Manager of Coverage & Specialty Claims (hybrid)
About The Position
The Manager of Coverage and Specialty Claims leads 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 drafting and finalization of coverage positions. The manager also oversees direct handling of select pollution, hazardous waste, bond, cyber, and other claims. This leader is accountable for claim outcomes through direct handling or oversight, including coverage determinations, reserve adequacy, loss costs and expenses, claim service delivery, and timely investigation, evaluation, and disposition. The role supports technical standards, litigation and defense panel management, high-exposure claim strategy, reinsurance application and reporting, and efficient team resource management. The position also provides guidance to less experienced claims staff in other functional areas.
Requirements
- Juris Doctor (JD) required.
- 10+ years of experience handling or supervising complex general liability claims.
- Obtain adjuster license(s) in the state(s) assigned for claim adjustment within the company-established timeframe and maintain the licenses as required.
Nice To Haves
- 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 coverage review and evaluation practices across casualty claims teams, including coverage determinations and drafting and finalization of coverage positions.
- Maintain accountability for claim outcomes through direct handling or oversight, including coverage determinations, reserve adequacy, loss costs, loss expenses, claim service delivery, and timely investigation, evaluation, and disposition.
- Develop and implement reviews to ensure claims technical standards are met and improvement opportunities are recognized and communicated.
- Follow reserve control procedures and ensure reserves reflect accurate loss and loss expense exposure in accordance with the company’s reserving philosophy.
- Embed litigation management practices and performance metrics within the Coverage and Specialty Claims Unit and establish defense panel management practices to mitigate claims severity.
- Participate in evaluating and negotiating high-exposure casualty claims, including general liability, commercial auto, abuse and molestation, EPLI, pollution, and legal liability claims.
- Manage Coverage and Specialty Claims team resources to maximize efficiency and effectiveness in providing coverage evaluations and support to casualty claim units.
- Evaluate and direct the examining teams on applying reinsurance to specific claims and meeting reinsurer reporting obligations.
- Manage the examining teams’ direct handling of bad faith claims against the company.
- Oversee direct handling of select 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 benefit
- Dental benefit
- Vision benefit
- Life insurance and disability benefits
- 401(k) 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 benefits, including group accident insurance, hospital indemnity, critical illness, legal services, 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
