Manager of Coverage & Specialty Claims (hybrid)
About The Position
The Manager of Coverage & Specialty Claims supervises and develops a team of Coverage and Specialty Claims Examiners and Staff Attorneys handling complex general liability and commercial auto claims. The role establishes and maintains coverage review practices across the company’s casualty claims teams, including coverage evaluation, determination, and preparation and finalization of coverage positions. The manager also oversees direct handling of selected pollution, hazardous waste, bond, cyber, and other claims. The manager is accountable for claim outcomes, coverage determinations, reserve adequacy, loss costs and expenses, service delivery, and timely investigation, evaluation, and disposition. The role develops reviews of technical standards, strengthens litigation and defense-panel management, participates in strategy for high-exposure claims, manages team resources, and guides the application of reinsurance and related reporting obligations. The manager also handles or oversees bad-faith claims and provides guidance to less experienced claims staff. The position is full-time, salaried, exempt, and hybrid.
Requirements
- Juris Doctor (JD) required.
- At least 10 years of experience handling or supervising complex general liability claims.
- Obtain adjuster license(s) in the state(s) where assigned to adjust claims within the company’s specified timeframe and maintain the licenses as required.
Nice To Haves
- At least 5 years in a claims liability leadership position preferred.
Responsibilities
- Supervise and develop Coverage and Specialty Claims Examiners and Staff Attorneys handling complex general liability and commercial auto claims.
- Ensure strong day-to-day execution in the management of the Coverage and Specialty Claims team.
- Establish and maintain casualty-claim coverage review practices, including coverage evaluation and determination and drafting and finalization of coverage positions.
- Maintain accountability for claim outcomes, coverage determinations, reserve adequacy, loss costs and expenses, claim service delivery, and timely investigation, evaluation, and disposition.
- Develop and implement reviews to assess claims technical standards and identify and communicate improvement opportunities.
- Follow reserve control procedures to ensure reserves are current and accurately reflect loss and loss-expense exposure in accordance with the company’s reserving philosophy.
- Embed litigation management practices and performance metrics within the unit and establish defense-panel management practices to mitigate claim severity.
- Participate in evaluation and negotiation strategy for high-exposure casualty claims, including general liability, commercial auto, abuse and molestation, EPLI, pollution, and legal liability claims.
- Manage team resources to maximize efficiency and effectiveness in providing coverage evaluations and support to casualty claim units.
- Evaluate and direct the application of reinsurance to specific claims and compliance with reinsurer reporting obligations.
- Manage the team’s direct handling of bad-faith claims against the company.
- Oversee direct handling of selected pollution, hazardous waste, bond, cyber, and other claims.
- Provide guidance and assistance to less experienced claims staff in other functional areas.
- Perform other duties as assigned and conform with corporate policies and procedures.
Benefits
- Medical and prescription drug benefits
- Dental benefit
- Vision benefit
- Life insurance and disability benefits
- 401(k) plan
- Profit sharing and investment plan, including annual company financial contribution and discretionary profit-sharing contribution based on annual company financial results
- Health Savings Account (HSA)
- Flexible Spending Accounts
- Tuition assistance, training, and professional designations
- Company-paid family leave
- Adoption/surrogacy assistance benefit
- Voluntary group accident insurance, hospital indemnity, critical illness, legal, identity theft protection, and pet insurance
- Student loan refinancing services
- Care.com membership with backup care and senior solutions
- Business travel accident insurance
- Matching Gifts program
- Paid volunteer day
- Employee referral award program
- Wellness programs
- Personal insurance discount
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
Ph.D. or professional degree
