Claims Manager – Commercial Auto Excess Casualty

🕒 il y a 5 jours

🇺🇸 États-Unis – Télétravail

⏰ Temps Plein

🟠 Senior

🔴 Expert

👔 Manager

👻 Score fantôme 12%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Reserv Claims

Site WebLinkedInTous les Emplois

1 - 10 employés

🛡️ Assurance

☁️ SaaS

🤖 Intelligence artificielle

Insurance • SaaS • Artificial Intelligence

Reserv Claims est un fournisseur de solutions SaaS B2B et un administrateur tiers (TPA) spécialisé dans la gestion des sinistres d'assurance IARD (Incendie, Accidents et Risques Divers). La société combine un moteur d'automatisation des sinistres alimenté par l'IA, un réseau d'experts sinistres formés, des flux de travail configurables et des solutions analytiques/API pour aider les assureurs, MGA et souscripteurs à traiter les sinistres plus efficacement et à obtenir de meilleurs résultats. Reserv met l'accent sur une infrastructure technologique moderne, des rapports basés sur les données, un service haut de gamme et des opérations mondiales en Amérique du Nord, au Royaume-Uni et dans l'UE.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

• 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