NIP Group
Base pay range
$140,000.00/yr - $175,000.00/yr
About the Position We’re seeking an experienced and dynamic
Associate Vice President, Claims
to lead and oversee the management of property and casualty (non-professional liability) claims for member municipalities within various public entity insurance pools. This role is pivotal in ensuring best-in-class claims handling, compliance, and operational excellence.
As AVP, Claims, you will drive execution of claims best practices, oversee audits and reporting, and provide technical guidance to staff on complex claims. You’ll also partner with internal and external stakeholders—including TPAs, defense counsel, underwriting, and risk management—to deliver superior outcomes.
This position reports to the VP, Claims – Public Entity and includes supervisory responsibility. Minimal travel required.
What You’ll Do We have an exciting opportunity for an
AVP, Claims - Public Entities
to join our team, responsibilities include:
Lead and direct the claims management process, driving execution of best practices and related initiatives to reduce the total costs of claim while providing exceptional member service.
Provide the highest levels of technical direction to the staff liability claim professionals and management team involving significant claims and complex coverage issues.
Consult as needed with the outside vendors and attorneys on applicable claim issues.
Manage the quality assurance programs to evaluate TPA’s and defense panels adherence to claims handling standards.
Ensure case reserves are consistent with operational guidelines and philosophy.
Establish and extend authority levels on all referred claims.
Select, train, and manage staff.
Analyze claims results data relative to established objectives. Report on observations and recommend remedial action.
Establish and operate various claims reporting committees involving claims staff and executive management.
Perform best practice reviews of open and closed claims.
Provide technical support to internal business partners, including underwriting and risk management.
Facilitate resolution of any provider issues (billing, appointment setting, etc.).
Ensure that all joint insurance fund claims and coverage rule sets (SIR’s, EPL/POL deductible/coinsurance, managed care fee allocation and payment, etc.).
Perform claim audits as directed.
Analyze indemnity and expense reserve practices.
Create and analyze standard claims reporting package:
Monthly department performance report – metrics inclusive of Open/Closed, average Incurred, Claim Frequency, Claim Duration, loss ratio (Developed/Expected/Incurred).
Detail claim analysis on claims valued over $25,000.
Track, analyze and implement action plans to address key performance indicators- i.e. lag time, closing ratios, days to closing, etc.
What We’re Looking For Education
J.D. preferred
Chartered Property Casualty Insurance (CPCU); Associate in Claims (AIC), Senior Claim Law Associate (SCLA) designation or similar professional designation preferred
Experience
7+ years claim management experience
10 or more years of experience in an insurance company claims department, TPA or corporate risk management department.
3+ years managing litigation specialists and/or P&C claim handlers preferred
Advanced knowledge of New Jersey casualty claims practice, key applicable statutes, regulations, and common laws.
Thorough knowledge of the application of Title 59 and OPRA to NJ municipalities.
Strong working knowledge of Auto Liability, General Liability and Property claims.
Advanced skills in coverage analysis, negligence principles, investigative and negotiation techniques.
Strong organizational skills and detail oriented.
Ability to work independently and handle multiple tasks simultaneously.
Excellent verbal and written communication skills.
Excellent customer service and collaboration skills.
Extensive knowledge of insurance contracts and adjusting techniques. Familiarity with medical terminology, legal procedures and claim evaluation.
Demonstrated leadership, coaching, influencing, and teamwork skills.
Computer literacy, including working knowledge of MS Office Product Suite, i.e. WORD, Excel, PowerPoint.
Previous supervisory experience required.
Strong litigation and vendor management skills.
What You'll Receive At NIP Group, we recognize there are many factors that contribute to your overall satisfaction both at work, and in your personal life. For that reason, we provide a perfect mix of compensation, benefits, company culture, and resources to ensure your everyday happiness. Below are some benefits that you’ll receive.
Competitive compensation to reward you for your hard work every day.
Progressive Paid-Time Off program for you to enjoy time out of the office, including time off for volunteering and life events.
Group Medical, Dental, Vision and Life insurance to encourage a healthy lifestyle.
Pretax Health and Dependent Care Spending Accounts to ease taxes on spending.
Discounts in retail and entertainment.
Seniority level
Director
Employment type
Full-time
Job function
General Business, Analyst, and Product Management
Industries
Insurance
Referrals increase your chances of interviewing at NIP Group by 2x
Inferred from the description for this job
Medical insurance
Vision insurance
401(k)
Paid maternity leave
Paid paternity leave
Disability insurance
Get notified about new Vice President Claims jobs in
New Jersey, United States .
#J-18808-Ljbffr
About the Position We’re seeking an experienced and dynamic
Associate Vice President, Claims
to lead and oversee the management of property and casualty (non-professional liability) claims for member municipalities within various public entity insurance pools. This role is pivotal in ensuring best-in-class claims handling, compliance, and operational excellence.
As AVP, Claims, you will drive execution of claims best practices, oversee audits and reporting, and provide technical guidance to staff on complex claims. You’ll also partner with internal and external stakeholders—including TPAs, defense counsel, underwriting, and risk management—to deliver superior outcomes.
This position reports to the VP, Claims – Public Entity and includes supervisory responsibility. Minimal travel required.
What You’ll Do We have an exciting opportunity for an
AVP, Claims - Public Entities
to join our team, responsibilities include:
Lead and direct the claims management process, driving execution of best practices and related initiatives to reduce the total costs of claim while providing exceptional member service.
Provide the highest levels of technical direction to the staff liability claim professionals and management team involving significant claims and complex coverage issues.
Consult as needed with the outside vendors and attorneys on applicable claim issues.
Manage the quality assurance programs to evaluate TPA’s and defense panels adherence to claims handling standards.
Ensure case reserves are consistent with operational guidelines and philosophy.
Establish and extend authority levels on all referred claims.
Select, train, and manage staff.
Analyze claims results data relative to established objectives. Report on observations and recommend remedial action.
Establish and operate various claims reporting committees involving claims staff and executive management.
Perform best practice reviews of open and closed claims.
Provide technical support to internal business partners, including underwriting and risk management.
Facilitate resolution of any provider issues (billing, appointment setting, etc.).
Ensure that all joint insurance fund claims and coverage rule sets (SIR’s, EPL/POL deductible/coinsurance, managed care fee allocation and payment, etc.).
Perform claim audits as directed.
Analyze indemnity and expense reserve practices.
Create and analyze standard claims reporting package:
Monthly department performance report – metrics inclusive of Open/Closed, average Incurred, Claim Frequency, Claim Duration, loss ratio (Developed/Expected/Incurred).
Detail claim analysis on claims valued over $25,000.
Track, analyze and implement action plans to address key performance indicators- i.e. lag time, closing ratios, days to closing, etc.
What We’re Looking For Education
J.D. preferred
Chartered Property Casualty Insurance (CPCU); Associate in Claims (AIC), Senior Claim Law Associate (SCLA) designation or similar professional designation preferred
Experience
7+ years claim management experience
10 or more years of experience in an insurance company claims department, TPA or corporate risk management department.
3+ years managing litigation specialists and/or P&C claim handlers preferred
Advanced knowledge of New Jersey casualty claims practice, key applicable statutes, regulations, and common laws.
Thorough knowledge of the application of Title 59 and OPRA to NJ municipalities.
Strong working knowledge of Auto Liability, General Liability and Property claims.
Advanced skills in coverage analysis, negligence principles, investigative and negotiation techniques.
Strong organizational skills and detail oriented.
Ability to work independently and handle multiple tasks simultaneously.
Excellent verbal and written communication skills.
Excellent customer service and collaboration skills.
Extensive knowledge of insurance contracts and adjusting techniques. Familiarity with medical terminology, legal procedures and claim evaluation.
Demonstrated leadership, coaching, influencing, and teamwork skills.
Computer literacy, including working knowledge of MS Office Product Suite, i.e. WORD, Excel, PowerPoint.
Previous supervisory experience required.
Strong litigation and vendor management skills.
What You'll Receive At NIP Group, we recognize there are many factors that contribute to your overall satisfaction both at work, and in your personal life. For that reason, we provide a perfect mix of compensation, benefits, company culture, and resources to ensure your everyday happiness. Below are some benefits that you’ll receive.
Competitive compensation to reward you for your hard work every day.
Progressive Paid-Time Off program for you to enjoy time out of the office, including time off for volunteering and life events.
Group Medical, Dental, Vision and Life insurance to encourage a healthy lifestyle.
Pretax Health and Dependent Care Spending Accounts to ease taxes on spending.
Discounts in retail and entertainment.
Seniority level
Director
Employment type
Full-time
Job function
General Business, Analyst, and Product Management
Industries
Insurance
Referrals increase your chances of interviewing at NIP Group by 2x
Inferred from the description for this job
Medical insurance
Vision insurance
401(k)
Paid maternity leave
Paid paternity leave
Disability insurance
Get notified about new Vice President Claims jobs in
New Jersey, United States .
#J-18808-Ljbffr