[Hiring] Investigations Manager - Claims @CoventBridge Group

Role Description

CoventBridge is seeking an experienced Investigations Manager – Claims. The Investigations Manager is part of the Operations Team and provides supervision and direction of investigative field staff to ensure a highly motivated, quality-focused investigative team to complete investigations of insurance claims filed for a variety of coverage to include worker’s compensation, general liability, property and casualty, disability, life and health care. This position will report directly to the Sr Investigations Manager.

Responsibilities

• Review all new assignments to include pre-investigative work, client supplied documents and SLAs to ensure all necessary information is present.
• Contact the client for any clarification and relay expectations to field investigators.
• Review and process daily updates to clients.
• Conduct quality control reviews of investigative work in assigned area of operation by ensuring client special handling instructions are followed, and case objectives and due dates are met.
• Ensure effective production and performance management within team by monitoring workloads.
• Communicate effectively with investigative field staff and client regarding progress of assigned cases, and recommendations for further initiatives.
• Monitor the progress and quality of the investigation from beginning to end to ensure the service level requirements are met, quality achieved and investigative planning is followed.
• Manage challenging caseload with high degree of customer focus.
• Approve payroll, expenses and time off for direct reports.
• Review and process investigator submitted work product. Focus on quality and compliance with customer expectations.
• Evaluate staff performance and work closely with Human Resources to ensure proper handling of employee topics.
• Review, act on, and respond to SARs (Service Action Requests) in a timely manner.
• Conduct regularly scheduled calls with your staff.

Qualifications

• Proficient in Property & Casualty lines of business.
• Ability to cultivate and build relationships.
• Ability to prioritize, organize, & multi-task.
• Excellent communication skills, both written and verbal.
• Analytical and methodical in your approach to problem solving.
• Able to act quickly and decisively.
• Proficient in Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, as well as web-hosted services (i.e. GoToMeeting).
• Proficient with AOE/COE and other business lines (CA only).

Requirements

• A Bachelor's Degree in Criminal Justice or closely related field with at least three (3) years of insurance claims investigative experience with at least one (1) year focused on non-surveillance field tasked based investigations.
• Any combination of education and experience appropriate to demonstrate the competencies necessary to perform the essential job functions.

Benefits

• Medical, Dental, Vision plans.
• Life, LTD and STD paid by the employer.
• 401(k) with company match up to 4%.
• Paid Time Off and company paid holidays.
• Tuition assistance after 1 year of service.