• Location: USA, Florida, Plantation
  • Salary: Negotiable
  • Technology: AWS Jobs
  • Job Type: Permanent
  • Date Posted: 2nd May, 2019
  • Reference: LCM0502


ROLE: Leave Case Manager

PURPOSE OF THIS ROLE:

Capture and update claims data/information in compliance with best practices for low complexity, low exposure personal or commercial line claims.



RESPONSIBILITIES:
  • Determine liability by gathering relevant facts, utilizing applicable law and establishing basic principles of negligence.
  • Confirm policy existence by identifying coverage on low complexity claims.
  • Work to have a timely resolution to claims by developing case strategy, developing a case evaluation, escalating issues as appropriate and providing status updates to ensure customer satisfaction.
  • Assess damages by calculating applicable damages or range of damages allowed by law.
  • Manage expenses by working within vendor approved networks and managing scope of work assigned to outside contractors.
  • Ensure legal compliance by following state and federal laws and regulations and internal control requirements.
  • Refer claim to subrogation and fraud teams by identifying potential subrogation and fraud.
  • Maintain professional and technical knowledge by participating in educational opportunities, staying current with industry trends, establishing personal networks and participating in professional societies.
  • Follow established claims handling procedures for low complexity, low exposure personal or commercial line claims to ensure consistency and quality in claims services.
  • Assess and appoint claims vendors within agreed authority limits aligned to the organization´s Claims Vendor Management strategy.