necessary training as needed
  • Complete reports and projects as assigned

 

Minimum Skills and Competencies:

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.

  • Bachelor’s Degree or in-lieu of degree equivalent education, training and work-related experience
  • 5+ years of experience in investigative or insurance claims handling
  • Possess knowledge of SIU policies and procedures in resolving and/or providing direction to SIU Investigators for claims investigation
  • Ability to maintain current knowledge of changes in state and area
  • Ability to develops procedures and standards for efficient investigations
  • Ability to consistently handle both individual and ring investigations
  • Ability to interpret research and opinions and apply accurately to establish investigative action plans
  • Possess understanding of global company knowledge, totality of impact of decisions and leadership abilities
  • Possess effective verbal and written communication skills
  • Strong skills in Microsoft Office (Word, Excel, Outlook, PowerPoint)
  • Ability to process large amount of investigative data in a timely fashion using various computer databases
  • Ability to travel up to 20%

 

Desired Skills:

  • 5+ years of experience in the insurance industry and/or in the investigation of insurance fraud
  • 2+ years of experience in a leadership role
  • Successful completion of one or more professional designations: FCLS (Fraud Claims Law Specialist), CFE (Certified Fraud Examiner), CIFI (Certified Insurance Fraud Investigator) FCLA (Fraud Claims Law Associate)
  • Higher Educational Degree (Master’s Degree)
  • Possess prior law enforcement experience that involves investigations
Job Requirements

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About National General Holdings:

National General Holdings Corp. is headquartered in New York City. National General traces its roots to 1939, has a financial strength rating of A– (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products. We are a specialty personal lines insurance holding company. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.

National General is a fast paced, dynamic, and entrepreneurial organization. Our team members live by and exemplify what we call the 4Es. At National General, we are Energized, Engaged, Empowered, and we Execute every day in order to provide an exceptional experience for our customers! We are passionate about our organization and the value that we add every day. A successful candidate with National General will embody the 4Es. Our team is poised to outperform the competition. We are National General Insurance and with us you can be extraordinary! Come join our team!

Companies and Partners

Direct General Auto & Life, Personal Express Insurance, Century-National Insurance, ABC Insurance Agencies, NatGen Preferred, NatGen Premier, Seattle Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident.

In addition to a phenomenal career opportunity, National General Insurance offers an excellent benefits package including:

• Paid Training
• Medical, Dental, Vision benefits
• Wellness Programs
• Life and Short/Long Term Disability Insurance
• 401k w/ Company Match
• Company Paid Holidays & Generous Time-off policy
• Employee Discount Program
• Career Advancement and Development Opportunities
• On-site Healthcare Clinic (Winston-Salem and Cleveland offices)
• On-site Fitness Center (Cleveland and Dallas offices)
• Subsidized parking (Cleveland office)

National General Holdings Corp. is an Equal Opportunity (EO) employer – Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas.

In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at (336) 435-2000.

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