Job Details

Claims Vendor Coordinator

The Claims Vendor Coordinator manages vendor service-level agreements, billing guidelines, and vendor onboarding/offboarding, while developing a long-term vendor strategy aligned with the claims department's needs (e.g., IAs, GCs, consultants, roofers). This role oversees daily vendor operations, identifies training needs, collaborates with the Claims Admin Supervisor team, ensures adequate Field IA coverage for CAT and daily claims, and conducts Quarterly Business Reviews with strategic vendors and bi-weekly check-ins with Field IA vendors.

Principal duties and responsibilities include:

• Develop and maintain standard metrics for vendor performance, invoices, and fee schedule contracts.
• Oversee the day-to-day operations of all vendors supporting the claims department, identifying training needs.
• Identify deficiencies and work with internal/external stakeholders to mitigate and resolve issues.
• Implement and maintain policies to manage compliance requirements.
• Identify staffing needs and maintain appropriate staffing levels.
• Track CAT activity and report on it, e.g., Wildfire reporting, claim group coding in Duck Creek CMS, etc.
• Proactively obtain vendors (field IAs and desk examiners) capacity and share with Management.
• Maintains strategic relationships with vendors to service immediate and emerging needs.
• Partner with Claims Quality Assurance to review regular audits of vendors identify trends and areas for improvement.
• Must be available and willing to work outside regular business hours and oversee various projects during times of catastrophic events where higher-than-average claim volume is exhibited.
• Willing to travel up to 50% within California, if needed.
• Conduct Quarterly Business Review meetings with vendors and bi-weekly checkpoint meetings with Field IA vendors.
• Collaborate with Training to implement a training curriculum for IAs.
• Enforce regulatory/compliance rules that all IAs and other vendors adhere to.

Knowledge and skills requirements include:

• Bachelor's degree or equivalent.
• 5+ years' experience in property claims, including experience in large loss property claims.
• 3+ years' experience working with vendors and reviewing performance/quality of vendor work product.
• Fair Claims Settlement Practices Regulations & SIU Certification.
• Demonstrated communication skills, both verbal and writing skills.
• Proficient with Microsoft Office Suite of Products.