Investigations Manager - Claims

Investigations Manager – Claims

CoventBridge is seeking an experienced Investigations Manager – Claims. The Investigations Manager is part of the Operations Team and provides supervision and direction of investigative field staff to ensure a highly motivated, quality-focused investigative team to complete investigations of insurance claims filed for a variety of coverage to include worker’s compensation, general liability, property and casualty, disability, life and health care. This position will report directly to the Sr Investigations Manager.

Responsibilities

Duties and responsibilities include essential functions of positions assigned to this classification. Depending on assignment, the employee may perform a combination of some or all the following duties

• Review all new assignments to include pre-investigative work, client supplied documents and SLAs to ensure all necessary information is present. Contact the client for any clarification and relay expectations to field investigators
• Review and process daily updates to clients
• Conduct quality control reviews of investigative work in assigned area of operation by ensuring client special handling instructions are followed, and case objectives and due dates are met
• Ensure effective production and performance management within team by monitoring workloads
• Communicate effectively with investigative field staff and client regarding progress of assigned cases, and recommendations for further initiatives
• Monitor the progress and quality of the investigation from beginning to end to ensure the service level requirements are met, quality achieved and investigative planning is followed
• Manage challenging caseload with high degree of customer focus
• Approve payroll, expenses and time off for direct reports
• Review and process investigator submitted work product. Focus on quality and compliance with customer expectations
• Evaluate staff performance and work closely with Human Resources to ensure proper handling of employee topics
• Review, act on, and respond to SARs (Service Action Requests) in a timely manner
• Conduct regularly scheduled calls with your staff
  
  
  

Requirements

• Proficient in Property & Casualty lines of business
• Ability to cultivable and build relationships
• Ability to prioritize, organize, & multi task
• Have excellent communication skills, both written and verbal
• Be analytical and methodical in your approach to problem solving
• Be able to act quickly and decisively
• Proficient in Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, as well as web-hosted services (i.e. GoToMeeting)
  
  
  

Educational/Experience Qualifications

• A Bachelor's Degree in Criminal Justice or closely related field with at least three (3) years of insurance claims investigative experience with at least one (1) year focused on non-surveillance field tasked based investigations
• Or any combination of education and experience appropriate to demonstrate the competencies necessary to perform the essential job functions
• Medical, Dental, Vision plans
• Life, LTD and STD paid by the employer
• 401(k) with company match up to 4%
• Paid Time Off and company paid holidays
• Tuition assistance after 1 year of service
  
  
  

The salary range for this role is $55 - $60k annually. This is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee’s pay position within the salary range will be based on several factors including, but not limited to, relevant education, qualifications, certifications, experience, skills, geographic location, performance, and business or organizational needs.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

About Us

CoventBridge Group is the global leader in full-service investigations providing Surveillance, SIU and Compliance, Claims Investigation, Counter-Fraud Programs, Desktop Investigations, Social Media, Record Retrieval, Canvasses and Vendor Management programs. The company provides top tier data privacy and security practices, deploys robust case management technology customized to clients’ needs and delivers worldwide coverage via its 1000 employees and affiliates worldwide.

CoventBridge is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, caste, disability, veteran status, and other legally protected characteristics and maintains a drug-free workplace.

CoventBridge is committed to the full inclusion of all qualified individuals. As part of this commitment, CoventBridge will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Human Resources; 888-932-7364; humanresources@coventbridge.com.