Claims Manager – Commercial Auto Excess Casualty

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Reserv Claims

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1 - 10 Mitarbeiter

☁️ SaaS

🤝 B2B

🤖 Künstliche Intelligenz

SaaS • B2B • 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 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.

🎯 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 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.

🏖️ Vorteile

• 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.