Complex Claims Manager - Construction Defect and Environmental

Regular or Temporary: Regular

Language Fluency: English (Required)

Work Shift: 1st Shift (United States of America)

A Complex Claims Manager is responsible for investigating, evaluating, and resolving insurance claims related to environmental damage, as well as claims involving General Liability (GL) and Excess Liability. This role involves analyzing coverage, assessing liability, negotiating settlements, and managing legal defense strategies, all while ensuring compliance with environmental regulations and minimizing the company's financial exposure. Additionally, the Claims Manager collaborates with underwriting on marketing, portfolio management, and other strategic initiatives.

• Thoroughly investigate environmental claims, GL and Excess Liability by gathering information on the incident, site assessment, potential pollutants, and impacted parties to determine the scope of damage and liability.
• Review insurance policies to determine coverage applicability for environmental, general liability and excess liability claims, including policy limits and exclusions.
• Evaluate potential liability based on the investigation findings, legal precedents, and environmental regulations.
• Calculate and assign appropriate claim reserves based on the potential damages and liability assessment to accurately reflect the financial exposure.
• Negotiate settlements with claimants or their legal representatives to reach a fair and cost-effective resolution.
• Coordinate with legal counsel to manage legal defense strategies, including assigning attorneys, reviewing legal documents, and monitoring litigation progress.
• Manage consultants and contractors, including reviewing environmental work plans, remedial designs, and other technical aspects of environmental projects.
• Identify and implement cost‑saving measures during the claims process, such as utilizing preferred vendors or negotiating favorable settlement terms.
• Investigate potential fraudulent claims related to environmental and non‑environmental damages.
• Ensure adherence to all relevant environmental regulations and reporting requirements throughout the claims process.
• Maintain clear communication with policyholders, brokers, adjusters, legal counsel, and internal stakeholders regarding claim status and updates.
• Identify patterns and trends within environmental claims to inform risk management strategies and proactive measures.
• Oversee a portfolio of claims for the Environmental Division, prioritizing critical cases, and monitoring overall claim performance.
• Provide underwriting teams with insights on environmental risks and participate in risk assessment meetings.
• Collaborate on marketing strategies and contribute real‑world examples for marketing materials.
• Analyze claims portfolio performance and recommend risk mitigation strategies.
• Share claims insights for new product development and refine policy language.
• Conduct training on claims handling and regulatory changes.
• Liaise between claims, underwriting, and other departments to ensure cohesive risk management.

• Bachelor’s Degree required;
  Juris Doctorate preferred.
• Minimum of 5 years’ experience required.

• Property & Casualty adjuster licenses in states where required.

• Extensive knowledge of environmental laws, regulations, and compliance standards.
• Knowledge of Construction Defect.
• Proven experience in managing complex insurance claims, including investigation, evaluation, and resolution.
• Ability to analyze complex data, assess environmental impacts, and make informed decisions.
• Strong negotiation skills to reach favorable settlements with claimants and legal counsel.
• Understanding of legal principles related to environmental liability and insurance coverage.
• Strong interpersonal skills to build and maintain relationships with internal and external stakeholders.
• Ability to represent the company in market‑facing activities, including client meetings, industry conferences, and networking events.

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