Claims Manager, Insurance & Risk Management

NYCSCA•New York, NY

24d•$91,193 - $155,274

About The Position

The NYC School Construction SCA (SCA) maintains an Owner Controlled Insurance Program (OCIP) for all contractors and sub-contractors and an Operational Insurance Program for the SCA and its employees. The SCA Claims Manager, Insurance & Risk Management reports directly to the Senior Manager, Insurance & Risk Management with strategic oversight by the Chief Operating Officer (COO), and is responsible for managing the entire claim life cycle (including incident investigation, evaluation, reservation, negotiation, and resolution) of reported General Liability, Workers Compensation, Builders' Risk, Environmental, Auto, Cyber, and Property Damage claims. The Manager also supports the COO and Risk Management team efforts to promote the SCA goals of safety, loss prevention and risk mitigation.

Requirements

Bachelor of Arts degree in Insurance, Risk Management, Finance, Business Administration or similar program; and
A minimum of five years' experience in insurance or risk management with emphasis on complex construction claims; or
An equivalent combination of education, training and/or experience.
Ability to read and understand contracts and insurance documents.
Demonstrated interpersonal skills and ability to work with staff at all levels, both internal and external.

Nice To Haves

CPCU, ARM, CRIS, or similar insurance designation desired.
Familiarity with the Northeast construction industry, New York State (NYS) construction and labor laws and regulations, NYS and NYC collective bargaining agreements and the SCA.
Labor law and/or Workers Compensation background.
Proven written and verbal communication abilities with emphasis on problem solving and negotiation.
Proficiency with computer applications, including Microsoft Office suite and insurance-based RMIS systems.

Responsibilities

Claims Management & Investigation: Timely coverage analysis and communication with the Senior Manager, Insurance & Risk Management, COO, and other members of the Insurance & Risk Management team based on application of policy information, facts or allegations of each incident or claim.
Investigates each claim through prompt contact with appropriate parties such as SCA staff, contractors, claimants, witnesses, brokers, TPA, medical providers and technical experts to determine the extent of liability, damages, and contribution potential.
Verifies claims are properly coded.
Takes necessary statements.
Identifies resources for specific activities required to properly investigate claims such as subrogation, loss control, medical consultants, and surveillance, fire or fraud investigators and other experts.
Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation.
Recognizes claims based on severity protocols for timely referral to and discussion with the Senior Manager, Insurance & Risk Management, and COO.
Keeps effective diary management system and maintains claims files to ensure that all claims are handled timely and efficiently.
Updates appropriate parties as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options.
At required time intervals, evaluates liability and damages exposure, and establishes proper indemnity, expense, and settlement reserves.
Responsible for prompt, cost effective, and proper disposition of all claims within delegated authority.
Negotiates disposition of claims with the Senior Manager, Insurance & Risk Management, COO, broker, carrier, and TPA as well as claimants or their representatives.
Recognizes and implements alternate means of resolution.
TPA / Litigation Management: Supports the development and maintenance of claims handling instructions to set adjuster expectations, ensure consistency, control, and compliance.
Consults with the Senior Manager, Insurance & Risk Management, COO, broker and third-party adjusters (TPA), and carriers on use of panel counsel.
Supports the development of litigation plans with staff or panel counsel, track and control legal expenses.
May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
Serves as a technical resource, attends legal proceedings as needed, acts within established professional guidelines as well as applicable state laws.
Data Analytics & Systems: Leverages the Risk Management Information System (RMIS) to track incidents, analyze trends, and drive data-informed decisions for claims and risk mitigation.
Ensures correct data coding and supports the creation of dashboards, analytics, and reporting.
Risk Management & Interdepartmental Coordination: Coordinates with internal stakeholders to maximize Risk Management efforts.
Collaborates with the Office of Inspector General by identifying and reporting potential fraud, providing supporting documentation, facilitating investigations, and ensuring adherence to oversight requirements.
Partners with the Safety and Construction Management Units to implement process enhancements, resolve contractor claims, and strengthen workplace safety practices.
Works with Labor Law Compliance Unit to identify contractor payroll irregularities.
Coordinates and delivers training to staff and stakeholders on procurement policies, procedures, and SCA practices.