Insurance Coverage Manager

This position oversees insurance claims from reporting to resolution while providing responsive customer service to State of Delaware agencies, school districts, higher education institutions, employees, external partners, and the public. The role ensures timely, accurate claim handling, reviews coverage, and analyzes claim trends to strengthen the State's insurance programs and reduce losses.

Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class.  Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here.

• Performs coverage analysis, investigation, evaluation, negotiation, and deposition of insurance claims for all lines of insurance except health, life and disability managed and paid on behalf of the State of Delaware.  This includes conducting research, collecting data, performing investigations, mediating disputes and negotiating claim settlements when appropriate.
• Provides expertise on behalf of the State on insurance programs and other insurance claims questions.
• Makes proper determination of coverage, legal liability, and damages to effect settlement of claims.
• Directs contracted appraisers, investigators, rehabilitation specialists, adjusters, and attorneys in adjudicating claims.
• Prepares Request For Proposals (RFPs) for insurance coverage and other contracted services. 
• Researches federal and state statutes and insurance regulations and keeps abreast of new and/or revised pending legislation for potential impact on the State.
• Prepares files with required forms exhibits and reports to assist in litigation management and maintains a working diary for each assigned claim file.
• Maintains records and reports of the self-insurance fund.
• Ensures all subrogation is promptly identified, the responsible party is documented in an automated information system and subrogation letters are sent to responsible parties.

JOB REQUIREMENTS for Insurance Coverage Manager
Applicants must have education, training and/or experience demonstrating competence in each of the following areas:  

1. Possession of a Delaware Insurance Adjuster's License in two or more of the following lines of authority: Casualty, Motor Vehicle, Workers Compensation, or Property.
2. Three years experience in investigating, evaluating and negotiating insurance claims and making determinations for coverage, legal liabilities and damages affecting the settlement of claims.
3. Six months experience in ensuring compliance with laws, rules, regulations, standards, policies and procedures related to workers compensation, property, casualty or motor vehicle insurance.
4. Knowledge of insurance coverage program administration which includes overseeing and directing the development, implementation and evaluation of insurance coverage programs and services; planning and establishing short and long range program goals and objectives. Providing advice to other agency organizational units through consultation.
5. Knowledge of staff supervision acquired through course work, academic training, training provided through an employer, or performing as a lead worker overseeing the work of others; OR supervising staff which may include planning, assigning, reviewing, and evaluating the work of others; OR supervising through subordinate supervisors a group of professional, technical, and clerical employees.

To learn more about the comprehensive benefit package please visit our website at https://dhr.delaware.gov/benefits/

The application and supplemental questionnaire are evaluated based upon a rating of your education, training and experience as they relate to the job requirements of the position.  It is essential that you provide complete and accurate information on your application and the supplemental questionnaire to include dates of employment, job title and job duties.  For education and training, list name of educational provider, training course titles and summary of course content.   Narrative information supplied in response to the questions must be supported by the information supplied on the application including your employment, education and training history as it relates to the job requirements.

Once you have submitted your application on-line, all future correspondence related to your application will be sent via email.  Please keep your contact information current.  You may also view all correspondence sent to you by the State of Delaware in the “My Applications” tab at StateJobs.Delaware.gov.

Accommodations are available for applicants with disabilities in all phases of the application and employment process.  TDD users may request an auxiliary aid or service by calling (800) 232-5470 or by visiting delawarerelay.com.  You may also call (302) 739-5458 or email DHR_ADAConcerns@delaware.gov for additional applicant services support.

The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression.