Claims manager job description

Our goal at Legacy Risk is to provide exceptional claims management service while working toward mitigating our clients' total cost of risk. Our insurance brokerage agency continues to grow and we are seeking an experienced Sr. P&C Claims Advocate/Consultant for our Commercial Lines Insurance team.

In this position you will serve as a liaison between the client and the carrier to manage claims issues for our business. This will include receiving and processing initial claim reports, serving as a technical resource for our clients and establishing excellent working relationships with our carriers. Additional responsibilities include preparing and presenting in-person claim reviews for our clients, and communicating with producers and clients regarding claim activities, coverage and carrier issues.

This position requires a Bachelor's degree, professional certification or equivalent training and education. The successful candidate must have exceptional depth and breadth of experience possessing a minimum of 7 years P&C insurance claims experience (preferably with an insurance brokerage firm) with a demonstrated ability to understand policies, coverages, forms, ratings and claims procedures. Some expertise in handling worker's compensation claims is desirable. Must have an excellent rapport with both the insureds and carriers; and exceptional written and verbal communication skills.

Applied agency management system experience is desired. Must be proficient in Microsoft Office including, Word, Excel and Outlook. Proven ability to meet deadlines and possess strong analytical and organizational skills. A California insurance license and a professional designation such as AIC, ARM, CIC or WCCA preferred.

Legacy Risk & Insurance Services is located in Walnut Creek, CA. Legacy is an insurance brokerage company offering risk management and commercial property/casualty insurance services to middle market commercial clients in the western U.S. We specialize in insurance programs for a variety of industries including construction & development, food & beverage, life sciences & technology, manufacturing, real estate & property management, service, solar/renewable energy and wholesale & retailers. Through our Private Client Services, we also provide specialized personal insurance solutions to affluent individuals and families.

We value individual contributions, superior customer service, high performance standards, and a collaborative work style. We provide a great team environment and an opportunity for personal and professional growth. In addition, Legacy offers an outstanding compensation and benefits package including educational assistance and a 401(k) plan with company match.
Equal Opportunity Employment
We value individual contributions, superior customer service, high performance standards, and a collaborative work style. We provide a great team environment and an opportunity for personal and professional growth. As a result, Legacy was recently honored with a 1 st place ranking for 2018 Bay Area Best Places to Work by the San Francisco Business Times!
We're an equal opportunity employer . All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
If you're a California resident, please read the California Consumer Privacy Act prior to applying.

Leading societies to a low carbon future, Alstom develops and markets mobility solutions that provide the sustainable foundations for the future of transportation. Our product portfolio ranges from high-speed trains, metros, monorail, and trams to integrated systems, customised services, infrastructure, signalling and digital mobility solutions. Joining us means joining a caring, responsible, and innovative company where more than 70,000 people lead the way to greener and smarter mobility, worldwide

The Central Critical Claims Office Senior Claim Manager is a key member of the Central Critical Claims Office Team working in close collaboration with the Central Critical Claims Office and the Project Core Team members he/she supports. He/she provides guidance expertise to develop, implement, and drive proactive and if needed reactive claim management and risk mitigation strategies in accordance with Alstom's business objectives and processes; including extensions of time (EoTs), variations orders, contract amendments. He/she ensures specific ad-hoc support in critical claims situations or files preparation or reviews.
MAIN RESPONSABILITIES


Supports the Claims Management activities of critical claims where HQ intervention is sought Ensures application of Contract, Claims and Insurance Management Manual (CCIM) and Alstom governance. Analyze with Project core Team merits and arguments of critical Claims situations Prepares with Project Core Team Claims Strategies Reviews claims files prepared and bring his/her expertise to check and improve robustness. Establishes specific processes, instructions and tools in relation to Claim Management. Contributes to REX Develops and produces any project specific processes and ways of working for contract/claim management. Provides creative advice on specific issues, risks, and contractual/claims activities, taking into account the contract and business objectives. Provides training on claim management to key project stakeholders, including project management, finance, engineering, For Dispute Arbitration Board (DAB) or similar non-litigation mechanism for dispute resolution, he/she can be required to participate to bring expertise before the adjudication board or similar board. For litigation process handled by Legal Team, she/he will support Legal team or external counsel Knowing how to use Wall C is a plus. Must be able to travel up to 20% of the time. Trains, develops, and share knowledge and expertise to Project Contract Managers, Junior Project Contract Managers and Project Contract Administrators


Performance measurements:

Driving Claims management towards visible results Bringing additional best practices in contract/claim management Contribution to added value of the function to projects



MAIN REQUIRED COMPETENCES


Educational Requirements


A degree in Law, Engineering, Finance, Technical, Economics or business sciences English Minimum of 10 years of Contract / Claim Management experience (preferred) / Project Management


Competencies & Skills

Ability to read and interpret contractual documents, including terms and conditions, planning, and technical specifications Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization. Ability to understand project financials and impact of contract/claim management on project's profitability. Ability to solve practical problems and deal with a variety of variables in situations. Ability to interpret a variety of instructions furnished in writing, oral, diagram, or schedule form. Ability to anticipate and manage conflicting priorities. To perform this job successfully, an individual should have knowledge of Contract Management systems; Project Management software; Excel Spreadsheet software and Microsoft Office Word Processing software. Ability to work in a proactive mode Ability to be operationally effective and accountable. Ability to work transversally and collaboratively in a strong spirit of teamwork. Willingness and ability to be creative and bring forward new ideas and innovations.Must be able to communicate with precision and transparency.

Alstom is the leading company in the mobility sector, solving the most interesting challenges for tomorrow's mobility. That's why we value inquisitive and innovative people who are passionate about working together to reinvent mobility, making it smarter and more sustainable. Day after day, we are building an agile, inclusive and responsible culture, where a diverse group of people are offered opportunities to learn, grow and advance in their careers, with options across functions and geographic locations. Are you ready to join a truly international community of great people on a challenging journey with a tangible impact and purpose?


Equal opportunity statement:

Alstom is an equal opportunity employer committed to creating an inclusive working environment where all our employees are encouraged to reach their full potential, and individual differences are valued and respected. All qualified applicants are considered for employment without regard to race, colour, religion, gender, sexual orientation, gender identity, age, national origin, disability status, or any other characteristic protected by local law.

What You'll Be Doing

The CalAIM Manager reports to HSH's Deputy Director for Planning, Performance, and Strategy and is responsible for coordinating HSH with internal and external stakeholders through the planning and implementation of the California Advancing and Innovating Medi-Cal (CalAIM) Housing Community Supports. Responsibilities will include partnering with local Managed Care Plans, Department of Public Health, and the Human Services Agency, as well as community-based organizations; identifying process and policy solutions to meet the needs of CalAIM; coordinating with HSH staff through planning and implementation; coordinating with Human Resources to recruit staff; and assuring and monitoring project workplans and dashboards.

CalAIM is the State of California's Medi-Cal transformation initiative, which seeks to move Medi-Cal towards a population health approach that prioritizes prevention and whole person care. CalAIM will offer Medi-Cal enrollees coordinated and equitable access to services that address their physical, behavioral, developmental, dental, and long-term care needs, throughout their lives, from birth to a dignified end of life.

The vision of CalAIM Housing Community Supports is to provide cost effective alternatives to traditional medical services or settings. Community Supports are designed to address social drivers of health, including housing and homelessness. In San Francisco, Housing Community Supports include housing deposits, housing transition navigation, and housing tenancy and sustaining services.

Primary Duties and Responsibilities (other duties may be assigned):

The CalAIM Manager is responsible for performing the following essential job functions:

Supervises and directs the work of a team of analysts and program coordinators.

Coordinates the HSH implementation of all CalAIM Housing Community Support activities and provides oversight of ongoing CalAIM planning activities including reports, budgets, workplans, staff recruitment, communications, and administrative responsibilities to support the initiative.

Coordinates with DPH and the MCPs, attending regular meetings and tracking deliverables.

Assesses and re-assesses program efforts, efficiencies, and effectiveness, and determines goals and priorities;

Acts as HSH CalAIM liaison with outside agencies and their departments/programs, to render advice on program policies and improve program activities;

Monitors the work of and coaches subordinates to improve performance.

Evaluates procedures, identifies, and analyzes problems and issues and may implement and document new procedures within CalAIM.

Coordinates budget preparation; prepares reports, memoranda, and correspondence; and maintains statistical records.

Directs the allocation of resources to achieve timely outcomes and measurable goals within budget; adjusts plans and programs to meet emerging or new programs, while continuing to address major departmental priorities.

Assists in developing and implementing operational policies to ensure the efficient operation of section or program.