Senior Insurance Claims Process & Vendor Strategy Manager

Senior Insurance Claims Process and Vendor Strategy Manager

Location

Rhode Island or Southeastern Massachusetts

Employment Type

Full Time

Compensation Range

The compensation range was listed on the main page , which is shown as an hourly rate range. The final compensation determined shall be candidate specific and based on the candidate's individual experience and qualifications. Candidates who feel the job description would be a great fit, should not hesitate to apply and provide additional support if you feel your desired compensation is outside the range and why your desired compensation is well supported by your background and how you would be an ideal candidate to assist NEPSG going forward.

Company

New England Property Services Group LLC

About New England Property Services Group

New England Property Services Group LLC is a residential property restoration contractor operating throughout Massachusetts and Rhode Island.

Our company specializes in responding to residential property damage events including fire, water damage, structural damage, wind loss, and other residential losses.

In many circumstances our company works with property owners whose insurance policies provide coverage for repairs to their homes. Through contractual arrangements with the property owner our company may operate as an assignee of certain insurance claim rights related to repair work performed at the property.

This position is not an insurance carrier role and the company does not act as a claims administrator or third party administrator for insurance companies.

Position Overview

The ideal candidate will bring deep familiarity with the internal structure of property insurance claims departments including authority levels, escalation paths, vendor management programs, regulatory oversight, and market conduct examinations.

This role helps the organization understand how insurance claims are handled internally by carriers so the company can coordinate more effectively with insurers and resolve claims efficiently for property owners.

Primary Responsibilities

Insurance Claims Process Strategy

· Provide guidance regarding internal structure of insurance carrier claims departments

· Explain claims authority levels and escalation procedures

· Assist the company in improving interaction with insurance carriers during claims

· Provide insight into internal decision making processes used by insurers

Market Conduct Examination and Regulatory Insight

· Assist leadership in understanding Department of Insurance regulatory oversight

· Provide insight into market conduct examination processes

· Explain how insurers track and respond to consumer complaints

· Provide insight into regulatory reporting practices used by insurers

Vendor Network Development

· Assist with development of expert vendor networks

· Identify and coordinate engineers, building consultants, roofing specialists, and environmental consultants

· Provide guidance regarding vendor selection practices used by insurers

· Assist with evaluation of technical experts used during property investigations

Operational Training and Process Development

· Provide training to internal staff regarding insurance claim lifecycle processes

· Assist with documentation standards expected by insurance carriers

· Help improve internal procedures related to claim coordination

· Provide guidance regarding escalation procedures within insurer organizations

Preferred Background

· Claims compliance manager

· Claims vendor management manager

· Large loss manager

· Senior claims examiner

· Claims training manager

· Catastrophe claims manager

· Claims operations manager

Preferred Qualifications

· Ten or more years of experience in homeowner or property insurance claims

· Experience with regulatory oversight or market conduct examinations

· Experience managing vendors used in property claim investigations

· Experience training or supervising claims professionals

· Professional designations such as CPCU AIC ARC ARM AIDA or similar credentials

Important Disclosure Requirement

Applicants must disclose any employment agreements that could restrict their ability to perform this position.

· Non compete agreements

· Non solicitation agreements

· Confidentiality agreements

· Other restrictive covenants

How To Apply

1. Submit an application through Indeed

2. Send an email with responses to the required questionnaire and your current resume

Applicant Questions To Be Answered By Email

3. Describe your experience working within property insurance claims operations

4. Describe any participation in market conduct examinations or regulatory compliance activities

5. Describe experience managing vendors such as engineers consultants or inspection firms

6. List claims management software platforms used

7. Describe experience training adjusters or claims personnel

8. Explain what aspects of insurance claims operations create the greatest operational risk for insurers

9. State your desired compensation range

10. Disclose any non compete confidentiality or restrictive agreements

11. State availability for potential start date

12. Provide two professional references

Contact Information

Steven V Ceceri

Owner and Operator

New England Property Services Group LLC

1822 North Main Street Second Floor Annex Suite 001

Fall River Massachusetts 02720

Applicants should include their resume and questionnaire responses when contacting the company regarding this position.

Job Types: Full-time, Part-time, Contract, Temporary

Pay: $20.00 - $50.00 per hour

Expected hours: 1.0 – 50.0 per week

Benefits:

• Paid time off

Application Question(s):

• Are you able to work from our Fall River Massachusetts office location? (Yes or No)
• How many years of experience do you have working inside the property insurance industry?

• Less than 5 years
• 5 to 10 years
• 10 to 15 years
• More than 15 years
• Claims Operations Experience

Which of the following areas best describe your experience within insurance claims operations?

Select all that apply.

• Claims examiner or adjuster
• Claims supervisor or manager
• Claims compliance or regulatory oversight
• Vendor management or vendor oversight
• Catastrophe claims operations
• Claims training or operational development
• Other
• Regulatory Oversight

Have you participated in Market Conduct Examinations or other regulatory reviews relating to claims operations?

• Yes
• No

If yes please briefly describe.

• Vendor Management Experience

Have you managed or overseen vendors used in claims investigations such as engineers building consultants or inspection vendors?

• Yes
• No
• Claims Systems

Which claims management platforms have you used?

Select all that apply.

• Guidewire
• ClaimCenter
• Xactimate
• Symbility
• Other
• Interview Availability

Please provide at least three dates and times within the next ten days that you are available for an in person interview in Fall River Massachusetts.

Please ensure the dates and times you provide are firm and reflect times you can attend.

• Earliest Start Date

If selected for the position, what would be your earliest available start date?

• Compensation (This question must be answered)

Please provide your desired compensation range.

• Employment Restrictions

Are you currently subject to any non compete agreement, confidentiality agreement, or other restrictive covenant with a current or former employer that could affect your ability to accept this position?

• Yes
• No

If yes please briefly describe.

• Questions / Information Candidates Must Provide via Email After Applying

1. Please describe your experience working within homeowner or property insurance claims operations.
2. Please describe any experience you have with Market Conduct Examinations or regulatory oversight of claims operations.
3. Please describe your experience managing vendors such as engineers consultants or inspection firms.
Which claims management platforms have you used and for how many years?
4. Please describe any experience you have training adjusters or other claims personnel.
5. Based on your experience, what aspects of claims operations create the greatest operational or regulatory risk for insurance companies?
6. What is your desired compensation range?
7. Are you currently subject to any non compete confidentiality or other restrictive agreements?

Work Location: In person