Claims Manager – Commercial Auto Excess Casualty

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🕒 Junho 12

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🟠 Sênior

🔴 Especialista

👔 Gerente

🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of Reserv Claims

Reserv Claims

1 - 10 funcionários

☁️ SaaS

🤝 B2B

🤖 Inteligência Artificial

SaaS • B2B • 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 a culture of technical excellence, continuous improvement, and data-driven decision-making • Provide coaching on coverage analysis, litigation strategy, negotiation, and high-severity claim evaluation • Conduct regular file reviews, performance assessments, and quality audits • Execute on performance management — attract, hire, retain, and provide a high level of training • Foster a positive work environment, promote teamwork, and encourage professional growth and development • Oversee the handling of complex excess casualty claims, ensuring accuracy, timeliness, and compliance • Implement and maintain best practices for claims handling including claim intake, investigation, evaluation, settlement, and recovery • Ensure consistent application of Reserv's structured-data workflows and modern claims platform • Partner with Product and Engineering teams to refine automation tools, improve adjuster workflows, and enhance system capabilities • Monitor key performance indicators including cycle time, accuracy, severity trends, and customer satisfaction • Responsible for 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 partners to provide insights on claim trends, risk patterns, and emerging exposures • Participate in client meetings, audits, and stewardship reviews representing Reserv's claims philosophy and performance • Support onboarding of new programs, ensuring alignment with Reserv's operational standards and client expectations • Prepare and present comprehensive 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 and implement strategies to mitigate fraudulent claims and ensure compliance with legal and regulatory requirements • Ensure adherence to multi-jurisdictional regulatory requirements and Reserv's 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 the ability to evolve claims systems and processes to drive better efficiencies and outcomes • Active adjuster license required — resident state license if available, otherwise a Designated Home State (DHS) license • Willing to obtain all licenses within 60 days, including completing state required testing • Demonstrated commitment to quality, accuracy, and attention to detail • Integrity, ethics, and a strong sense of accountability in handling confidential and sensitive information.

🏖️ Benefícios

• Generous health-insurance package with nationwide coverage, vision, & dental • 401(k) retirement plan with employer matching • Competitive PTO policy – we want our employees fresh, healthy, happy, and energized! • 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.

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