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Claim Manager 

Location California - Ontario  
Category Claims  

Basic Function - Supervises and directs the investigation and disposition of all assigned claims within a direct reporting group.  Trains, develops, and provides technical and leadership guidance to Claims Representatives, and in some cases, other Claim Managers.

Responsible for maintaining and growing a relationship between National General Insurance and current policyholders.  Responsible for focusing on the needs of loss participants and works to meet those needs.


Duties and Responsibilities - For all duties and responsibilities, manager will take ownership of any issue, problem, or error that could potentially impact the policyholder and/or loss participant.

Supervises, evaluates performance and recommends salary changes for personnel.    Responsible for recommending promotions or disciplinary action of direct report.  Primary responsibility for interviewing and selection of new personnel.  Will also assist with other staffing decisions. 

Responsible for balancing workload within the area of responsibility.

Maintains service standards, reporting procedures, statutory compliance, and the efficient operation of the direct reporting group

Provides continuous training and support to personnel.

Handles and directs resolution of problems, complaints and general public relation (“customer service”) issues which arise concerning claims service.

Extends coverage, reserve and settlement authority on losses which exceed individual levels.

Maintains current knowledge of changes in state/area and helps develop and implement policies and procedures which impact claims processing.

Assists in monitoring and controlling allocated/unallocated expenses and payment severity.

Assists and/or directs special projects or requests.

Responsible for the  communication , implementation and monitoring of procedural changes and company programs

Injury Manager:  May include the monitoring of litigation files, providing direction regarding legal strategy, etc.

Position Requirements

Technical Competencies - Demonstrated proficiencies in managing a unit through consistent results at or above department standards.

Demonstrates effective overall performance through consistent evaluations over multiple review periods.

Demonstrates the capability of consistently handling aggregate file exposures of at least $50,000.

Injury Manager:

Demonstrates the ability in reviewing and evaluating injuries up to their maximum authority level.

Demonstrates the ability in handling litigation files up to their maximum authority level.

Obtains/Maintains appropriate licensing or education requirements.

Primarily responsible for monitoring licensing or education requirements of their direct report group.

Has thorough knowledge of claims policies and procedures in resolving and/or providing direction to claims representatives and/or claim representatives and claim managers for claims handling which could include litigation.  Is primary source of direction for area on claim policies and procedures.

Injury Managers:

Has thorough knowledge of claims policies and procedures in resolving and/or providing direction to injury claims representatives and/or claim representatives and claim managers for claims handling which could include litigation.  Is primary source of direction for area on claim policies and procedures.

Demonstrates the ability to interpret research and opinions and apply accurately to establish claims action plans.

Demonstrates understanding of global company knowledge and impact of decisions.

Prefer successful completion of one or more of  the following for managers handling material damage and/or casualty claims:

-          CPCU

-          SCLA (Senior Claims Law Associate (to include FCLS (Fraud), PCLS (Property), CCLS (Casualty), and LPCS (Legal Principles)

-          AIC (Associate in Claims)

-          AIM (Associate in Management)

-          Advanced Educational Degree          Fraud Training

-      Succesful completion of Injury Training

-      Fraud training

-      Advanced Casualty Training (such as BI evaluations and negotiations, litigation management, Good Faith claims handling

Additional Competencies - Demonstrates a thorough and consistent pattern of understanding and demonstrating our National General Point of Difference.

Requires a high degree of initiative, mature judgment, and discretion.  Ability to resolve conflicts and empathize with others is critical.

Negotiation skills are important for resolving issues.

Demonstrates professional oral and written communication skills.

Organization, customer service, and time management skills are critical for this position.

Demonstrates a thorough understanding of compliance with insurance law and state regulations. as they relate to claims.  Demonstrates the ability to find answers to more complex issues with insurance law and state regulations and is a source of direction / assistance for others. 

Demonstrates a thorough understanding of the insurance industry and internal and external organizational relationships of the company. Demonstrates an understanding of the functions of other departments

Demonstrates effective leadership skills.

Develops process management and analytical skills.

Demonstrates the ability to effectively communicate vision and strategy to execute on the company and department’s plans and objectives.

Will lead regional or department projects.

About the Organization National General Insurance is one of the largest automobile insurers in the United States. National General Insurance offers a variety of property and casualty products, including personal auto, RV, motorcycle, commercial auto and homeowners insurance. With a nationwide network of claims professionals, local independent agents and a 24-hour, toll-free claims hotline available 365 days a year, National General Insurance provides superior claims service for its customers.

National General is a fast paced, dynamic, and entrepreneurial organization. Our team members live by and exemplify what we call the 4Es. At National General, we are Energized, Engaged, Empowered, and we Execute every day in order to provide an exceptional experience for our customers! We are passionate about our organization and the value that we add every day. A successful candidate with National General will embody the 4Es. Our team is poised to outperform the competition. We are National General Insurance and with us you can be extraordinary! Come join our team!

In addition to a phenomenal career opportunity, National General Insurance offers an excellent benefits package including:

• Paid Training
• Medical, Dental, Vision benefits
• Wellness Programs
• Life and Short/Long Term Disability Insurance
• 401k w/ Company Match
• Company Paid Holidays
• Generous Time-off policy
• Employee Discount Program
• Career Advancement and Development opportunities
• On-site Healthcare Clinic (Winston-Salem and Cleveland offices)
• On-site Fitness Center (Cleveland office)
• Subsidized parking (Cleveland office)

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.  
Req Number CLA-13-00034  
Full-Time/Part-Time Full-Time  
Exempt/Non-Exempt Exempt  

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