Claims Manager – Commercial Auto Excess Casualty

🕒 vor 5 Tagen

🇺🇸 Vereinigte Staaten – Remote

⏰ Vollzeit

🟠 Senior

🔴 Experte

👔 Manager

👻 Geisterscore 12%

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🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of Reserv Claims

Reserv Claims

1 - 10 Mitarbeiter

🛡️ Versicherung

☁️ SaaS

🤖 Künstliche Intelligenz

Insurance • SaaS • Artificial Intelligence

Reserv Claims ist ein B2B-SaaS-Anbieter und Third-Party-Administrator (TPA), der sich auf Schadenversicherungen (P&C) spezialisiert hat. Das Unternehmen kombiniert eine KI-gesteuerte Schadensautomatisierung, ein Netzwerk geschulter Gutachter, konfigurierbare Workflows sowie Analytics/APIs, um Versicherern, MGAs und Underwritern bei der effizienteren Abwicklung von Schadensfällen und der Erzielung besserer Ergebnisse zu helfen. Reserv legt Wert auf moderne Technologie, datengetriebene Berichterstattung, erstklassigen Service und globale Operationen in Nordamerika, dem Vereinigten Königreich und der EU.

Beschreibung

• 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

🎯 Anforderungen

• 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

🏖️ Vorteile

• 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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