Job Title: Claims Manager - Casualty Programs
Job Responsibilities:
The Claims Manager - Casualty Programs at the company is responsible for leading and developing a team of claims professionals who manage a wide variety of program claims. Key responsibilities include:
- Direct management of claims, including investigation, analysis, and evaluation of coverage liability and damages, following best practices.
- Providing technical advice, training, and guidance to direct reports and TPA/Contractor adjusters, including strategic direction.
- Recruiting, hiring, and retaining top talent, and developing appropriate succession plans.
- Reviewing program claims to determine the nature of loss, coverage provided, and scope of claim, guiding strategic direction regarding settlement/disposition of claims.
- Developing and maintaining relationships with internal and external partners as the lead contact within the department for assigned claims.
- Collaborating with the Specialty Complex Claims team on coverage disputes, including litigation and arbitration matters.
- Escalating coverage issues and recommending outside coverage counsel assignments for approval where warranted.
- Formulating claims and litigation strategies, assigning, directing, and managing outside counsel.
- Managing costs, including litigation and vendor management costs, ensuring cost management and development of the Casualty panel.
- Fostering relationships and communicating extensively with senior executives, brokers, reinsurers, actuaries, underwriters, insureds, and auditors.
- Supporting underwriting inquiries and information requests regarding policy construction, reporting claim trends, data analysis, and risk assessments.
- Maintaining documentation of key business statistics and metrics.
- Leading and participating in presentations and discussions with Underwriters and Insureds on large losses and claim trends.
- Leading and participating in claim audits, audit wrap-up meetings, and formal result reporting.
- Identifying liability and coverage trends and issues, formulating processes and strategies for handling such claims, ensuring accurate and consistent claims management.
- Actively coaching and mentoring direct reports, providing regular feedback, and developing employees for broader roles and responsibilities.
- Other duties as assigned.
Education and Experience Information:
The ideal candidate for the Claims Manager - Casualty Programs role should have:
- 5-10+ years of claims management experience, with program claims experience being a plus.
- Demonstrated leadership, organizational, and management skills or experience practicing law as well as claims management.
- Demonstrated ability to influence and collaborate at all organizational levels, both internally and externally, with the ability to identify and resolve complex, disputed claims.
- Analytical thinking skills to drive results using all facets of the legal and claims processes.
- Understanding of and ability to balance immediate claim issues and broader portfolio impact and customer service impact of coverage disputes and issues.
- Excellent oral and written communication skills to effectively deal with people with conflicting expectations, differing opinions, and multiple viewpoints.
- Demonstrated ability and experience handling casualty claims involving a wide variety of loss scenarios, as well as reporting and presenting about the same to senior management.
- In-depth knowledge of claims, litigation, arbitration, and trial processes, with excellent analytical, investigative, and negotiating skills.
- A Bachelor’s degree is required, with a JD being a plus.
- Technical knowledge, skills, and training within the field, including complex coverage analysis, General Liability, Construction Defect, Auto, and Garage keepers Coverage knowledge.
- Confidence in coverage, evaluation, and reserving, with excellent writing and editing skills.
- Solid negotiation and settlement skills.
- Supervisory perspective, with experience providing direction and authority to adjusters.
- Familiarity with KPI, Data, and Metrics is a plus.
- Valid licenses by state as required, with the ability to add states to certifications as needed.
- Travel is associated with this role for team management, court proceedings, mediations, and settlements.
Salary Information:
The salary for the Claims Manager - Casualty Programs at the company ranges from $144,000 to $170,000.
Benefits and Beyond:
The company offers comprehensive benefits, competitive compensation, attractive work-life perks, and incentives for exceptional performance. While specific benefit packages vary by location, the core elements of the program remain consistent across the organization.
