Claim Manager

We are seeking an experienced and detail-oriented Claims Manager to oversee all daily operations of a Claims Department. In this leadership role, you will serve as the primary liaison between upper management and the claims team, ensuring top-tier customer service for associates, agents, adjusters, attorneys, and insureds. You will drive departmental efficiency, manage regulatory and contractual compliance, and guide a dedicated team of claims professionals.

Department Leadership & Operations:
Oversee daily claims functions, handle incoming phone calls, and review/distribute incoming mail for processing.

Team Management & Development:
Handle hiring, onboarding, training, and ongoing supervision of claims staff. Conduct yearly performance evaluations, set department goals, and encourage continuing education and professional training.

Risk & Executive Reporting:
Advise the CEO, Underwriter, and Branch Manager of potentially large exposures or abnormal issues. Immediately report all Errors & Omissions (E&O) exposures to the CEO with full details and claim files.

Complex File Review:
Review problem files, including insureds disputing denials, Department of Insurance complaints, and London Complaint Department inquiries.

Litigation & Counsel Management:
Recommend and assign defense attorneys appointed by London to defend losses or request coverage opinions, keeping all involved parties updated and directing staff on coverage issues.

Financial & Accounting Oversight:
Review daily checks prepared by the team, collaborate with accounting to verify funds for weekly claim payments, run monthly Bordereaux reports, and reconcile payments with accounting.

Audits & Compliance:
Prepare claim files for annual audits, review London contracts to ensure full compliance, manage adjuster panels for each contract, and handle company document production for subpoenas.

Vendor & Quality Control:
Interview and vet adjusting firms for compatibility, perform Peer Reviews for London contracts, monitor adjuster performance, and maintain records of E&O certificates.

Insurance & Regulatory Knowledge:
Strong, demonstrated knowledge of standard property and casualty insurance statutes, regulations, and practices, alongside comprehensive expertise in casualty/liability claims adjusting (analyzing and coordinating claim dispositions).

Supervisory

Experience:

Proven background in successful team leadership, staff supervision, and performance management.

Analytical & Decision-Making

Skills:

Strong analytical capabilities for interpreting complex laws and regulations to form sound decisions.

Communication & Interpersonal

Skills:

Exceptional communication abilities to liaise effectively across all levels—from upper management to external attorneys, agents, and insureds.