Claims Manager, Casualty and Specialty

Accredited Insurance•Orlando, FL

2d•$120,000 - $130,000•Hybrid

About The Position

The Claims Manager provides strategic oversight and direction for a portfolio of claims managed by program administrators and/or TPAs across multiple lines of business. This role ensures claim adjudication is consistent with policy and contract language, regulatory requirements, and company standards while driving continuous improvement in vendor performance, claims outcomes, and operational efficiency. The Claims Manager is accountable for oversight of claim portfolios handled by program administrators/TPAs and ensuring compliance with governance standards, reporting requirements and audit protocols. Additionally, the Claims Manager will drive continuous improvement in claims handling quality, referral efficiency, and oversight workflows.

Requirements

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.
Insurance adjuster license (or ability/willingness to obtain) required in applicable jurisdictions.

Nice To Haves

Professional designations (CPCU, AIC, etc.) are a plus.

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.