AVP - Claims Solutions - (TPA Operations)

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Requirements:

• Bachelor’s degree, preferably in a business-related field, or equivalent relevant experience
• Ten years of leadership experience in claims
• Experience managing and leading a profit center or business unit
• Insurance designations, such as AIC, CPCU, ARM preferred

Responsibilities:

• Sets policies and annual performance goals for EMC Claims Solutions through the development and maintenance of quality assurance and cost management guidelines, as well as growth and earnings retention plans
• Develops and fosters the annual business strategy for Claims Solutions
• Designs management controls and tracking tools to ensure that performance standards are optimized, and resources are maximized
• Oversees development and preparation of budget, financial, statistical, and management reports
• Prepares and delivers an executive summary and financial statement package to the Board of Managers annually
• Reviews and maintains compliance with regulatory entities and company policy
• Serves as primary interface with EMC business consultants, such as Legal, Accounting, Executive, Risk Improvement, etc., as well as clients and vendors
• Engages clients on a regular basis to ensure the understanding of business goals and satisfaction with service levels and results and resolves issues as needed
• Develops metrics and solutions and consistently evaluates and monitors opportunities for improvement
• Establishes and develops relationships with current and potential clients to provide opportunity for growth
• Serves as the public representative of Claims Solutions Services to present potential services and offerings to customers to grow our client base. Develops proposals and marketing materials for sales pitches
• Develops and markets new products and services for clients. Negotiates pricing and performance initiatives with vendors and suppliers
• Analyzes potential solutions or process improvements to services for potential use and adaptation at EMC Claims Solutions
• Analyzes loss data and client business needs and creates new business proposals
• Develops, negotiates, and executes renewal terms and new business contracts
• Establishes credibility in the business community and proactively seeks out new clients
• Supports Regional Office Operations by collaborating with underwriting and marketing in the acquisition and onboarding of new accounts, providing ongoing support with claims/risk management services and client management and develops and executes customer focused programs to reduce office operating expenses and loss ratios
• Develops and implements a talent strategy across the portfolio of functions to achieve goals
• Effectively develops and grows internal talent – a priority in EMC’s culture
• Successfully attracts great new talent where needed to fill gaps in expertise or raise the bar of performance
• Advances EMC’s diversity, equity and inclusion goals
• Fosters an innovative culture, including supporting new ideas and providing guidance on potential changes
• Fosters an environment of collaboration within the team and with other teams and profit centers
• Functions as trusted partner to entire C-level leadership team
• Provides experienced oversight and guidance on setting priorities, overseeing execution, and responding to results