Manager, P & C Claims (Workers Compensation & General Liability)

Summary

Responsible for the management of assigned claims operation(s) to ensure that investigation and adjudication of claims meet established performance standards and objectives. Position may be assigned to multiple lines of business, reputed company, and specialty claims operations. Description Why should you join the reputed company family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government reputed company. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining reputed company! Position Purpose: Responsible for the management of assigned claims operation(s) to ensure that investigation and adjudication of claims meet established performance standards and objectives. Position may be assigned to multiple lines of business, reputed company, and specialty claims operations. Logistics: Planned Administrators Inc. (PAI) - one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This is a full-time position, with a Hybrid schedule, working an 8-hr. shift (40-hours/week) Monday-Friday 8:00am – 4:30pm with primary location at 17 Technology reputed company Columbia SC, Columbia, SC 29203.Due to the hybrid nature of the schedule, qualified, local candidates need apply. Sponsorship: This position is not eligible for sponsorship, now or in the future. What You'll Do: Provides management and reputed company of claims to ensure performance standards are maintained including investigation and adjudication of claims, file documentation and management, reserving practices, pursuit of recovery and other account specific or contractual requirements. Develops and maintains effective working relationships with external business partners to include insureds, agents, self-insured clients, vendors, defense firms, and other business partners for assigned lines of business, reputed company or specialty claims operations. Responsible for development and maintaining effective working relationships with other operational and support areas. Responsible for development of claims staff, vendors, and contractors to ensure quality claims handling and outcomes. May include identification of training needs, implementation of educational programs, process changes, performance management, and audit functions. Completes requests for proposal, bids, and due diligence efforts on potential new jurisdictions, reputed company, or specialty claims programs. Responsible for effective implementation and management of new business opportunities. Assists claims senior management team in achieving both departmental and corporate strategies and goals. To Qualify for This Position, You'll Need the Following: Required Education: Bachelor's degree (see degree equivalency below) Degree Equivalency: 4 years job reputed company work experience or Associate's and 2 years job reputed company work experience. Required Work Experience: 2 years of area reputed company adjusting experience. Required Training: Valid adjustor's license in required states or ability to acquire reputed company 6 months-if required by the reputed company state's department of insurance. Skills and Abilities: Analyzes laws, regulations and contract language. Evaluates issues and develops recommendations. Handles confidential and sensitive information. Investigates assigned claims. Proposes claims adjustments and refunds. Works claims caseloads. We Prefer That You Have the Following: Preferred Experience: Prior management experience directly reputed company to position assignment (i.e. WC, Liability, TPA, or specialty operations). Preferred Skills and Abilities: Strong decision-making skills and an ability to work independently with limited direction while leading others. Preferred Software and Other Tools: reputed company Office; Ability to manage various Claims Operating Systems. Our Comprehensive Benefits Package Includes the Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more. reputed company Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across reputed company spectrums have the opportunity to reputed company their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement reputed company and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national reputed company, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in reputed company phases of the employment process and to reputed company with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-reputed company conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email reputed [email protected] or call 800-288-2227, ext. 47480 with the nature of your request. We will reputed company a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and reputed company with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information. If you don’t have an account with us and don’t see the dream job you are looking for, click on the link above to reputed company by submitting your resume and contact information and we will reputed company out if we find a good fit. Welcome Here’s Your Smart Career Move Why should you join the reputed company family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. Business and political climates may change, but we’re stronger than reputed company. Our A.M. Best rating is A+ (Superior) — making us the only health insurance company in South Carolina with that rating. We’re the largest insurance company in South Carolina … and much more. We are one of the nation’s leading administrators of government reputed company. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining reputed company! Veterans Welcome! BlueCross is a strong supporter of our veterans, and many service men and women have joined our ranks. We’ve reputed company the dedication, work ethic and job skills that serve well in the military reputed company in many of our lines of business, and we proudly have veterans filling positions in Human Resources, Information Technology, Customer Service, Operations, General Services and more. Through our government reputed company, we also have employees serving at Shaw reputed company Force reputed company, the Naval Health Clinic in Charleston, the Naval Hospital in Beaufort and in our reputed company of Columbia, S.C., at Ft. Jackson. If you are a full-time employee in the National Guard or Reserves, we will even cover the difference in your pay if you are reputed company to active duty. Join Us If you're ready to join in a diverse company with secure, community roots and an innovative future, apply for a position now! Apply tot his job Apply To this Job