TPA Claims Handler

TPA Claims Handler

Founded in 1932, McLarens is a leading independent global insurance services provider with offices and operations located around the world. With a focus on complex, commercial and niche markets, the company provides loss adjusting, claims and risk management services, forensic technical services as well as auditing and pre-risk surveying. McLarens’ global footprint enables it to provide streamlined consistent service to clients across the world, while at the same time delivering local expertise and responsive service. The company’s expert adjusters have an average of over 20 years’ experience, operating across a range of industries with specialties including: Property, Casualty, Crisis Management, Natural Resources, Construction & Engineering, Agriculture, Aviation, Forensic Accounting, Investigation, Marine, FAJ & Specie, Global TPA Services and Environmental consulting services.

At McLarens, we aspire and live by a set of shared values that guide our actions and shape our culture:

• EXCELLENCE – We aim for nothing less than the highest standards in everything we do.
• TEAMWORK – We work best when we work together with clients, colleagues and business partners alike.
• RESPECT – We are trusted to keep our promises, act with integrity, and treat people the right way.
• KNOWLEDGE – We know our market better than anyone, but still, we never stop developing.
• THOUGHT LEADERSHIP – We use inspired thinking and pioneering solutions to stay ahead in an ever-changing market.
• ACCOUNTABILITY – We move with urgency to deliver on our commitments and drive for results, even amid ambiguity.  

Summary
The Senior TPA Claims Handler is responsible for the technical oversight of claims. With extensive claims and legal knowledge and expertise, the Senior TPA Claims Handler ensures optimal handling of all claims through to completion of sound claims settlements in line with company targets, policies, and procedures and will ultimately assist in implementing the company's business plan. This role includes technical oversight of third parties and delegated authority referrals across various lines of business.

Essential Duties & Responsibilities:

• Provides technical oversight and expertise of claims across various lines of business including Auto, Liability and Property.
• Provides advice and guidance to colleagues across the organization on cases referred from the claims team in addition to handling personal case load. 
• Mentors a team of claims handlers responsible for investigating and settling claims.
• Reviews and authorizes payments above claims handlers’ delegated authority limits.
• Provides leadership, cost control, and technical claims management across all lines of business ensuring that all potential large loss claims are identified quickly.
• Creates, maintains, and distributes a Large Loss Claim Register providing a consolidated view of all open large losses, including a summary of each claim event, circumstance, reserve, ‘current position’, next-steps, and recommendations to management. 
• Leads and participates in a daily ‘large loss meeting’, providing a forum for all new and ongoing large losses to be discussed and the most appropriate claim pathway debated and agreed upon, including which specialist suppliers to engage to help contain claims costs most effectively.
• Responsible for ensuring adequate reserving and accuracy of claim payments through appropriate supervision and authority levels.
• Works in partnership with the TPA Claims Manager to ensure that all large loss claim workflows and telephony are proactively managed and that all internal and supplier SLAs are adhered to. 
• Works with the Claims Team Manager to ensure appropriate staffing levels.
• Maintains compliance with all relevant FCA rules and guidance ensuring that all staff are aware of their regulatory responsibilities and adhere to all relevant requirements detailed in the Compliance Manual and to the overarching principle of treating customers fairly.
• Liaises with customers and third parties, repairers, and other associates advising them on any issues that arise.
• Builds effective working relationships with risk analysts, brokers, underwriters, and other relevant parties.
• Ensures a fair settlement and good customer service for the client.
• May be called upon to act as a witness in litigation filed for or against the company.

Required Experience & Skills:

• 5-7 years multi-line claims handling experience. 
• Current Adjusters License required, and multi-state licensing preferred.
• Experience dealing with mixed value claims including maximum severity of injury and other complex claims with difficult legal issues.
• Experience working alongside loss adjusters to determine levels of damage caused.
• Experience with TPA and Casualty claims will be considered as an advantage.
• Possess a high level of legal knowledge as well as excellent analytical, communication, and active listening skills. 
• Ability to multi-task, set priorities, and manage time effectively.
• Knowledge of Microsoft Office i.e. Word, Outlook, Excel.

Essential Physical Requirements:

• Must be able to remain in a stationary position 50% of the time. 
• The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc. (office & hybrid roles). 
• Constantly operates a computer and other office productivity machinery such as a calculator, copy machine and computer printer. 

McLarens Benefits – “It’s All Here”

• Health Insurance - Medical, Dental, Vision, Life, and Disability Insurance
• Health Saving/Flexible Spending - access to flexible spending and health savings accounts
• Retirement – 401(k) program with company match 
• Pet Benefits – ensuring the well-being of your extended family
• Identity Theft Insurance – offering security and peace of mind
• Wellness Programs - supports financial, physical, and mental well-being
• Career Development – fostering growth and advancement in the workplace
• Community Day of Service/Float Holiday – our Day of Service promotes community involvement, and our personal float holiday can be used as desired
• Employee Discount Program - offers exclusive discounts and deals on a wide range of products and services
• Employee Assistance Program - designed to provide life balance support and counseling

Our Company is an equal employment opportunity employer. The Company’s policy is not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender identity, genetic information, religion, national origin, age, disability, veteran status, or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories.