Claims Manager – Commercial Auto Excess Casualty

🕒 Setembro 23

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🟠 Sênior

🔴 Especialista

👔 Gerente

🗣️🇺🇸🇬🇧 Inglês obrigatório

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Publicada na página de carreiras da Reserv Claims, não em um site de vagas

Vista pela primeira vez pelo Remote Rocketship Setembro 23

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Logo of Reserv Claims

Reserv Claims

1 - 10 funcionários

🛡️ Seguros

☁️ SaaS

🤖 Inteligência Artificial

Insurance • SaaS • Artificial Intelligence

A Reserv Claims é uma fornecedora B2B de SaaS e administradora de terceiros (TPA) especializada em sinistros de seguros de bens e responsabilidade civil (P&C). A empresa combina um motor de automação de sinistros impulsionado por IA, uma rede de reguladores treinados, fluxos de trabalho configuráveis e análises/APIs para ajudar seguradoras, MGA's e subscritores a processar sinistros de forma mais eficiente e oferecer melhores resultados. A Reserv enfatiza uma stack de tecnologia moderna, relatórios orientados por dados, serviço personalizado ('white-glove') e operações globais na América do Norte, Reino Unido e União Europeia.

Descrição

• Lead, mentor, and develop a team of Commercial Auto Excess Casualty Claim Specialists • Foster technical excellence, continuous improvement, and data-driven decision-making • Coach on coverage analysis, litigation strategy, negotiation, and high-severity claim evaluation • Conduct regular file reviews, performance assessments, and quality audits • Execute performance management, including attracting, hiring, retaining, and training team members • Oversee complex excess casualty claims for accuracy, timeliness, and compliance • Implement and maintain best practices for claim intake, investigation, evaluation, settlement, and recovery • Ensure consistent application of structured-data workflows and Reserv's modern claims platform • Partner with Product and Engineering to refine automation tools and improve adjuster workflows • Monitor cycle time, accuracy, severity trends, and customer satisfaction • Ensure accuracy and adequacy of all aspects of claim reserving • Serve as a subject matter expert for MGAs, carriers, brokers, and internal stakeholders • Collaborate with Underwriting, Actuarial, Account Management, Compliance, and Claim Operations • Participate in client meetings, audits, and stewardship reviews • Support onboarding of new programs • Prepare and present claims reports, metrics, and analysis to clients; advise on claim trends and loss mitigation • Guide adjusters on litigation strategy, counsel management, and complex coverage issues • Review and approve high-value settlement recommendations, coverage positions, and strategic claim decisions • Develop strategies to mitigate fraudulent claims and ensure legal and regulatory compliance • Ensure adherence to multi-jurisdictional regulatory requirements and internal best practices

🎯 Requisitos

• 10+ years of commercial auto liability or casualty claims experience, including high-severity or excess layers • 5+ years of management experience, with preference for experience managing in a remote environment • Prior leadership experience within a carrier, TPA, or MGA environment • Strong expertise in coverage analysis, litigation management, and catastrophic injury evaluation • Excellent communication and relationship-building skills with internal teams and external partners • Comfortable with technology and able to evolve claims systems and processes to drive better efficiencies and outcomes • Active adjuster license: resident-state license where available, otherwise a Designated Home State (DHS) license • Willing to obtain any additional required licenses within 60 days, including state testing • Demonstrated commitment to quality, accuracy, and attention to detail • Integrity, ethics, and a strong sense of accountability in handling confidential and sensitive information • Bachelor's degree in insurance, business administration, or a related field preferred • Professional designations such as CPCU, SCLA, AIC, or equivalent preferred; JD is a big plus • Experience working with MGAs, E&S carriers, or tech-enabled TPAs preferred • Familiarity with structured-data workflows, AI-assisted claims tools, or modern claims platforms preferred

🏖️ Benefícios

• Generous health-insurance package with nationwide coverage, vision, & dental • 401(k) retirement plan with employer matching • Competitive PTO policy • Generous family leave policy after 8 months of continuous work • Work from anywhere to facilitate your work life balance • Apple laptop, large second monitor, and other quality-of-life equipment you may want • Remote-first environment • Culture that values expertise, experimentation, and continuous improvement

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