manager - claims

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claims examiner liability remote bi lit exp licensed

Sedgwick

<div>By joining Sedgwick, you'll be part of something truly meaningful. It&rsquo;s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there&rsquo;s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America&rsquo;s Greatest Workplaces National Top Companies
Certified as a Great Place to Work&reg;
Fortune Best Workplaces in Financial Services &amp; Insurance
Claims Examiner - Liability (REMOTE- BI/Lit exp &amp; LICENSED in any: NC, SC, VA, FL DE DC DE MD)
***Looking for bodily injury/ligation adjuster with auto- trucking claim, product claims, GL premises. Needs to be licensed in NC, SC, VA, FL DE DC DE MD. ***
Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world&rsquo;s best brands?
<ul><li>Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
</li><li>Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world&rsquo;s most respected organizations.
</li><li>Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
</li><li>Leverage Sedgwick&rsquo;s broad, global network of experts to both learn from and to share your insights.
</li><li>Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
</li><li>Enjoy flexibility and autonomy in your daily work, your location, and your career path.
</li><li>Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
</li></ul>ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
PRIMARY PURPOSE : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
<ul><li>Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
</li><li>Assesses liability and resolves claims within evaluation.
</li><li>Negotiates settlement of claims within designated authority.
</li><li>Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
</li><li>Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
</li><li>Prepares necessary state fillings within statutory limits.
</li><li>Manages the litigation process; ensures timely and cost effective claims resolution.
</li></ul>ADDITIONAL FUNCTIONS and RESPONSIBILITIES
<ul><li>Performs other duties as assigned.
</li><li>Supports the organization's quality program(s).
</li><li>Travels as required.
</li></ul>QUALIFICATIONS
Education &amp; Licensing
Bachelor's degree from an accredited college or university preferred.
Experience :
5 years of Liability claims management experience or equivalent combination of education and experience required.
TAKING CARE OF YOU
<ul><li>Flexible work schedule.
</li><li>Referral incentive program.
</li><li>Career development and promotional growth opportunities.
</li><li>A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
</li></ul>The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
<h2 class="jobSectionHeader">If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.</h2></div>

Claims Examiner - Liability (REMOTE- BI/Lit exp & LICENSED in any: NC, SC, VA, FL DE DC DE MD)

Zurich North America

<div>
 Zurich North America is currently hiring an Auto Litigation Claims Specialist to join our Auto Rental Liability team.
 
 
 At Zurich North America Claims, we prioritize work-life balance and flexibility to support your career and personal goals. Our hybrid work model is thoughtfully designed to offer employees flexibility in choosing their preferred work location while fostering meaningful in-person connections and collaborative opportunities. While this model emphasizes autonomy, occasional in-office attendance may be required.
 
 
 The selected candidate should be able to report to one of our major claims hub offices on a hybrid work schedule: Atlanta, GA; Addison, TX; Omaha, NE; Overland Park, KS; Schaumburg, IL; Gold River, CA.
 
 
 
 Job Responsibilities:
 
 
 
 Under moderate supervision, the Auto Litigation Claims Specialist will manage multi-party commercial line rental liability claims of low to moderate complexity and exposure within specific authority limits. This role adheres to established claims-handling protocols, delivering efficient, customer-focused service.
 
 
 
 Basic Qualifications:
 
 
 
 <ul>
 <li>
 Bachelor&rsquo;s Degree with 3 or more years of experience in Claims or Insurance OR
 </li>
 <li>
 Zurich Certified Insurance Apprentice (including an Associate Degree) with 3 or more years of experience in Claims or Insurance OR
 </li>
 <li>
 Completion of the Zurich Claims Training Program with 2 or more years of experience in Claims or Insurance OR
 </li>
 <li>
 High School Diploma (or equivalent) with 5+ years of experience in Claims or Insurance
 </li>
 <li>
 Must obtain and maintain required adjuster license(s)
 </li>
 <li>
 Knowledge of insurance regulations, markets, and products
 </li>
 <li>
 Proficiency in Microsoft Office
 
 
 </li>
 </ul>
 
 Preferred Qualifications:
 
 
 
 <ul>
 <li>
 3 or more years of experience managing commercial auto claims, with a focus on litigated files
 </li>
 <li>
 Expertise in handling rental liability Claims
 </li>
 <li>
 Strong background in handling bodily injury claims
 </li>
 <li>
 In-depth knowledge of uninsured and underinsured motorist (UM/UIM) coverage
 </li>
 <li>
 Exceptional verbal and written communication skills, with the ability to convey complex information clearly
 </li>
 <li>
 Demonstrated strength in analytical thinking, critical problem-solving, and sound decision-making
 </li>
 <li>
 Proven ability to manage time effectively, prioritize tasks, and handle multiple assignments in a fast-paced environment
 </li>
 <li>
 Collaborative team player with experience building effective cross-functional relationships
 </li>
 <li>
 Skilled at articulating complex financial and actuarial concepts to both technical and non-technical stakeholders
 </li>
 <li>
 Adept at evaluating claim scope and exposure, particularly for moderately complex cases
 </li>
 <li>
 Solid understanding of indemnity and expense reserving processes to support accurate exposure analysis
 </li>
 <li>
 Expertise in developing and executing strategic negotiation approaches for efficient claim resolution
 
 
 </li>
 </ul>
 Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply&mdash;your unique background matters to us. The pay range shown is a national average and may vary by location. The proposed Salary range for this position is $59,900.00 - $98,200.00, with short-term incentive bonus eligibility set at 10%.
 
 
 We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here.]
 
 
 
 Why Zurich?
 
 
 
 At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment&mdash;so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500&reg;.
 
 
 Join us for a brighter future&mdash;for yourself and our customers.
 
 
 Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets.
 
 
 Zurich complies with 18 U.S. Code
 
 
 <ul>
 <li>
 1033.
 
 
 </li>
 </ul>
 
 Please note:
 
 Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal.
 
 
 Location(s): AM - Omaha, AM - Addison, AM - Atlanta, AM - Gold River, AM - Overland Park, AM - Schaumburg
 
 
 Remote Working: Hybrid
 
 
 Schedule: Full Time
 
 
 Employment Sponsorship Offered: No
 
 
 Linkedin Recruiter Tag:
 
 
</div>

Auto Rental Liability Litigation Claims Specialist

Advantage Investigations

<div>For the past 28 years, Advantage Investigations has been the Nation&rsquo;s only insurance defense investigation firm that invests in the operational capabilities necessary to produce consistent, high-quality results&mdash;ultimately helping our clients &quot;See What&rsquo;s True.&quot;
With over 200+ licensed private investigators Nationwide, Advantage uses strategic planning and technology to give our clients greater clarity on a claimant's daily activities. Providing Covert Surveillance, Claims Investigations, Net-Sweep Investigations, Remote Controlled Surveillance, and more, we&rsquo;re able to save our clients time and money on insurance fraud cases.<div>
Advantage Investigations is seeking a Part Time Private Investigator in the Atlanta, GA &amp; surrounding areas. The qualified candidate will be responsible for conducting covert surveillance, investigating daily activities, obtaining video evidence, and providing a clear report of all activities for our operations team along with basic claims investigations. As a private investigator, you will be provided with a comprehensive training program, door to door pay, fuel card, vehicle and phone allowance, top-of-the-line equipment, as well as other generous benefits. This position requires daily travel within the investigator&rsquo;s area/territory. 
 
Duties &amp; Responsibilities:</div><div><ul><li>
Conducting surveillance including covert, stationery, and mobile</li></ul></div><ul><li>
Conducting surveillance throughout their home state and surrounding states</li><li>
Recording subject activity on a video recording device</li><li>
Conducting alive and well checks, locates, basic scene investigations, paint sample analysis, EDR, and RCS deployments/retrievals</li><li>
Preparing and completing a written report of observations</li><li>
Uploading Video Evidence and a surveillance report</li></ul><div> 
Qualifications &amp; Requirements:</div><ul><li>
Current GA Private Investigator License preferred</li><li>
Private Investigator Licenses required &ndash; Licensing differs between states</li><li>
Previous experience related to surveillance/claims investigations is preferred</li><li>
Access to a reliable, suitable surveillance vehicle for day-to-day use</li><li>
Valid Driver&rsquo;s License</li><li>
Ability to provide MVR (driving record)</li><li>
Willingness to travel throughout home state and surrounding states for work</li><li>
Varying weekly work schedule includes weekend and holiday availability</li><li>
Good oral and written communication skills</li><li>
Self-motivated, ability to work independently</li><li>
Meet state mandated requirements to obtain and maintain a Private Investigator license multiple states</li><li>
Must pass a Drug Screen</li></ul> 
Compensation: 
Investigators are paid door to door at an hourly rate commensurate with experience, within $20.00 to $25.00 an hour. Employees are paid on a bi-weekly basis.<div>
Company Benefits:</div><div><ul><li>
Door to Door hourly pay</li><li>
Fuel Card provided</li><li>
Monthly Vehicle Allowance</li><li>
Monthly Cell Phone Allowance</li><li>
Equipment Provided</li><li>
Medical, Dental, Vision, and Disability insurance</li><li>
Life Insurance and other supplemental options</li><li>
Paid Lodging (when applicable), and per diem pay when out of town</li><li>
401(k) &ndash; with match</li><li>
2 weeks of PTO (paid time off)</li><li>
Parental Leave</li></ul></div><div></div> 
Advantage Investigations is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.</div>

Field Investigator

<div>By joining Sedgwick, you'll be part of something truly meaningful. It&rsquo;s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there&rsquo;s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America&rsquo;s Greatest Workplaces National Top Companies
Certified as a Great Place to Work&reg;
Fortune Best Workplaces in Financial Services &amp; Insurance
Claims Representative - Liability (Needs to be local to Atlanta)
Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world&rsquo;s best brands?
<ul><li>Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
</li><li>Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world&rsquo;s most respected organizations.
</li><li>Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
</li><li>Leverage Sedgwick&rsquo;s broad, global network of experts to both learn from and to share your insights.
</li><li>Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
</li><li>Enjoy flexibility and autonomy in your daily work, your location, and your career path.
</li><li>Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
</li></ul>ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
PRIMARY PURPOSE :
<div><div><div><div>To process low level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements with general supervision.
</div></div></div></div>ESSENTIAL FUNCTIONS and RESPONSIBILITIES
<ul><li>Processes low level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
</li><li>Develops and coordinates low level general liability claims' action plans to resolution, return-to-work efforts, and approves claim payments.
</li><li>Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract.
</li><li>Administers subrogation of claims and negotiates settlements.
</li><li>Communicates claim action with claimant and client.
</li></ul>ADDITIONAL FUNCTIONS and RESPONSIBILITIES
<ul><li>Performs other duties as assigned.
</li><li>Supports the organization's quality program(s).
</li><li>Travels as required.
</li></ul>QUALIFICATIONS
Education &amp; Licensing
Bachelor's degree from an accredited college or university preferred.
Experience :
Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training required.
TAKING CARE OF YOU
<ul><li>Flexible work schedule.
</li><li>Referral incentive program.
</li><li>Career development and promotional growth opportunities.
</li><li>A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
</li></ul>The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
<h2 class="jobSectionHeader">If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.</h2></div>

Claims Representative - Liability (Needs to be local to Atlanta)

AIG Claims, Inc.

<div>At AIG, we are reimagining the way we help customers to manage risk. Join us as a Complex Claims Liability Director, TPA Oversight to play your part in that transformation. It&rsquo;s an opportunity to grow your skills and experience as a valued member of the team.
Make your mark in Claims
Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency.
How you will create an impact
As Complex Claims Director &ndash; TPA Oversight, you will analyze and process bodily injury and third-party property damage claims by investigating and gathering information to determine the exposure on the claim; ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans. You will determine need for and direct independent adjusters to gather information to determine exposure on the claim and control their costs.<ul><li>
Identify and evaluate coverage issues; prepare comprehensive coverage letters with supervisory review and analysis; retain and provide direction to coverage counsel when necessary.</li><li>
Assess liability and resolve claim within established evaluation. Maintain diaries and complete tasks within required timeframes as set forth by department guidelines; ensure claim files are timely and properly documented with clear and concise analysis on coverage, damages, reserves, and liability including an action plan for resolution. Process and pay invoices within a timely manner.</li><li>
Coordinate vendor referrals for additional investigation and/or litigation management. Calculate and assign timely and appropriate reserves; monitor reserve accuracy throughout the life of the claim.</li><li>
Refer case as appropriate to supervisor and management. Respond to requests or directions in a professional and timely manner.</li><li>
Attend arbitrations, mediations, settlement conference and trials.</li><li>
Successfully complete required State licensing examinations and continuing education requirement.</li><li>
Communicate with all internal business partners including underwriters to make sure underwriting is aware of large losses and industry trends.</li><li>
Partner with TPA Governance and Relationship Management to help TPA&rsquo;s and Insureds comply with claim handling and reporting guidelines.</li><li>
Work with TPA Claims Financial to check the accuracy of TPA financials ensuring alignment with TTPO financials.</li></ul>
What you will need to succeed<ul><li>
7 plus years of General Liability/Auto claims experience.</li><li>
Experience with complex and high exposure General Liability Bodily Injury and Property Damage claims.</li><li>
Excellent communication skills (verbal/written) and strong negotiation skills.</li><li>
Advanced experience and capabilities in litigation claims management, including ADR and mediation processes, involving auto/GL exposures.</li><li>
Strong technical expertise interpreting insurance contracts.</li><li>
In depth knowledge of claim handling procedures, claims performance strategies, and claim best practices.</li><li>
Advanced analytical and problem solving skills.</li><li>
Should also have a demonstrated ability to initiate and champion change initiatives that leverage technology and improve skills in benchmarking.</li><li>
Creativity in resolving challenging business problems, as well as ability to achieve business goals and objectives is essential.</li></ul>
Ready to accelerate your career? We would love to hear from you.
Compensation for this position includes base salary and eligibility for a bonus in accordance with the terms of the applicable incentive plan. In addition, we&rsquo;re proud to offer a range of competitive benefits, a summary of which can be viewed here: US Benefits.
#LI-AIG #claimsprofessionals #InsuranceJobs #legalcareers #paralegaljobs #claimsexaminer #claimsadjuster #InsuranceCareers #insuranceTPA
At AIG, we value in-person collaboration as a vital part of our culture, which is why we ask our team members to be primarily in the office. This approach helps us work together effectively and create a supportive, connected environment for our team and clients alike.
Enjoy benefits that take care of what matters
At AIG, our people are our greatest asset. We know how important it is to protect and invest in what&rsquo;s most important to you. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security&mdash;as well as your professional development&mdash;to bring peace of mind to you and your family.
Reimagining insurance to make a bigger difference to the world
American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the world&rsquo;s most far-reaching property casualty networks. It is an exciting time to join us &mdash; across our operations, we are thinking in new and innovative ways to deliver ever-better solutions to our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage risk, respond to times of uncertainty and discover new potential. We invest in our largest asset, our people, through continuous learning and development, in a culture that celebrates everyone for who they are and what they want to become.
Welcome to a culture of inclusion
We&rsquo;re committed to creating a culture that truly respects and celebrates each other&rsquo;s talents, backgrounds, cultures, opinions and goals. We foster a culture of inclusion and belonging through learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The talent of our people is one of AIG&rsquo;s greatest assets, and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations.
AIG provides equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories.
AIG is committed to working with and providing reasonable accommodations to job applicants and employees with disabilities. If you believe you need a reasonable accommodation, please send an email to candidatecare@aig.com.
<div><div><div><div><div><div><div>Functional Area:</div></div></div></div></div></div></div>
CL - Claims
AIG Claims, Inc.</div>

Complex Claims Liability Director, TPA Oversight

The Home Depot

<div>Position Purpose:
Responsible for defining, implementing, and managing internal claims programs (self-administration) to control quality and costs associated with general liability claims (e.g. customer bodily injury and property damage). This position ensures the company&rsquo;s claims are handled internally in compliance with industry best practices and company policies, without reliance on a third-party administrator.
Key Responsibilities:<ul><li>
25% Claims Handling Standards - Develops and enforces claims handling standards and best practices and oversees quality assurance programs (e.g. file reviews and audits) to ensure adherence to those standards. Drives continuous improvement in claims processes and outcomes under the self-administration model.</li><li>
30% Claims Operations Management - Leads the day-to-day operations of a multi-line general liability claims unit, ensuring consistent application of departmental standards, policies, and procedures. Oversees claim intake, investigation, and resolution processes to maintain efficiency and compliance with service and quality benchmarks. Drives cost containment initiatives, including management of allocated expenses on claims. Monitors loss costs and implement strategies to reduce average claim costs while maintaining fairness and compliance (such as early resolution programs, subrogation efforts, etc.).</li><li>
10% Settlement Authority Oversight - Assumes oversight for all claim settlements and reserve decisions within designated authority levels &ndash; reviewing and approving settlements in accordance with company guidelines. Reviews written settlement evaluations and escalates to the appropriate approval level in the organization when required.</li><li>
10% Stakeholder Communication - Establishes clear interface guidelines and communication channels among all parties involved in claims, including the internal claims team (examiners/adjusters), store management, associates, and the Legal department. Regularly communicates claim status and trends to senior management and other stakeholders.</li><li>
25% Team Leadership - Manages and develops the in-house claims staff. Responsible for the selection, training, performance appraisal, and professional development of direct reports. Fosters a high-performance team culture and provides coaching and guidance to ensure adjusters meet regulatory requirements and company performance standards.</li></ul>
Direct Manager/Direct Reports:
<ul><li>This Position typically reports to Senior Claims Manager.
</li><li>This Position may have direct reports.</li></ul>
Travel Requirements:<ul><li>
Typically requires overnight travel 5% to 20% of the time.
</li></ul>Physical Requirements:
<ul><li>Most of the time is spent sitting in a comfortable position and there is frequent opportunity to move about. On rare occasions, there may be a need to move or lift light articles.</li></ul>
Working Conditions:
<ul><li>Located in a comfortable indoor area; any unpleasant conditions would be infrequent and not objectionable.</li></ul>
Minimum Qualifications:
<ul><li>Must be eighteen years of age or older.</li><li>
Must be legally permitted to work in the United States.</li><li>
Demonstrated supervisory and team management experience in the insurance claims field, with ability to mentor adjusters and implement efficient claims handling processes. Strong leadership abilities evidenced by building effective teams and improving workflow.</li></ul>
Preferred Qualifications:<ul><li>
Industry Knowledge: In-depth knowledge of casualty claims best practices, legal compliance (fair claims practices, state regulations), and claims quality control techniques (e.g. file audit and review programs). Capable of establishing and upholding rigorous standards for internal claims operation.</li><li>
Analytical &amp; Communication Skills: Excellent analytical and critical thinking skills to evaluate claim information and make sound decisions quickly. Effective negotiation and communication skills, enabling successful settlement negotiations and collaboration with internal and external stakeholders (customers, attorneys, insurers).</li><li>
Bachelor&rsquo;s degree in risk management, Insurance, Business, or related field preferred (or equivalent industry experience).</li><li>
Professional development in insurance claims or risk management (e.g. industry certifications) is a plus.</li></ul>
Minimum Education:<ul><li>
The knowledge, skills and abilities typically acquired through the completion of a high school diploma and/or GED.</li></ul>
Preferred Education:<ul><li>
The knowledge, skills and abilities typically acquired through the completion of a bachelor's degree program or equivalent degree in a field of study related to the job.</li></ul>
Minimum Years of Work Experience:<ul><li>
8</li></ul>
Preferred Years of Work Experience:
<ul><li>10</li></ul>
Minimum Leadership Experience:<ul><li>
3+ years of previous leadership experience</li></ul>
Preferred Leadership Experience:
<ul><li>5+ years of previous leadership experience</li></ul>
Certifications:
<ul><li>Insurance licensing as required by state</li></ul>
Competencies:
<ul><li>Decision Quality</li><li>
Collaborates</li><li>
Drives Engagement</li><li>
Ensures Accountability</li><li>
Plans and Aligns</li><li>
Communicates Effectively</li><li>
Customer Focus</li><li>
Develops Talent</li><li>
Drives Results</li><li>
Manages Conflict</li></ul></div>

Manager - Claims

<div>
 
 
 Position Purpose:
 
 
 
 Responsible for defining, implementing, and managing internal claims programs (self-administration) to control quality and costs associated with general liability claims (e.g. customer bodily injury and property damage). This position ensures the company&rsquo;s claims are handled internally in compliance with industry best practices and company policies, without reliance on a third-party administrator.
 
 
 
 
 
 
 Key Responsibilities:
 
 
 <ul>
 <li>
 25% Claims Handling Standards - Develops and enforces claims handling standards and best practices and oversees quality assurance programs (e.g. file reviews and audits) to ensure adherence to those standards. Drives continuous improvement in claims processes and outcomes under the self-administration model.
 </li>
 <li>
 30% Claims Operations Management - Leads the day-to-day operations of a multi-line general liability claims unit, ensuring consistent application of departmental standards, policies, and procedures. Oversees claim intake, investigation, and resolution processes to maintain efficiency and compliance with service and quality benchmarks. Drives cost containment initiatives, including management of allocated expenses on claims. Monitors loss costs and implement strategies to reduce average claim costs while maintaining fairness and compliance (such as early resolution programs, subrogation efforts, etc.).
 </li>
 <li>
 10% Settlement Authority Oversight - Assumes oversight for all claim settlements and reserve decisions within designated authority levels &ndash; reviewing and approving settlements in accordance with company guidelines. Reviews written settlement evaluations and escalates to the appropriate approval level in the organization when required.
 </li>
 <li>
 10% Stakeholder Communication - Establishes clear interface guidelines and communication channels among all parties involved in claims, including the internal claims team (examiners/adjusters), store management, associates, and the Legal department. Regularly communicates claim status and trends to senior management and other stakeholders.
 </li>
 <li>
 25% Team Leadership - Manages and develops the in-house claims staff. Responsible for the selection, training, performance appraisal, and professional development of direct reports. Fosters a high-performance team culture and provides coaching and guidance to ensure adjusters meet regulatory requirements and company performance standards.
 </li>
 </ul>
 
 
 
 
 
 Direct Manager/Direct Reports:
 
 
 <ul>
 <li>
 This Position typically reports to Senior Claims Manager.
 </li>
 <li>
 This Position may have direct reports.
 </li>
 </ul>
 
 
 
 
 
 Travel Requirements
 
 :
 
 <ul>
 <li>
 Typically requires overnight travel 5% to 20% of the time.
 </li>
 </ul>
 
 
 
 
 
 Physical Requirements:
 
 
 <ul>
 <li>
 Most of the time is spent sitting in a comfortable position and there is frequent opportunity to move about. On rare occasions, there may be a need to move or lift light articles.
 </li>
 </ul>
 
 
 
 
 
 Working Conditions:
 
 
 <ul>
 <li>
 Located in a comfortable indoor area; any unpleasant conditions would be infrequent and not objectionable.
 </li>
 </ul>
 
 
 
 
 
 Minimum Qualifications:
 
 
 <ul>
 <li>
 Must be eighteen years of age or older.
 </li>
 <li>
 Must be legally permitted to work in the United States.
 </li>
 <li>
 Demonstrated supervisory and team management experience in the insurance claims field, with ability to mentor adjusters and implement efficient claims handling processes. Strong leadership abilities evidenced by building effective teams and improving workflow.
 </li>
 </ul>
 
 
 
 
 
 Preferred Qualifications:
 
 
 <ul>
 <li>
 Industry Knowledge: In-depth knowledge of casualty claims best practices, legal compliance (fair claims practices, state regulations), and claims quality control techniques (e.g. file audit and review programs). Capable of establishing and upholding rigorous standards for internal claims operation.
 </li>
 <li>
 Analytical &amp; Communication Skills: Excellent analytical and critical thinking skills to evaluate claim information and make sound decisions quickly. Effective negotiation and communication skills, enabling successful settlement negotiations and collaboration with internal and external stakeholders (customers, attorneys, insurers).
 </li>
 <li>
 Bachelor&rsquo;s degree in risk management, Insurance, Business, or related field preferred (or equivalent industry experience).
 </li>
 <li>
 Professional development in insurance claims or risk management (e.g. industry certifications) is a plus.
 </li>
 </ul>
 
 
 
 
 
 Minimum Education:
 
 
 <ul>
 <li>
 The knowledge, skills and abilities typically acquired through the completion of a high school diploma and/or GED.
 </li>
 </ul>
 
 
 
 
 
 Preferred Education:
 
 
 <ul>
 <li>
 The knowledge, skills and abilities typically acquired through the completion of a bachelor's degree program or equivalent degree in a field of study related to the job.
 </li>
 </ul>
 
 
 
 
 
 Minimum Years of Work Experience
 
 :
 
 <ul>
 <li>
 8
 </li>
 </ul>
 
 
 
 
 
 Preferred Years of Work Experience:
 
 
 <ul>
 <li>
 10
 </li>
 </ul>
 
 
 
 
 
 Minimum Leadership Experience
 
 :
 
 <ul>
 <li>
 3+ years of previous leadership experience
 </li>
 </ul>
 
 
 
 
 
 Preferred Leadership Experience:
 
 
 <ul>
 <li>
 5+ years of previous leadership experience
 </li>
 </ul>
 
 
 
 
 
 Certifications:
 
 
 <ul>
 <li>
 Insurance licensing as required by state
 </li>
 </ul>
 
 
 
 
 
 Competencies:
 
 
 <ul>
 <li>
 Decision Quality
 </li>
 <li>
 Collaborates
 </li>
 <li>
 Drives Engagement
 </li>
 <li>
 Ensures Accountability
 </li>
 <li>
 Plans and Aligns
 </li>
 <li>
 Communicates Effectively
 </li>
 <li>
 Customer Focus
 </li>
 <li>
 Develops Talent
 </li>
 <li>
 Drives Results
 </li>
 <li>
 Manages Conflict
 </li>
 </ul>
 
 
</div>

Claims Manager

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