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Sr Claims Representative

University of Michigan

Job Description

How to Apply

A cover letter is required for consideration for this position and should be attached as the first page of your resume. The cover letter must include examples of how your past work experience is applicable to this position and how:

  • your services exceeded customer expectations
  • you added value through collaboration with others
  • you effectively communicated clear messages on complicated issues

Summary

Risk Management Services has an immediate opening for a Sr. Claims Representative. This is a unique opportunity for a claims professional who has experience with Property & Casualty claims management. The qualified candidate is someone who exercises critical thinking skills, independent judgment and thrives in a fast paced environment.

This position collaborates with providers, employees, outside resources and team members to assess coverage, coordinate benefits and services, plan, implement, coordinate, and provide restoration for damages sustained.

Responsibilities*

  • Investigate claims to determine liability, including reconstruction of complex events, obtaining evidence and statements of claimants and witnesses, obtaining photos, and gathering evidence. 
  • Develop and implement claim management response to significant or complex claim events including strategies to mitigate loss, identify and implement necessary interventions, litigation management and negotiation of settlements, as applicable.
  • Develop and maintain loss control programs and advise operating units on implementation.   
  • Coordinate and implement services of health professionals, insurance adjusters and other external resources that pertain to a loss to a third party.
  • Evaluate the contributing causes of claimed losses, pursuit of subrogation opportunities and determination of appropriate claim payment. 
  • Respond to inquiries and requests regarding interpretation and explanation of general policies and procedures. 
  • Determine causal relationships of multiple parties or events and determine the compensability or degree of liability for bodily injury, property damage and/or employee injuries.
  • Coordinate investigation with outside parties including departments, legal counsel and external agencies.
  • Identify subrogation opportunities and pursue recovery of University losses.
  • Establish and manage adequate case reserves.
  • Settle liability, property damage and workers’ compensation claims against the University within established guidelines and authority levels; assist in the negotiation of settlements for claims beyond such guidelines and authority levels.
  • Produce reports analyzing claim information, litigation review, and others as needed.
  • Produce status reports and detailed reports/correspondence with departments reflecting claim management and/or loss control strategies and recommended actions.
  • Preparation of reports and information for distribution and oral presentation to other departments.  Conduct presentations & trainings on claims, prevention, and other related topics throughout the organization.

Required Qualifications*

  • A Bachelor’s degree in business administration or a related field or an equivalent combination of education and experience.
  • Minimum of 5-7 years of claim management experience with Property & Casualty claims.
  • Experience with management of complex Property & Casualty claims is necessary.
  • Demonstrated competency with using behavioral concepts and intervention strategies to critically assess situations, and develop plans of action to achieve resolution.
  • Demonstrated knowledge and experience working with insurers, legal counsel and other stakeholders interested in management of Property & Casualty claims, Auto No-Fault and personal injury claims.
  • Strong customer service, collaborative, problem-solving, time management, and organizational skills.
  • Demonstrated proficiency in written and verbal communication skills.

Work Locations

This is a full-time position; Monday through Friday. As part of the University of Michigan Finance Division Future of Work initiative, this position may work onsite, remote, or hybrid (both onsite work and remotely) based on the business needs of the unit.

Additional Information

  • The University of Michigan, with an operating budget of $10 billion, is a leader in higher education.  The Finance Division reports to the Executive Vice President and Chief Financial Officer and partners with the University community to provide the financial infrastructure essential to being one of the world’s greatest public universities.  We are comprised of several units including Treasury, Financial Operations, Sponsored Programs, Procurement Services, and Financial Analysis.  Comprised of several distinct divisions, we share a common set of values and goals.  For more information about the Finance Division, please go to www.finance.umich.edu
  • The Finance Organization seeks to recruit and retain a diverse workforce as a reflection of our commitment to serve the diverse people of Michigan, to sustain the excellence of the university, and to offer our students richly varied disciplines, perspectives and ways of knowing and learning.
  • We offer an extensive total compensation package including competitive pay, two-for-one retirement contribution, a variety of health insurance options, and a generous vacation plan. In addition, there are seven paid holidays and four paid season days. 

NOTE:  Candidates for this position must be legally authorized to work in the United States.  Visa sponsorship is not available for this position.

Application Deadline

Job openings are posted for a minimum of seven calendar days.  The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.

U-M EEO/AA Statement

The University of Michigan is an equal opportunity/affirmative action employer.


U-M COVID-19 Vaccination Policy

COVID-19 vaccinations, including one booster when eligible, are required for all University of Michigan students, faculty and staff across all campuses, including Michigan Medicine.  This includes those working remotely and temporary workers.   More information on this new policy is available on the U-M Health Response website or the UM-Dearborn and UM-Flint websites.

*Please mention you saw this ad on AcademicJobs.*

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