2,278 Claims Manager jobs in the United States

Job Title: Claims Manager

Division: Group Claims

Reports To: Claims Focus Group Leader, as per Beazley's organisation chart

Key Relationships: Claims Team Heads of ("Heads of"), Claims Team Leaders ("CTLs"), Claims Business Management Team ("CBMT"), direct reports, Underwriting & Claims Operations ("UCO"), Underwriters, Ceded Reinsurance, clients, brokers, and key external vendors.

Job Summary: A senior independent claims handler who will manage and oversee the end-to-end claims process while leading a team of claims professionals. To help achieve the Beazley vision of being the highest performing specialist insurer through proactively managing claims, at an individual and portfolio level. To optimise spend and achieve high levels of satisfaction for the client and broker through high quality claims management, resolution, and excellent client service. To assist the facilitation and development of a collaborative approach across the claims function to learn, share ideas and diverse perspectives, and develop ways of working to best meet the challenges of Beazley's clients. To support and facilitate the ongoing growth and development of claims capabilities across the team and the mentoring and development of any direct reports.

Key Responsibilities:

Individual Claims Leadership

• Proactively manage and oversee a diverse portfolio of treaty reinsurance claims, to include but not be limited to, BI claims, from a severity, complexity, or client/broker relationship perspective from notification to closure, investing the necessary level of involvement required for each claim depending on the nature, category, maturity, type, and quantum of the claim.
• Manage a portfolio of Category 2 and some Category 1 claims (i.e. claims with an expected or actual value in excess of $250,000) including (depending on training and agreement of the Head of) Coverage Litigation with allegations of bad faith.
• Liaise with senior management, subject matter experts, and other internal teams in various specialty areas to develop insights and approaches for high-profile claims.
• Develop, iterate, document, and execute claims strategies taking into account uncertainties, key decisions, potential outcomes, and estimated associated costs.
• Follow at all times Beazley's Claims Reserving Philosophy and Claims Standards.
• Understand and implement Beazley's Conduct Risk Policy.

Claims Portfolio Management

Manage a claims portfolio to optimise performance including the:

• Review of individual claims within the portfolio on a regular basis and ensuring reserves and claims records are maintained in a timely manner as required by Beazley's Claims controls and standards.
• Identification and active communication of issues and trends in the portfolio and take appropriate and/or corrective action.
• Updating Reinsurance and Finance any material claims as set out by the appropriate claims authority, claims protocol, and procedures.
• Work with Reinsurance to effect claim recoveries.

Partnering with Underwriting and Claims FGL

• Work closely with Claims FGL, and the product team underwriters to share information, coordinate on strategies, product development, and maintain consistent approach.
• Contribute to new business development and renewal opportunities by attending client meetings to explain the Beazley claims philosophy and approach to claims handling and discussing any claims issues.
• Provide Underwriting with input regarding actual or anticipated claims experience of specific clients.
• In coordination with the Claims FGL, provide product team underwriters with timely input regarding perceived claims trends and developments.
• In connection with the Claims FGL, identify and raise any issues with Policy wordings.

Claims Team Management and Development

• Lead and develop a team of direct reports, providing technical guidance, support, and performance oversight.
• Manage and motivate direct reports including overseeing their individual performance throughout the year and as a part of the semi-annual appraisal process.
• Mentor team members and provide inputs into the longer-term career planning and career progression.
• Identify and promptly address any performance issues within the team, within Beazley Group guidelines.
• Ensure that direct reports have the knowledge and the skills necessary to perform effectively in their given roles.
• Ensure Beazley's Conduct Risk Policy is understood and adhered to by all team members.

Broker and Insured Relations

• Work proactively to develop and manage strong relations with key brokers and clients.
• Promote the Beazley brand of excellence and professionalism in client service.
• Participate regularly in key client relationship meetings to obtain actionable feedback from clients on our claims service for the area of product expertise.

Operational

• Work with direct reports and other Claims Managers to ensure the effective management of claims, timely and appropriate claims settlements, and the effective management of conflicts of interest.
• Drive continuous improvement in claims handling processes, systems, and analytics specific to the claims exposures.
• Monitor and report on key claims metrics, loss trends, and team performance to Claims FGL.
• Liaise with the Head of the appropriate Underwriting trading team on any large or contentious claims for given product expertise.
• Contribute to the commitment to, and active development of a continuous improvement culture within the overall claims function.

Third Party Management

• Adhere to Beazley's procedures for the selection and retention of 3rd party professionals and manage relationships to the benefit of Beazley.
• Hold overall ownership and accountability for delegated relationships as needed including appropriately managing escalation of items from delegated partners.
• Provide feedback on a regular and proactive basis regarding the claim actions undertaken by the Third-Party Administrator (TPA).
• Propose strategies for future claims handling, review case reserve adequacy, and ensure the TPA remains focused on claim finalisation.

Conflicts of Interest

• Adhere to Beazley's Conflicts of Interest policy, alert the appropriate person to any potential conflicts of interest, and take steps to resolve them promptly.
• Advise the GHOC or Head of immediately if any Beazley employee seeks to exert undue influence on you or any other team member to act improperly in the management, reserving, or settlement of any claim.

General

It is important that within all your interactions both internally and externally you adhere to Beazley's core values - Being Bold, Striving for Better, and Doing the Right Thing - as they contribute to an internal environment of teamwork and promote a positive brand image and experience to our external customers. We also expect Beazley employees to:

• Comply with Beazley procedures, policies and regulations including the code of conduct, which incorporates the PRA and FCA Conduct.

• Undertake training on Beazley policies and procedures as delivered by your line manager, the Culture & People or assurance teams (compliance, risk, internal audit) either directly, via e-learning or the learning management system.

• Display business ethics that uphold the interests of all our customers.

• Ensure all interactions with customers are focused on delivering a fair outcome, including having the right products for their needs.

• Comply with any specific responsibilities necessary for your role as outlined by your line manager, the Culture & People or assurance teams (compliance, risk, internal audit) and ensure you keep up to date with developments in these areas. This may include, amongst others, Beazley's underwriting control standards, Beazley's claims control standards, other Beazley standards and customer relationship management.

• Adjuster license(s) may be required as part of your job responsibilities. If required, those licenses must be obtained within the first 90 days of your employment and in accordance with an individual licensing plan established by Beazley Compliance and your Manager.

• Carry out additional responsibilities as individually notified, either through your objectives or through the learning management system. These may include membership of any Beazley committees or working groups.

Who We Are:

Beazley is a specialist insurance company with over 30 years' experience helping people, communities and businesses to manage risk all around the world. Our mission is to inspire our clients and people with the confidence and freedom to explore, create and build - to enable businesses to thrive. Our clients want to live and work freely and fully, knowing they are benefitting from the most advanced thinking in the insurance market. Our goal is to become the highest performing sustainable specialist insurer.

Our products are wide ranging, from cyber & tech insurance to marine, healthcare, financial institutions and contingency; covering risks such as the weather, film production or protection from deadly weapons.

Our Culture

We have a wonderful mix of cultures, experiences, and backgrounds at Beazley with over 2,000 of us working around the world. Employee's diversity, experience and passion allow us to keep innovating and moving forward, delivering the best. We are proud of our family-feel culture at Beazley that empowers our staff to work from when and where they want, in an adult environment that is big on collaboration, diversity of thought and personal accountability. Our three core values inspire the way we work and how we treat our people and customers.

• Be bold
• Strive for better
• Do the right thing

Upholding these values every day has enabled us to become an innovative and responsive organization in touch with the changing world around us - our ambitious inclusion & diversity and sustainability targets are testament to this.

We are a flexible and innovative employer offering a friendly, collaborative, and inclusive working environment. We actively encourage and expect applications from all backgrounds. Our commitment to fostering a supportive and dynamic workplace ensures that every employee can thrive and contribute to our collective success.

Explore a variety of networks to assist with professional and/or personal development. Our Employee Networks include:

• Beazley RACE - Including, understanding and celebrating People of Colour
• Beazley SHE - Successful, High potential, Empowered women in insurance
• Beazley Proud - Our global LGBTQ+ community
• Beazley Wellbeing - Supporting employees with their mental wellbeing
• Beazley Families - Supporting families and parents-to-be

We encourage internal career progression at Beazley, giving you all the tools you need to drive your own career here, such as:

• Internal Pathways (helping you grow into an underwriting role)
• iLearn (our own learning & development platform)
• LinkedIn Learning
• Mentorship program
• External qualification sponsorship
• Continuing education and tuition reimbursement
• Secondment assignments

The Rewards

• The opportunity to connect and build long-lasting professional relationships while advancing your career with a growing, dynamic organization
• Attractive base compensation and discretionary performance related bonus
• Competitively priced medical, dental and vision insurance
• Company paid life, and short- and long-term disability insurance
• 401(k) plan with 5% company match and immediate vesting
• 22 days PTO (prorated for 1st calendar year of employment), 11 paid holidays per year, with the ability to flex the religious bank holidays to suit your religious beliefs
• Up to $00 reimbursement for home office setup
• Free in-office lunch, travel reimbursement for travel to office, and monthly lifestyle allowance
• Up to 26 weeks of fully paid parental leave
• Up to 2.5 days paid annually for volunteering at a charity of your choice
• Flexible working policy, trusting our employees to do what works best for them and their teams

Salary for this role will be tailored to the successful individual's location and experience. The expected compensation range for this position is 120,000- 132,000 per year plus discretionary annual bonus.

Don't meet all the requirements? At Beazley we're committed to building a diverse, inclusive, and authentic workplace. If you're excited about this role but your experience doesn't perfectly align with every requirement and qualification in the job specification, we encourage you to apply anyway. You might just be the right candidate for this, or one of our other roles.

• Manage claims specialists, ensuring proper evaluation of claims per guidelines.
• Prepare correspondence to customer; claim approved or denied.
• Work closely with clients through the claims process, providing assistance with coverage, investigation, loss valuation, settlement, and communication with carriers and TPA's.
• Prepare narrative for Program Executives, Underwriters and other parties, as necessary, describing status of all or selected claims, routinely and upon request.
• Route large loss notices and underwriting alerts to Underwriters and Program Executives
• Coordinate requests for policy information from claims TPA and carriers.
• Coordinate and manage external carrier insurance company audits.

• Prepare quarterly premium and loss reports for specified programs, which may include getting loss reports out of carriers' system and reviewing notes in carrier system.
• Review, analyze and make recommendations on the overall claim trends for the book of business.
• Prepare quarterly Stewardship report for specified programs.
• Field loss control questions from clients or internally, work with carrier and client to establish annual loss control goals.
  
  Partner with carriers to effectively manage on-line training courses and other safety material (on the website, in handouts, templates, checklists, etc).
• Review of new loss notices and carrier coverage position letters prior to issuance, provide insurance coverage verification, consult with client on large/severe losses and adjusters on large reserves/settlements or lawsuits.
• Coordinate quarterly claim reviews with client and insurance company.
• Speak at client seminars and develop webinars regarding claims handling, claim trends and discuss ways to reduce or mitigate claims.
• Coordinate with carrier regarding the clients who should receive on site loss control visits and then review all safety reports from those visits and ensure compliance with any recommendations.

• Bachelor's Degree in insurance, business, finance, accounting, economics or related program or equivalent education and/or experience.
• Strong understanding of commercial property/casualty claims handling
• Ability to compile, analyze and interpret file information.
• Ability to professionally interact with businesspersons of all levels and succinctly communicate information and strategies.
• Proficient in Microsoft Office software.
• Excellent verbal, written and interpersonal skills.
• Customer Service Focused.
• Loss Control or Risk Analysis Experience preferred.
• Ability to work independently and with minimal instruction and little direct oversight.
• Demonstrated professional, tactful negotiation and persuasion skills to achieve objectives.
• Organizational and time management skills to prioritize heavy workload to meet time sensitive deadlines
• Project management ability, analytical mindset, solution oriented, self-motivated, and likes to take initiative to find new and better ways of doing things.
• This role is predominately based in our Overland Park office but is eligible for the company's hybrid remote program.

• Review and analyze incidents and claims forwarded to the Claims Department.
• Serve as initial point of contact and support for Physicians and APPs impacted by litigation, Medical Board Complaints, and Deposition Requests.
• Coordinate in-house New Claims Analysis for all incoming claims.
• Collaborate with TPA or commercial adjuster for defense counsel retention, medical expert assignment. Oversee day to day claims management of RRG Claims provided by TPA.
• Responsible for keeping timely and accurate claims records for USACS Risk Tracker and Legal Files document management system.
• Responsible for strategic claims oversight, including damage and risk exposure valuation; chance to prevail.
• Make recommendations to Director of Claims and VP, Chief Risk Officer for case management through resolution or trial. Oversees execution of same.
• Work actively with Defense Counsel to strategize and prepare for and attend mediations and trials.
• Present and discuss strategic recommendations for assigned cases at regular meetings.
• Respond to discovery requests and responses on behalf of corporate entity defendants.
• Contribute as directed to company risk management efforts, including working with clinical leadership to identify high risk areas and recommend education or system improvements.
• Assist the Director of Claims and other department personnel as needed.
• Perform and assist with other duties as needed.

• Must possess broad knowledge of legal principles and processes specific to professional liability litigation.
• Knowledge of claims management processes.
• Must possess excellent oral and written communication skills.
• Ability to work autonomously.
• Excellent organizational skills.
• Excellent problem-solving skills and detail oriented.
• Must possess computer skills and can learn Claims Management System.
• Strong team-player with initiative and ability to multi-task.
• Ability to manage daily workflow to ensure timely reporting and management of claims and incidents.
• Committed to USACS House Rules.

• Bachelor's degree required; JD preferred.
• Paralegal certification will also be considered.
• Master's in nursing will also be considered.
• Minimum of three years of experience in a law firm or liability insurer.

• While performing the duties of this job, the employee is regularly required to sit for prolonged periods and occasionally walk, stand, bend, stoop, and lift up to 15 pounds.
• Required to have close visual acuity to perform the job.

Join to apply for the Claims Manager role at Continental Western Group (a Berkley Company)

1 day ago Be among the first 25 applicants

Join to apply for the Claims Manager role at Continental Western Group (a Berkley Company)

Company Details

Rated Best Places to Work 2020, 2022 and 2024 by Business Insurance,

Company Details

Rated Best Places to Work 2020, 2022 and 2024 by Business Insurance, Continental Western Group is a regional property casualty insurance company offering commercial products and services through independent agents in the Midwest. CWG provides unique value through the service provided by our experienced group of employees and independent agents. Since 1886 - Strong, Local and Trusted.

As a Berkley company, we enjoy operational flexibility that allows us to deliver quality coverage solutions. W. R. Berkley Corporation , and all member insurance companies, are rated A+ (Superior) by A.M. Best Company and carry Standard & Poors Financial Rating of A+ (Strong).

This role will be based in one of our three offices where we offer a hybrid work schedule with four days in the office; and one day remote where it makes sense to do so. This position is not a remote opportunity .

• Urbandale, IA
• Lincoln, NE
• Luverne, MN
  
  

• Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent.
• Internal mobility opportunities.
• Visibility to senior leaders and partnership with cross functional teams.
• Opportunity to impact change.
• Benefits competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education.
  
  

• Train, mentor, and supervise claims unit staff to ensure customer service, file quality and staff productivity objectives are met through adherence to the Claims Best Practices, Guidelines, and Standards. Mentor staff by providing timely and specific feedback to staff.
• Monitor claim files to evaluate the quality of investigation; coverage analysis; identification of liability/compensability and damages; documentation and reporting; accurate and timely reserving; and goal-oriented action planning. Monitor claim file data quality for accuracy. Provide technical advice and identify coaching opportunities to enhance file quality and individual job performance.
• Manage loss costs and loss adjustment expenses to support the company business plan objectives related to profitability and expense management. Monitor and drive efficient and cost-effective utilization of outside vendors.
• Examine files for timely and accurate assessment of damages. Provide technical advice and direction to staff. Partner with other company departments, including Underwriting, Risk Services, Finance, and Actuary, to provide claim-specific reports and other information as appropriate.
• Perform Quality Audits in compliance with company guidelines to measure quality of file handling. Create and implement effective coaching/training action plans based on results.
• Contribute to CWGs success by establishing individual staff performance and development goals, measuring results, rewarding achievement, or taking corrective action as needed. Partner with claims unit staff individually to provide direction, support, and monitor career development plans. Identify, develop and implement unit training and department-wide training as appropriate.
• Participate in Claims-related projects. Provide input to Claims leadership regarding trends and changes in the legal environment and State/jurisdictions.
• Partner with other company departments including Underwriting, Risk Services, Legal, Finance, and Actuary to provide input regarding trends and changes in Claims environment and to provide training and Claims perspective as appropriate.
• Perform other related duties as assigned by management.
  
  

• Directly supervises five to eight casualty claim adjusters.
• Responsible for the overall direction, coordination, and evaluation of the casualty claims team.
• Carry out supervisory responsibilities in accordance with the organization's policies and applicable laws.
• Interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
  
  

• 5+ years related claims experience and/or training, or equivalent combination of education and experience. A bachelors degree is preferred but not required.
• Completion of or working toward AIC, AIM, CPCU, SCLA or similar designation preferred.
• Ability to travel on an occasional basis; occasionally receive communications after business hours from claims staff reporting large loss activity; organize, prioritize, and manage multiple tasks in a fast-paced environment; quickly and professionally respond to customer inquiries; effectively manage a project and/or lead a team; lead people and get results through others (on-site and remote staff); communicate effectively with all levels of the organization; and attract, coach and develop talent.
• Possess strong customer orientation, problem analysis and problem resolution skills, and interpersonal and communication skills, including presentation skills.
• Regularly and consistently demonstrates a commitment to company values and guiding principles.
• Proficient with Microsoft Word, Excel, PowerPoint, and Outlook.
• Valid drivers license for travel.
  
  

• Bachelors degree in Business Management or Administration.
• Previous leadership experience.
• Complex claims handling experience, including areas such as Construction Defect, Directors & Officers Liability, Toxic Tort, Employers Liabilty, Public Officials Liability and high severity losses.
• Completion of any of the following; AIC, CPCU, SCLA or similar designation.
  
  

• Seniority level Mid-Senior level

• Employment type Full-time

• Job function Finance and Sales
• Industries Financial Services and Insurance

Referrals increase your chances of interviewing at Continental Western Group (a Berkley Company) by 2x

Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.

• Direct oversite and management of claims advocates assigned moderately complex claims.

• Claim file reviews and evaluation related to open inventory evaluation, authority requests and quality assurance.
• Training and development of team members.
• Evaluation and assessment of team member performance.
• Recruits, interviews, hires, and trains new staff.
• Oversees the daily workflow of the team.
• Provides constructive and timely performance feedback and annual evaluations.
• Handles discipline and termination of employees, as needed in accordance with company policy.
• Completes daily file reviews to provide file handling direction and authority related to coverage and payment.
• Facilitates daily, weekly, monthly, and quarterly required quality assurance activities.
• Perform other related duties, as assigned.

• Strong people management skill set to include hiring, training, coaching, mentoring, and the overall development of team members.
• Excellent interpersonal, written, and verbal communication skills.
• Ability to establish rapport, credibility, trust, and positive relationships with direct reports, including those working remotely.
• Experienced in effectively planning and prioritizing work activities.
• Proficient with standard office technology, including Microsoft Office Suite.
• Cultivates a work environment that encourages and develops new ideas from direct reports and peers.
• Strong technical skill set with overall property claims handling to include demonstrated experience in the following areas:

• Ability to create and deliver an exceptional claim experience for all customers.
• Strong time management skills.
• Proactive problem-solving skills.
• Proven ability to work in a team oriented and collaborative environment.

• Bachelor's degree in related field or equivalent experience
• A minimum of 3 years of property claims supervisory experience with at least four direct reports.
• Current California adjuster license or successfully obtain one within 90 days of employment (study time and testing fees will be covered by the company, as needed).

• Prolonged periods of sitting at a desk and working on a computer.

• Overnight travel, as needed.

The professional position of Claims Manager requires an experienced, high energy, motivational leader who will effectively provide supervision, leadership, guidance and support for the Clients Claims and Provider Relations staffs with responsibility including but not limited to claims processing, provider relations, claims editing software and all other functionality that supports the clients Medicare and Medicaid product portfolio and administration. The manager must empower staff in meeting performance objectives and provide accurate and timely claims processing in accordance with State and Federal regulations. This position reports directly to the Director of Operations.

Essential Duties and Responsibilities:

Duties listed below may vary in terms of importance and others may be added or eliminated as this position develops.

1. Provides oversight of an operations unit that includes varying levels of employees, both salaried and hourly.

2. Provides oversight of an operations unit that includes varied products and regulatory requirements.

3. Provides high degree of oversight as it relates to improving and maintaining working relationships with client provider Network. This involves developing proactive approaches to prevent claim related issues.

4. Oversees claims staff administration activities including but not limited to pended claims processing, provider reconsiderations and appeals, member bills, coordination of benefits, adjustment processing, provider relations activities/initiatives, claims editing software and pay cycle approval.

5. Supports Provider Network Development in handling provider contract issues, maintaining positive provider relations and answering/addressing all claims/enrollment related provider questions and concerns.

6. Hires, trains, coaches and evaluates performance of direct reports.

7. Establishes department policies and general procedures in addition to business rules and desk level procedures used by third party vendors.

8. Leads staff through change and bias for action, establishing and meeting high performance standards.

9. Audits to monitor efficiency and compliance with policies

10. Provides oversight of outside vendors to ensure compliance with contractual terms including service level agreements.

11. Develops strategies as they relate to computer systems, working with the IT Department, that ultimately assist team members to work toward achieving the goals of the project.

12. Participates in outside audits with various regulatory agencies.

13. Prepares specialized reports or special project work consistent with the role and dictated by the needs of business.

14. Works collaboratively with the Client Finance Department in identifying and researching issues that affect Company financials and reserves.

15. Compiles, maintains and submits accurate and timely internal and external reports reflecting various department metrics, monitors results, analyzes data and makes recommendations for improvements to service levels.

16. Works effectively with internal and external customers and business partners to support clients business strategies.

17. Operates the department within an established budget.

18. Fully participate in clients Compliance Program, including compliance with clients Code of Conduct, policies and procedures, and all applicable Privacy and Security laws.

19. Performs other duties as assigned.

Required Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Requires previous management experience in the areas of health insurance, managed care programs, claims processing (preferably Medicaid and Medicare claims), and knowledge of billing codes (CPT, ICD-9, HCPCS, RUGS, CMS and DRG pricing). A combination of education, training and experience which provides the necessary knowledge, skills, and abilities as listed below will be considered.

2. Strong interpersonal skills and ability to work effectively with direct reports, peers, executive management, providers, clients, vendors, regulatory agencies and a wide variety of ethnic, cultural, and socio-economic backgrounds.

3. Ability to communicate effectively both verbally and in writing.

4. Knowledge of managed health care systems and general operational business practices.

5. Ability to effectively and satisfactorily analyze and resolve problems and issues.

6. Ability to work independently and to make independent decisions to creatively address Operations issues and assist in managing provider issues and concerns as they relate to claims processing.

7. Ability to use sound judgment in providing quality customer service to clients customers and providing accurate and timely responses to vendors.

8. Detailed knowledge of Medicaid and Medicare benefits.

9. Understand the overall impacts of claims processing to the company financials

10. Knowledge of compliance implications that may impact the organization.

11. Ability to maintain strict confidentiality.

12. Word processing and spreadsheet skills. (Word and Excel preferred).

All your information will be kept confidential according to EEO guidelines.

Job Description: Claims Manager

Location: Kansas City, MO

Reports To: VP of Safety and Claims

Position Type: Full-time, exempt

About Flint Group

Headquartered in Kansas City and founded in 2019 by industry veterans Collin Hathaway (Chairman) and Trevor Flannigan (CEO), Flint Group is a leading platform providing high-quality HVAC, plumbing and electrical ("HVAC+") services to residential customers. Today, Flint is comprised of 14 longstanding market-leading brands across 12 primary markets in the U.S., including Seattle, Portland, Houston, Boston, Denver, Philadelphia, St. Louis, Kansas City, Phoenix, Durham, Atlanta and Detroit. The Company will continue to acquire and grow best-in-class local HVAC+ brands.

The HVAC+ residential services industry is estimated to be a ~$150B+ growing at a ~5% CAGR. The sector is largely non-discretionary due to the mission-critical nature of HVAC and plumbing systems. The HVAC+ market is highly fragmented with 70%+ of the market being served by independent contractors and mom & pop providers.

Flint has a proven track record of driving topline and earnings growth post-acquisition at the local level through: (i) investing in the local leadership team, facility and technology, (ii) optimizing business mix (e.g., adding service lines) and improving lead flow, (iii) leveraging economies of scale (e.g., OEM agreements, group purchasing), (iv) sharing best practices to improve performance, and (v) leveraging technology and analytics to measure KPIs, drive insights and increase accountability.

What We Offer

• Competitive salary and performance-based bonus opportunities ($80K-110K) OTE.
• Comprehensive benefits package (health, dental, vision, life, disability, retirement plan).
• Flexible PTO
• Paid Holidays
• 401K Matching
• Professional development and continuing education support.
• Opportunity to shape and influence claims management processes in a growing organization.

• Directly manage and monitor open claims in Workers' Compensation, Auto, and General Liability lines.
• Oversee adjusters, TPAs, and carriers to ensure prompt, fair, and effective resolution of claims.
• Maintain accurate and up-to-date claim files, documentation, and reporting.
• Develop and implement claims strategies to reduce exposure, drive timely resolution, and manage litigation where necessary.
• Partner with risk management, legal, and operations teams to identify trends and recommend improvements.
• Engage in settlement negotiations and evaluate reserves to ensure financial accuracy.
• Ensure claims handling complies with federal, state, and local regulations.
• Maintain knowledge of industry standards and emerging trends to implement process improvements.
• Provide training and guidance to staff on claims handling procedures and best practices.
• Act as the primary liaison between internal stakeholders and external partners (brokers, carriers, TPAs, attorneys).
• Prepare and present claims data, metrics, and trend analysis to senior leadership.
• Recommend and implement cost-control initiatives, including vendor management.

• 5-7 years of adjuster experience with a broker or carrier, specifically in Workers' Compensation, Auto, and General Liability claims.
• Bachelor's degree in Business, Risk Management, Insurance, or related field preferred; equivalent work experience considered.
• Strong negotiation and analytical skills.
• Solid knowledge of claims handling, litigation management, and insurance industry regulations.
• Excellent written and verbal communication abilities.
• Strong organizational skills and ability to handle multiple priorities.
• Proficiency in claims management systems and Microsoft Office Suite.
• Certifications (preferred but not required): AIC, CPCU, ARM, or other relevant designations.

This range is provided by The Jonus Group. Your actual pay will be based on your skills and experience talk with your recruiter to learn more.

$130,000.00/yr - $150,000.00/yr

REQUIREMENTS:

• Bachelors degree in Business, Insurance, or a related field (or equivalent work experience).
• Minimum of 5 years of claims handling and management experience.
• Minimum of 2 years of supervisory experience within a Claims role
• Strong knowledge of insurance policies, coverage analysis, and claims best practices.
• Proven leadership experience with the ability to motivate and develop a team.

RESPONSIBILITIES:

• Oversee and manage daily operations of the claims department, ensuring timely and accurate claims processing.
• Develop and implement best practices for claims handling, improving efficiency and reducing costs.
• Monitor claim files for quality control, compliance, and adherence to company policies.
• Provide guidance, training, and mentorship to claims adjusters to enhance team performance.
• Collaborate with legal, underwriting, and other departments to resolve complex claims.
• Handle escalated claims, disputes, and litigation strategies as needed.
• Analyze claims data and trends to improve processes and mitigate risks.

Mid-Senior level

Full-time

Other

Insurance