Claims Manager, Casualty and Specialty

Description

Key Responsibilities

• Provide strategic oversight of claim handling within assigned programs, ensuring accurate coverage determinations, liability assessments, reserving, and damages evaluations.
• Oversee program administrator/TPA claim investigations, performance, and reporting to ensure alignment with Accredited’ s standards and obligations.
• Review claim notices and reports for accuracy and completeness; confirm timely escalation of high exposure, litigated, or disputed matters.
• Ensure appropriate interpretation and application of contract language, with decisions grounded in governing agreements and applicable law; evaluate reinsurance contract response and loss allocation, as applicable.
• Monitor claim activity and develop reporting for leadership on emerging risks, portfolio trends, and potential disputes.
• Support counsel in arbitration, litigation, and dispute resolution, contributing to strategic positioning.
• Maintain diary control and verify reserves and file updates accurately reflect company exposure.
• Lead or contribute to special projects, policy development, and process improvements across the claims function.
• Collaborate with leadership across Underwriting, Legal, Reinsurance, and Operations to strengthen claims governance and outcomes.
• Provide oversight of casualty and specialty claims, including general liability, products
• liability, commercial auto, and professional lines.
• Ensure appropriate evaluation of liability, damages, and reserving in complex bodily injury and litigated matters.
• Lead oversight of litigation management, aligning defense strategy with business objectives.
• Monitor emerging casualty risks (e.g., nuclear verdicts, social inflation) and escalate portfolio concerns to leadership.

Skills & Experience

• Must possess casualty claims expertise, including complex liability and litigated claims.
• Experience leading and managing external partners, including TPAs and MGAs, with a focus on vendor performance and quality outcomes.
• Experience working in vendor-heavy adjusting environments; prior TPA and/or client service experience is preferred.
• Strong analytical, organizational, interpersonal, and communication skills, with the ability to influence external partners and internal stakeholders, manage multiple priorities, and adapt in fast-paced, deadline-driven environments.
• Ability to balance strategic oversight with operational execution while working independently and exercising sound judgment.
• Familiarity with reinsurance structures, delegated authority models, and contract interpretation.
• 5–10 years of experience handling multiline commercial claims, including admitted, non-admitted, and program business.
• Ability to work in the office (New York or Orlando highly preferred) up to three days per week.
• Willingness to travel occasionally (approximately 2–4 trips annually).

• Bachelor’s degree in business, finance, or related field.
• Professional designations (CPCU, AIC, etc.) are a plus.
• Insurance adjuster license (or ability/willingness to obtain) required in applicable jurisdictions.

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