Claims Manager
About The Position
Job Summary: The Claims Manager oversees the full lifecycle of claims management—including intake, investigation, resolution, and reporting—for workers’ compensation, general liability, and auto claims. This role is critical in protecting the organization’s assets and ensuring compliance with internal policies and external regulations. Essential Functions and Responsibilities: 1. Serve as the primary liaison with insurance carriers, TPAs, legal counsel, and internal stakeholders. 2. Manage and store all claim documentation in the company’s record management system. 3. Evaluate incidents for claim reporting and seek additional information to assess potential exposure. 4. Guide team members on documentation, reporting, and evidence preservation. 5. Coordinate with TPAs, adjusters, brokers, and defense counsel to provide necessary documentation. 6. Administer and resolve small in-house claims and obtain necessary releases. 7. Prepare and submit monthly claims reviews, KPIs, and cost run reports. 8. Maintain the OSHA 300 Log and collaborate with Safety staff. 9. Approve reserves and settlements within authority limits. 10. Analyze data to identify risk trends and recommend mitigation strategies. 11. Support insurance program renewals and captive operations, including invoice processing and actuarial reporting. 12. Oversee the certificate of insurance (COI) process and issue certificates as needed. Requirements Expectations: 1. Maintain accurate and up-to-date documentation for all claims. 2. Prepare periodic reports and dashboards for senior leadership. 3. Lead internal audits and support external audits related to claims. 4. Collaborate cross-functionally with HR, Safety, and Operations to support return-to-work programs and incident prevention. 5. Design and implement policies and procedures to minimize risk and liability.
Requirements
- Bachelor’s degree required (preferably in Business, Finance, or Risk Management).
- 5+ years of relevant experience in claims/insurance administration, with at least 1 year in direct claims adjusting.
- Strong knowledge of commercial liability, property, and auto claims.
- Familiarity with claims handling and reserving best practices.
- Excellent verbal and written communication skills.
- Ability to work independently and assess complex investigations.
- Strong interpersonal skills to maintain effective relationships with internal teams and external
Nice To Haves
- Claims certifications such as AIC, ARM, or CPCU preferred.
- Experience with insurance program administration and captive operations is a plus.
- Knowledge of state EPA regulations is advantageous.
Responsibilities
- Serve as the primary liaison with insurance carriers, TPAs, legal counsel, and internal stakeholders.
- Manage and store all claim documentation in the company’s record management system.
- Evaluate incidents for claim reporting and seek additional information to assess potential exposure.
- Guide team members on documentation, reporting, and evidence preservation.
- Coordinate with TPAs, adjusters, brokers, and defense counsel to provide necessary documentation.
- Administer and resolve small in-house claims and obtain necessary releases.
- Prepare and submit monthly claims reviews, KPIs, and cost run reports.
- Maintain the OSHA 300 Log and collaborate with Safety staff.
- Approve reserves and settlements within authority limits.
- Analyze data to identify risk trends and recommend mitigation strategies.
- Support insurance program renewals and captive operations, including invoice processing and actuarial reporting.
- Oversee the certificate of insurance (COI) process and issue certificates as needed.
- Maintain accurate and up-to-date documentation for all claims.
- Prepare periodic reports and dashboards for senior leadership.
- Lead internal audits and support external audits related to claims.
- Collaborate cross-functionally with HR, Safety, and Operations to support return-to-work programs and incident prevention.
- Design and implement policies and procedures to minimize risk and liability.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
