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Dawn Foods is a global leader in bakery manufacturing and ingredients distribution. As the partner of choice for inspiring bakery success, we help customers grow their business through meaningful partnerships, research-driven insights and innovations, and products and expertise they can depend on. As a family-owned company, our commitments to our people, products, customers, and corporate values, are all part of our recipe for success.

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Why work for Dawn Foods?

PEOPLE.   CUSTOMERS.  PRODUCTS.

Why should you apply? We invest in you!

• Industry-leading health insurance on Day 1!
• Competitive Pay
• 401(K) + company match
• 10 Paid Company Holidays
• Paid Time Off
• Professional training
• Family-owned business over 100 years in service
• An opportunity for career advancement, working as part of an empowering workforce

Job Purpose and Overview

The Senior Complex Claims Manager has the most senior technical role in the claims organization. This role focuses on adjudicating assigned claims within given authority and provides operational support to the claims team for North America.

Work Environment & Travel: This is a remote role with up to 20% travel required.

What will you do as a Senior Claims Manager at Dawn Foods? 

• With minimal supervision, adjusts to resolve the highest severity claims and drafts the most complex technical coverage analysis and letters required in the given claim department.
• Acts as a subject matter expert within the team.
• Leads litigation best practices and strategy, including attending and leading trials and mediations.
• Uses superior knowledge and experience to affect positive claim outcomes via investigation, negotiation, and utilization of alternative dispute resolutions.
• Identifies and provides potential solutions for emerging exposures and claims trends.
• Identifies suspected fraudulent claims and tracks with the special investigations unit.
• Accurately documents claim files with all relevant claim documentation, correspondence, and notes in compliance with company policies and applicable regulatory authorities.
• Supervise, mentor, and support team members in the daily operations of claims management, ensuring consistent performance, development, and adherence to best practices. 
• Develops content and conducts program presentations for claims team and underwriters as requested, “Annual Renewal”.
• Reviews and analyses of claim documentation and legal filings.
• Auditing of Third-Party Administrators to ensure reserve adequacy.
• Handling oversight claim files involving complex and severe loss, as defined by escalation criteria and claims guidelines.
• Ensuring TPA compliance with reportable criteria via regular auditing and stewardship meetings.
• Claim Performance: Ensure timely and appropriate claim handling, legal and vendor expenses, exposure evaluations, and reserving, including appropriate use of signal reserves as well as the sensitivity projection process, to drive optimal claims resolutions for insureds.
• Identify opportunities for and execute on the reduction of ULAE spend, including Monitoring Counsel and Coverage Counsel & identify opportunities for the increased use of internal Severity and Coverage resources.
• Compliance & Quality Assurance – Comply with best practices measured by monthly Quality Assurance and Management Initiated Audit scores, as well as the implementation of Management Action Plans for all claims groups in Dawn Claims.
• Develop strong relationships with key Broker, MGA & TPA partners, support Underwriting & Distribution.
• Support UW with Claims Participation at strategically important events/meetings.
• Drive deeper relationships and collaboration with internal partners by sharing large loss updates, trend updates, and ensuring all data in claim files is accurate.
• Collaborate with Underwriting, Distribution, and Senior Claim Management in driving deeper relationships with key strategic distribution partners, including targeted “peer to peer” contact at these distribution partners, and delivery of a best-in-class claim service to the end user/insured.
• Exhibit “best-in-class” claim handling behaviors as measured by feedback from internal and external business partners, as well as MIA results.
• Close files timely and efficient manner to ensure appropriate staffing models and that target operating models are fit for purpose and cost-effective. Continue execution of the North America Target Operating Model work to identify areas for improvement grounded in the principles of How We Work and continuous improvement. Maintain a personal closing ratio of at least 100% - or as close as possible- without sacrificing appropriate claim handling and accurate reserves.
• Participate in How We Work efforts by providing constructive feedback and volunteering for initiatives.
• Claims Management & Analytics – Enhance utilization of analytics tools (e.g., claims handler score cards and other Power BI reports to improve claims performance. Participate in and support the Axis-wide data analytics strategy and efforts to build the claims data platform, sharing claims expertise and subject matter expertise.
• Handle end-to-end standard client renewal process, including timely and accurate updates of master templates, following directions regarding final document aggregation and distribution.
• Create and manage non-Acord documents as assigned, including endorsement creation, uploads, and swaps.
• SME and primary point of contact for a high-visibility book of business. The scope of support includes facilitating client calls to proactively support certificate-related items. Support new team members by providing training and answering questions for a book of business. Autonomously support certificates onboarding for new clients, acquisitions, mergers, etc. Research client feedback, complete RCA, and provide organized findings to stakeholders.
• Support workflow management as needed, act as a liaison/point of contact for the extended team, assist Client Team users in CSI provisioning and navigation, and assist the supervisor in supporting COD, including provisioning requests, administrative tasks, providing demos, and troubleshooting.
• Performs other related duties as assigned or requested.

What Does It Take to be a Senior Claims Manager at Dawn Foods?  

Below are the minimum qualifications to be a fit for this job.   

• A High school diploma or GED is required.
• A Bachelor’s Degree in Employer/Employee Relations, Labor & Industrial Relations, or a similar field. 
  • Will accept 10 years of complex claims handling experience in lieu of a degree
• A minimum of 6 years of complex claims handling experience
• A minimum of 3 years of experience managing personnel, serving in a lead role, or possessing equivalent training/experience.
• Proven ability to positively affect the highest severity claims outcomes through investigation, negotiation, and effectively leading litigation.
• Extensive knowledge of coverage within the team’s specialty or focus.
• Extensive knowledge of state and federal workers’ compensation laws and regulations.
• Strong understanding of medical terminology, return-to-work programs, and disability management.
• Extensive knowledge of the litigation process, conflict resolution, and negotiation skills.
• A proven track record of mentoring others.
• Excellent verbal and written communication and interpersonal skills for working with internal teams, clients, medical professionals, legal representatives, and third-party vendors.
• Advanced analytical skills.

Physical Demands & Work Environment 

The physical demands described here are representative of those that must be met by a Team Member to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

• The normal work environment for this role is remote, with up to 20% travel.

Note: The level of physical effort may vary from site to site and in some cases be greater or lesser than documented here. 

If this sounds like the opportunity that you have been looking for, please click "Apply.” 

About Our Benefits 

Dawn is proud to employ the top talent in the baking industry, and we reward our people with comprehensive health and well-being coverage, competitive compensation packages, and award-winning benefit offerings. We also help protect your future financial health with a generous 401(k) matching program that provides additional retirement funds and many tools and resources on financial wellness. Dawn encourages professional growth through tuition assistance and educational programs, and we are always searching for ways to improve our industry-leading services and benefits. 

Compensation

$90,960 -$145,540 with bonus eligibility

#LI-Remote #LI-AH1

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An Equal Opportunity Employer.  All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability, pregnancy, sexual orientation, gender identity/gender expression, citizenship status, military or veteran status, genetic information or any other status or condition that is protected by applicable law.

Requisition ID: 37117