Claims Manager

Foundation Risk Partners•Ormond Beach, FL

10d•Remote

About The Position

Foundation Risk Partners is hiring a Commercial Lines Claims Manager for its team. This remote role requires residence in the Eastern Time Zone. The Claims Manager oversees and monitors claims, reports claim statuses, and facilitates claim resolutions and settlements that can positively affect clients’ financial or other business interests. The role coordinates reporting and advocacy for commercial property and casualty claims, performs coverage review and analysis, prepares coverage reconsideration requests, and analyzes loss data and claim metrics. The Claims Manager coordinates quarterly Claims Strategy Discussions involving insurer adjusters and/or Claims Account Executives and insured clients, and maintains client contacts. The position also supports internal and external customers with claim-status updates, settlement-offer analysis, coverage questions, and claims strategy. The role includes monitoring investigations, evaluations, reserves, payments, and settlements, as well as directly monitoring selected litigated claims and overseeing defense counsel.

Requirements

Property & Casualty or All Lines Adjuster License in the employee’s home state.
High school diploma or equivalent.
5–7 years of experience handling first- and third-party property and casualty claims or in agency/brokerage claims advocacy.
Proficiency in Microsoft Office Suite, Adobe Pro, and insurance agency management software, including EPIC and AMS360.
Strong organizational skills and the ability to prioritize multiple tasks with attention to detail.
Effective written and verbal communication skills.
Proactive problem-solving and sound decision-making capability.
Ability to meet performance goals and deadlines in a fast-paced environment.
Ability to handle confidential information with discretion, adapt to competing demands, and provide a high level of customer and client service.

Nice To Haves

Some college coursework.
Professional designations such as AIC, ARM, or AINS.

Responsibilities

Provide guidance and client advocacy in the adjustment of property, general liability, workers’ compensation, professional liability, and other claims.
Identify potential coverage issues and provide policy interpretation.
Review and develop rebuttal responses to Reservation of Rights notices and coverage declinations.
Review Proof of Loss and Statement of Loss documents for Personal Lines and Commercial Lines claims.
Identify claims for client and carrier-partner review; coordinate, schedule, and oversee meetings on a predetermined basis.
Monitor carrier investigations, claim evaluations, and settlements.
Review reserve accuracy to ensure reserves are appropriate for the exposure.
Monitor claim payments, including catastrophe claims for Personal Lines and Commercial Lines clients.
Provide claim-status information to internal and external customers, analyze settlement offers, resolve coverage questions, and collaborate on claims strategy.
Directly monitor selected litigated claims, including oversight of defense counsel.
Interact with clients, carrier and TPA adjusters, independent adjusters, public adjusters, experts, and internal team members.
Coordinate quarterly Claims Strategy Discussions and maintain client contacts.
Analyze available loss data for claims metrics.
Prepare coverage reconsideration requests.