Claims Senior Manager - Commercial Auto

ICW Group • San Diego, CA

1d • $119,749 - $201,948 • Hybrid

About The Position

Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our journey as we strive to transform the insurance carrier space. We're proud to be in business for over 50 years, and its change agents like yourself that will help us continue to deliver our mission to create the best insurance experience possible. Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. It's our team members who make us an employer of choice and the vibrant company we are today. We strive to make both our internal and external communities better everyday! Learn more about why you want to be here! JOB SUMMARY The Senior Manager, Claims is responsible for building a team from the ground up and leading strategic initiatives that ensure regulatory compliance, operational efficiency, and superior claim outcomes. This role leverages data-driven insights to optimize processes, mitigate risk, and enhance customer experience nationally. The Senior Manager will have the opportunity to partner with all departments to create the ideal claim environment. ESSENTIAL DUTIES AND RESPONSIBILITIES Provide Strategic Leadership, Data Driven Decision Making, Operational Efficiencies, and Customer Focus. Develop and execute strategies that align audit, compliance, technical claims management, and support functions with organizational goals for claims performance. Drive initiatives that improve claim outcomes through process optimization and risk mitigation. Establish metrics and KPIs to measure performance, operational efficiency, and compliance effectiveness. Leverage analytics and reporting tools to identify trends, gaps, and opportunities for improvement. Translate data insights into actionable strategies for claims operations. Streamline workflows and eliminate redundancies. Implement automation and technology solutions to enhance productivity and reduce cycle times. Monitor resource allocation and optimize team performance. Ensure that operational procedures support excellent customer experience while maintaining compliance and accuracy standards. Collaborate with claims teams to resolve escalated issues promptly and effectively. Identify and mitigate operational, compliance, and reputational risks related to claims handling. Maintain robust internal controls and ensure timely remediation of audit findings. Collaborate with internal stakeholders to address claims issues and trends. Communicate consistently with the Claims Leadership team regarding claims management, policies, procedures, audits, reports, and projects associated with claims handling and operational activities. Partner with senior leadership to resolve evolving claim issues and trends related to providers or other external constituencies. Analyze operational/system issues and claims exposures, as applicable, to submit to senior leadership along with recommendations. Review reports/data to identify and address adverse trends and manage budget expenditures. Create and deliver regular reports on operating metrics to Claims leadership. Lead and develop a team to provide best-in-class customer service. Provide team leadership, development and mentoring. Provide strategic and tactical directions to team(s), communicating Mission, Values, and other organization operating principles. Establish and maintain the overall work cadence, ensuring performance and outcomes strive for excellence in delivery and customer experience. Ensure full team engagement and leadership practices that promote and support professional development, recognition, and retention. Establish hiring criteria, on-boarding, and training requirements for new team members. Oversee the performance management and development process and perform performance management duties, development planning, and coaching for direct reports. Ensure data quality, adherence to IT security guidelines, profitability and other risk-related metrics for self and team members. Manage team budgets, technology, workload, and customer inquiries for branches. Ensure adherence to all Company policies, procedures as well as compliance accountabilities and responsibilities. Technical Claims Management Oversight Manage the technical and operational aspects of claims teams to ensure practices conform with state compliance regulations and claims are processed expeditiously and accurately Support technical teams in meeting regulatory jurisdictional requirements, correct adverse trends and ensure adherence to ICW Group procedures and guidelines. Conduct audits, as required, to ensure compliance with organizational processes/state regulations and monitor claim volume to adjust staffing needs, as necessary. Provide input to the leadership team in the handling of claims to ensure compliance with best practices, expectations, and applicable state laws. Provide resources for Team Members to ensure efficient operational workflow to achieve the best possible outcome and to meet closing ratio/performance metric goals. Ensure claims are processed timely to achieve the best possible result and contribute to ensuring performance metric goals are achieved.

Requirements

• Minimum 10+ years’ claims experience required.
• Experience leading and supervising claims professionals.
• Experience with diverse jurisdictions is highly desirable.
• Bachelor’s degree required (or equivalent combination of education and experience).
• Adjuster Certification may be required depending upon role and jurisdiction (must be obtained within 6 months of hire if needed).
• Expertise regarding national insurance regulations and standards
• Strong analytical skills with experience in data-driven decision-making.
• Proven ability to lead teams and manage complex projects.
• Excellent communication and stakeholder management skills.
• Industry vendor knowledge
• Familiarity with automation tools and process improvement practices.
• Advanced proficiency in data analytics and reporting tools.
• Ability to drive accountability, results and desired performance outcomes.

Nice To Haves

• Other designations a plus based on role specifics such as CPCU, WCCA, AINS, etc.

Responsibilities

• Provide Strategic Leadership, Data Driven Decision Making, Operational Efficiencies, and Customer Focus.
• Develop and execute strategies that align audit, compliance, technical claims management, and support functions with organizational goals for claims performance.
• Drive initiatives that improve claim outcomes through process optimization and risk mitigation.
• Establish metrics and KPIs to measure performance, operational efficiency, and compliance effectiveness.
• Leverage analytics and reporting tools to identify trends, gaps, and opportunities for improvement.
• Translate data insights into actionable strategies for claims operations.
• Streamline workflows and eliminate redundancies.
• Implement automation and technology solutions to enhance productivity and reduce cycle times.
• Monitor resource allocation and optimize team performance.
• Ensure that operational procedures support excellent customer experience while maintaining compliance and accuracy standards.
• Collaborate with claims teams to resolve escalated issues promptly and effectively.
• Identify and mitigate operational, compliance, and reputational risks related to claims handling.
• Maintain robust internal controls and ensure timely remediation of audit findings.
• Collaborate with internal stakeholders to address claims issues and trends.
• Communicate consistently with the Claims Leadership team regarding claims management, policies, procedures, audits, reports, and projects associated with claims handling and operational activities.
• Partner with senior leadership to resolve evolving claim issues and trends related to providers or other external constituencies.
• Analyze operational/system issues and claims exposures, as applicable, to submit to senior leadership along with recommendations.
• Review reports/data to identify and address adverse trends and manage budget expenditures.
• Create and deliver regular reports on operating metrics to Claims leadership.
• Lead and develop a team to provide best-in-class customer service.
• Provide team leadership, development and mentoring.
• Provide strategic and tactical directions to team(s), communicating Mission, Values, and other organization operating principles.
• Establish and maintain the overall work cadence, ensuring performance and outcomes strive for excellence in delivery and customer experience.
• Ensure full team engagement and leadership practices that promote and support professional development, recognition, and retention.
• Establish hiring criteria, on-boarding, and training requirements for new team members.
• Oversee the performance management and development process and perform performance management duties, development planning, and coaching for direct reports.
• Ensure data quality, adherence to IT security guidelines, profitability and other risk-related metrics for self and team members.
• Manage team budgets, technology, workload, and customer inquiries for branches.
• Ensure adherence to all Company policies, procedures as well as compliance accountabilities and responsibilities.
• Manage the technical and operational aspects of claims teams to ensure practices conform with state compliance regulations and claims are processed expeditiously and accurately
• Support technical teams in meeting regulatory jurisdictional requirements, correct adverse trends and ensure adherence to ICW Group procedures and guidelines.
• Conduct audits, as required, to ensure compliance with organizational processes/state regulations and monitor claim volume to adjust staffing needs, as necessary.
• Provide input to the leadership team in the handling of claims to ensure compliance with best practices, expectations, and applicable state laws.
• Provide resources for Team Members to ensure efficient operational workflow to achieve the best possible outcome and to meet closing ratio/performance metric goals.
• Ensure claims are processed timely to achieve the best possible result and contribute to ensuring performance metric goals are achieved.

Benefits

• Challenging work and the ability to make a difference
• You will have a voice and feel a sense of belonging
• We offer a competitive benefits package, with generous medical, dental, and vision plans as well as 401K retirement plans and company match
• Bonus potential for all positions
• Paid Time Off
• Paid holidays throughout the calendar year
• Want to continue learning? We’ll support you 100%

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level