senior claims manager

The Home Depot

<div>
 
 
 Position Purpose:
 
 
 
 Responsible for defining, implementing, and managing internal claims programs (self-administration) to control quality and costs associated with premises and 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 - Premises Liability

Abbott

<div>Job Summary:
The role involves maintaining close coordination with the Senior Manager Coordination &ndash; Institutional Business to foster and expand both government and private sector business across Pakistan, subject to approval by the Director &ndash; Distribution, Institutional, and Export Sales. Key responsibilities include managing government and private sector tender business, overseeing the execution and fulfillment of business requirements for various government entities, ensuring timely recovery of payments and securities, supporting the sales team in enrolling new outlets, assisting in the submission and follow-up of IRS claims, managing screening processes for new enrollments, and providing support in institutional forecasting and data management. Additionally, the role requires performing any assigned tasks and implementing strategic initiatives to contribute to the organization's success.
Major Responsibilities:<ul><li>
Maintain close coordination with the Senior Manager Coordination &ndash; Institutional Business to foster and expand both government and private sector business across Pakistan, subject to approval by the Director &ndash; Distribution, Institutional, and Export Sales.</li><li>
Ensure timely management of government and private sector tender business, maintaining close collaboration with cross-functional departments to meet all tender requirements effectively.</li><li>
Oversee the execution and fulfillment of business requirements for the Pakistan Army, Government of Pakistan, Health Department Sindh, and Health Department Baluchistan.</li><li>
Manage the Army business process to ensure timely recovery of payments.</li><li>
Oversee the timely recovery of Earnest Money and Performance Security.</li><li>
Support the sales team in enrolling new outlets under the IRS business model and manage order approvals as recommended by the Head of Sales and approved by the Senior Manager Coordination &ndash; Institutional Business.</li><li>
Assist the Manager &ndash; Institutional Business Services in the timely submission of IRS claims and ensure consistent follow-up until clearance.</li><li>
Manage the 3PP and DPS screening processes for new enrollments in Abbott&rsquo;s institutional business.</li><li>
Provide support to the Senior Manager Coordination in institutional forecasting and data management.</li><li>
Perform any additional tasks assigned by superiors and implement strategic initiatives that contribute to the overall success of the organization.</li></ul>
Knowledge, Qualification &amp; Experience:<ul><li>
Master&rsquo;s degree or MBA preferred.</li><li>
3&ndash;5 years of relevant experience in Institutional Business.</li><li>
Proficiency in Microsoft Office applications, particularly MS Excel, MS Word, and MS PowerPoint.</li></ul></div>

Manager Coordination Institutional Business

Crane Worldwide Logistics

<div>Essential Job Functions
<ul>
<li>Log and respond to all incoming cargo claims through the claims management system</li>
<li>Report appropriate claims to the insurance carrier in a timely manner</li>
<li>Develop action plans to move claims to resolution</li>
<li>Responsible for the adjustment and handling of all cargo liability claims from third parties</li>
<li>Partners with the insurer, insurance broker and TPA to ensure best claims practices are followed from submission to final resolution.</li>
<li>Handles subrogation recoveries</li>
<li>Responsible for maintaining all loss data in the claims data base.</li>
<li>Collect, organize, analyze and provide claim reports to management and other departments as required</li>
<li>Responsible for submitting claims to accounting for payment.</li>
<li>Ensure claims are paid as appropriate, following company procedure and approval levels. Book claims appropriately to the correct business units</li>
<li>Recognize and elevate claims to the Senior Manager that could have significate exposures to the company.</li>
<li>Communicates claims activities with the Senior Manager and appropriate parties as needed.</li>
<li>Participates in insurer claim file reviews and conducts regular internal claim reviews</li>
<li>Coordinate with insurance claim teams, holding them accountable for providing superior claim management services</li>
<li>Assist department with responding to internal and external requests for information</li>
<li>Other duties as assigned</li>
</ul>
Other Skills &amp; Abilities
<ul>
<li>Must have the ability to prioritize and follow through in providing accurate and reliable information in a fast-paced, multitasking environment</li>
<li>Understanding of basic accounting principles and processes; computer skills &ndash; including heavy Excel knowledge; verbal and written communication skills; adept at problem resolution.</li>
<li>Excellent computer skills; requires Excel competency.</li>
<li>Data investigation knowledge</li>
</ul>
Physical Requirements
<ul>
<li>Job requires the ability to use vision, adjust focus and work on a standard computer screen.</li>
<li>Job may require extended sitting or standing, use of standard office equipment.</li>
<li>Job will require presence on-site at the assigned work location.</li>
<li>Job requires attendance and dependability.</li>
</ul>
 Education &amp; Experience
<ul>
<li>2-3 years cargo claims handling. Accounting experience a plus</li>
<li>Knowledge of intermodal transportation, shipping industry standards and practices</li>
<li>Maritime, Air and domestic regulations (e.g. US COGSA, Hague-Visby Rule, Montreal Convention) preferred.</li>
<li>Prior experience in a claims management system preferred.</li>
</ul>
WHY SHOULD YOU WORK FOR CRANE?

At Crane, we believe in providing our employees with excellent benefits at a Great Place to Work.

We offer:
<ul>
<li>136 hours of Paid Time Off which equals 17 days for the year, that can be used for Sick Time or for Personal Use</li>
<li>Excellent Medical, Dental and Vision benefits</li>
<li>Tuition Reimbursement for education related to your job</li>
<li>Employee Referral Bonuses</li>
<li>Employee Recognition and Rewards Program</li>
<li>Paid Volunteer Time to support a cause that is close to your heart and contributes to our communities</li>
<li>Employee Discounts</li>
<li>Wellness Incentives that can go up to $100 per year for completing challenges, in addition to a discount on contribution rates</li>
<li>Potential to earn a quarterly bonus</li>
</ul>
Come join the leader in logistics and take your career in the right direction.

Disclaimer:

The above statements are intended to describe the general nature and level of work being performed by people assigned to this position. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

We maintain a drug-free workplace and perform pre-employment substance abuse testing.

This position requires the final candidate to successfully pass an E-Verify Check.

More Information: http://www.dhs.gov/e-verify

Company benefits are contingent upon meeting eligibility requirements and plan conditions.

We are preparing to comply with the Biden Administration's mandate on COVID-19 vaccination. Please be advised that employment with the Company may be contingent upon your ability to provide proof of vaccination except in limited circumstances where you are eligible for a legal accommodation.</div>

Global Cargo Claims Specialist

CorVel Corporation

<div>The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel.

This is a remote position.

ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Receives Workers&rsquo; Compensation claim, confirms policy coverage and acknowledgement of the claim</li>
<li>Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies</li>
<li>Establishes reserves and authorizes payments within reserving authority limits</li>
<li>Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim</li>
<li>Coordinates early return-to-work efforts with the appropriate parties</li>
<li>Manages subrogation and litigation of claim as it applies</li>
<li>Manages potential claim recoveries of all types</li>
<li>Reports claims to the excess carrier when applicable</li>
<li>Communicates claim status with the customer and claimant</li>
<li>Adheres to client and carrier guidelines and participates in claims review as needed</li>
<li>Develops and maintains professional customer relationships</li>
<li>Complies with rules and regulations of applicable state</li>
<li>Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (&ldquo;IIPP&rdquo;)</li>
<li>Additional duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Excellent written and verbal communication skills</li>
<li>Ability to assist team members to develop knowledge and understanding of claims practice</li>
<li>Ability to identify, analyze and solve problems</li>
<li>Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets</li>
<li>Strong interpersonal, time management and organizational skills</li>
<li>Ability to work both independently and within a team environment</li>
<li>Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers&rsquo; Compensation</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Bachelor's degree or a combination of education and related experience</li>
<li>Minimum of 3 years&rsquo; industry experience and claim handling</li>
<li>Self-Insured Certificate preferred</li>
<li>State Certification or license as an experienced claims adjuster</li>
<li>Current license or certification in Workers&rsquo; Compensation must be maintained throughout employment with CorVel</li></ul> 


PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $29.35 - $47.28 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. 


ABOUT CORVEL:

CorVel, a certified Great Place to Work&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Remote</div>

CA Senior WC Claims Specialist

CA Senior Claims Specialist

National Truck Protection

<div>Position Summary:
The Concierge Claims Specialist is responsible for managing the end‑to‑end claims experience for strategic, high‑profile business partners and fleet customers. This role functions as a relationship manager and trusted advisor, delivering a white‑glove, account‑management approach to claims handling for medium‑ and heavy‑duty commercial vehicle service contracts. Serving as the primary liaison between elite partners, fleet customers, executive stakeholders, repair vendors, and internal leadership, the Concierge Claims Specialist exercises independent judgment to adjudicate diesel and engine‑related failures, proactively manage claim outcomes, and align claims strategies with partner expectations and organizational goals. 
Key Responsibilities
Strategic Account &amp; Relationship Management:<ul><li>
Serve as the primary account manager and point of contact for assigned strategic partners, fleet customers, and elite business accounts.</li><li>
Build and maintain strong working relationships with partner representatives, fleet managers, and senior customer contacts to ensure confidence in the claims process.</li><li>
Deliver a high‑touch, concierge‑level service experience, tailored to partner‑specific service standards and operational needs.</li><li>
Represent the organization professionally in escalated or sensitive claim situations, reinforcing trust, transparency, and brand values.</li></ul>
Claims Evaluation &amp; Decision‑Making:<ul><li>
Independently manage the full lifecycle of complex and high‑visibility claims, from first notice through resolution and payment.</li><li>
Analyze and adjudicate diesel, gas engine, and component failures in accordance with vehicle service contract terms, coverage interpretations, and authority guidelines.</li><li>
Evaluate diagnostic findings, ECM data, repair estimates, maintenance histories, and supporting documentation to determine coverage applicability and repair scope.</li><li>
Exercise discretion and judgment to approve, modify, or deny claims and related expenses within delegated authority.</li></ul>
Negotiation &amp; Cross‑Functional Coordination:<ul><li>
Collaborate with repair facilities, vendors, parts suppliers, and internal teams to validate failures, negotiate repair terms, and expedite resolutions to minimize fleet downtime.</li><li>
Lead negotiations related to repair scope, labor times, and parts pricing, balancing cost control with partner satisfaction.</li><li>
Coordinate internally with leadership, technical teams, and management to resolve non‑standard, high‑impact, or escalated claims.</li></ul>
Strategic Insight &amp; Continuous Improvement:<ul><li>
Monitor and analyze claim trends, recurring issues, and cost drivers across assigned accounts or fleets.</li><li>
Provide actionable insights and recommendations to leadership regarding service improvements, claim strategies, and product or process enhancements.</li><li>
Participate in partner‑specific calibration calls, training sessions, and joint initiatives to ensure alignment with performance expectations and service metrics.</li><li>
Maintain comprehensive and accurate documentation of all claim activity and partner interactions.</li><li>
Provide professional updates, reporting, and recommendations to upper management to support informed decision‑making.</li><li>
Ensure all claims handling activities comply with company policies, contractual obligations, regulatory requirements, and industry best practices.</li></ul> 
Qualifications<ul><li>
3+ years of experience in claims handling, account management, warranty administration, vehicle service contract adjudication, insurance, fleet manager or a related customer‑facing professional role.</li><li>
Demonstrated experience managing high‑profile customers, strategic accounts, or fleet relationships.</li><li>
Hands‑on experience with diesel engine claims or medium/heavy‑duty commercial vehicle environments strongly preferred.</li><li>
Proven ability to exercise independent judgment in resolving non‑routine, complex, or escalated issues.</li><li>
Strong negotiation, communication, and relationship‑management skills, with the ability to influence outcomes at multiple organizational levels.</li><li>
Ability to manage competing priorities while maintaining a high standard of service in a fast‑paced environment.</li><li>
Proficiency with claims management systems and Microsoft Office Suite.</li><li>
Associate&rsquo;s degree or higher, or completion of a technical or trade program, preferred.</li></ul></div>

Concierge Claims Specialist

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