Confidential · 7 hours ago
Claims Manager
Milwaukie, OR
Full-time
Hybrid
Senior Level, Lead/Staff
10+ years expConfidential company is seeking a Claims Manager who provides expert advocacy and consulting services for Commercial and Personal Lines clients, focusing on complex claims. This role ensures fair and timely claim resolution while delivering strategic insights to help clients mitigate future risks, requiring strong technical knowledge and exceptional communication skills.
Marketing & Advertising
Responsibilities
Serve as the primary advocate and intermediary between clients and insurance carriers to ensure fair and efficient claims outcomes
Conduct thorough coverage analysis for individual claims and provide clients with tailored solutions and strategic recommendations
Evaluate claim denials and reservation of rights letters, advocating for favorable coverage positions on behalf of the client
Negotiate with carriers and adjusters to establish expectations and resolve complex and high-exposure claims
Monitor and assess the financial impact of claims across all lines; identify trends and communicate findings to clients and stakeholders
Analyze large loss reserving practices and recommend adjustments where necessary to ensure appropriate financial representation
Develop and execute strategic action plans to address high-profile, litigated, or complex claims efficiently
Provide guidance on litigation management processes and work collaboratively with clients and carriers to ensure consistent and informed strategies
Assist clients in evaluating and reporting on complex losses to support effective risk management and decision-making
Deliver educational sessions—virtually or in-person—for clients and their staff on claims processes, coverage, and best practices
Conduct formal claim review meetings to discuss open claims, trend analysis, and customized loss mitigation strategies
Identify client-specific loss trends and partner with producers to craft and present proactive risk-reduction initiatives
Maintain strong working relationships with internal teams, third-party providers, and client representatives to coordinate claims service and resolve ongoing concerns
Demonstrate leadership through mentoring team members and fostering a collaborative, solutions-oriented environment
Collaborate with the Claims Coordinator to support departmental operations and ensure a high level of service delivery
Qualification
Required
Minimum 10 years' experience in Claims, hold a P&C license in Oregon and other states needed
Advanced knowledge of Commercial and P&C policies, including expertise in specialized coverage and claims handling processes
Have or obtain Insurance Adjuster License within the first year of employment
College diploma or equivalent experience
Knowledge of insurance coverages and an ability to communicate this clearly to clients and adjusters
Preferred
Insurance certifications are not required but encouraged like CISR or CIC
Company
Confidential
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Silicon Valley, California US, US
51-200 employeesFunding
Current Stage
Growth StageLeadership Team
Roshan Syed
Global Talent Partner
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