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CLAIMS MANAGER
CLAIMS MANAGERSBH Health System • Murrieta, CA, US
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CLAIMS MANAGER

CLAIMS MANAGER

SBH Health System • Murrieta, CA, US
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Job Title

Overall responsibility for all claim activity and specifically for various high exposure ($100,000 or high profile) non-liability related claims (workers compensation, property / cargo, travel accident) seeking to minimize the Company's financial exposure and ensure effective administration of claims on a global basis. Achieves operational objectives by contributing information and recommendations to risk management plans, preparing and completing action plans, resolving problems, identifying trends and determining system improvements and overseeing implementation of changes. Responsible claims analytics, financial analysis of both monthly insurance accruals and semi-annual actuarial analysis to determine final insurance reserves, working in conjunction with Corporate Insurance Manager.

At Sally Beauty Holdings, we find beauty in diversity. Our inclusivity and self-expression are what fuel our innovation and growth. You are welcome here, and you can thrive here. We find beauty in YOU. Join us.

Primary Duties

  • Direct responsibility for high profile / exposure claims on all Property and Workers Compensation, and Executive Risk lines, including oversight and coordination of communication efforts and closure strategies both internally and externally through resolution. Monitoring of claim reserves and case administration for entire book of claims, including settlement and reserve strategies. Works with various departments, including Human Resources, Legal and Accounting along with Director on high profile cases to resolve / mitigate damages.
  • Develops and recommends global claim processes, monitoring compliance of same. Develops and provides training as needed throughout the organization. Works with Loss Prevention to identify and report WC claim trends for inclusion in strategic loss mitigation plans. Coordinates interdepartmental communications on property claim processing and reimbursements, including resulting accounting treatment. Reviews and approves loss reports.
  • Key contact with service providers (TPA, Brokers) on all claim management / resolution related activities. Includes, but is not limited to, identification of strategic case management opportunities for cost reduction / containment. Performs data analytics and validation of loss trending analysis, in addition to coordinating and scheduling claim reviews with service providers.
  • Reviews and assists as necessary in monthly insurance accruals. Reviews claims data for semi-annual actuarial analysis. Works with accounting as necessary.
  • Monitors and ensures departmental claim processing controls for SOX compliance related to insurance reserves. Reviews claim invoices for accuracy and authorization. Special projects as assigned.

Knowledge, Skills and Abilities

  • Bachelors Degree in Business preferred.
  • 7-10 years experience in Risk Management, Workers Compensation claims or closely related field.
  • Technical Workers Compensation knowledge required.
  • Ability to prioritize and complete multiple, competing tasks.
  • Ability to interface with various levels of management, including executive style communications.
  • Technical Insurance knowledge and strong analytical skills required.
  • Competencies / Attributes

  • Intermediate to advanced computer skills in Microsoft Office.
  • High Accountability and follow up.
  • Independent worker with excellent Interpersonal skills.
  • Decision making and problem solving skills.
  • Strong Project Management skills.
  • Working Conditions / Physical Requirements

    The work is sedentary. Typically, the employee may sit comfortably to do the work. However, there may be some walking; standing; bending; carrying of light items such as papers, files, books, small parts, etc. No special physical demands are required to perform the work.

    The work environment involves everyday risks or discomforts which require normal safety precautions typical of such places as offices, meeting and training rooms, libraries, and residences, e.g., use of safe work practices with office equipment, avoidance of trips and falls, observance of fire regulations, etc. The work area is adequately lighted, heated, cooled and ventilated.

    Benefits

    We offer a competitive salary and outstanding benefits package that includes medical, dental, vision, life insurance, paid vacation and sick days, paid holidays, tuition reimbursement and 401(k) with company match. In addition, associates of SBH may take advantage of our in-house salon with complementary services and a varied selection of food options at our corporate campus. Also, featured at our corporate campus, is both a Sally Beauty and CosmoProf Professional onsite store, where associates enjoy a great merchandise discount!

    Qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, or disability.

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    Manager • Murrieta, CA, US

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