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Liability Claims Manager jobs in United States
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Connecticut Interlocal Risk Management Agency (CIRMA) · 14 hours ago

Liability Claims Manager

Connecticut Interlocal Risk Management Agency (CIRMA) is seeking a Liability Claims Manager to provide oversight, guidance, and direction for a team of Claim Specialists. The role involves managing claims, ensuring compliance with standards, and developing team members to enhance performance and service delivery.
ConsultingHealth InsuranceInsuranceRisk Management

Responsibilities

Claim Assignment & Oversight. Reviews incoming claim notices for the unit and assigns cases based on adjusters’ experience, skill set, appropriate territory, and claim complexity. Identifies key issues and provides direction regarding coverage analysis, comprehensive investigations, liability determination, and case evaluation
File Review & Monitoring. Establishes and maintains a system for timely follow-up on complex, litigated, and non-litigated claims. Conducts periodic reviews of all claim files assigned to team members
Quality Assurance & Compliance. Evaluates the quality of work and compliance with claim handling standards during file reviews. Documents findings, communicates feedback to team members, and provides additional training or implements corrective action as needed
Coaching & Development. Provides ongoing coaching, mentoring, and training in areas including investigation techniques, reserve setting, and final claim resolution
Authority Management. Reviews and approves reserve and settlement recommendations that exceed adjusters’ authority levels. Helps establish authority levels in coordination with the Vice President of Claims
Caseload Management. Establishes and monitors individual adjuster caseloads according to approved performance standards
Oversight of External Resources. Monitors the quality of work performed by third parties such as independent adjusters, investigators, attorneys, and case managers
Reporting & Communication. Keeps the Vice President of Claims informed on key matters including claim quality, service level compliance, reserving and legal trends, and other issues impacting department goals. Attends and presents upcoming trials and settlement authority requests to CIRMA’s Claims Advisory Committee
Personnel Management. Performs all management-related functions, including performance evaluations, disciplinary actions, career development and training
Outside Counsel Management. Monitors the performance and billing practices of outside counsel to ensure cost-effective legal representation

Qualification

Claims management knowledgeClaims investigation techniquesLitigation management experienceSupervisory experienceConnecticut Adjuster's LicenseProfessional designations pursuitCommunication skillsProblem-solving skills

Required

Thorough knowledge of local and state laws, regulations, and CIRMA policies and procedures related to the full claims management process, from initial investigation to final resolution. Able to apply and communicate this knowledge in supervisory duties
Extensive knowledge of claims investigation techniques and the ability to effectively evaluate and administer training programs
Effectively assess staffing needs and direct, motivate, evaluate, and train staff
Ability to communicate technical, legal, and medical issues in a member-conscious style
Ability to interpret industry manuals, technical, legal, and medical documents, and translate findings into non-technical jargon
Property casualty insurance industry experience
Strong litigation management experience
At least 7 years of claims investigation/resolution experience
Two years of supervisory experience
Bachelor's degree, preferably in Business Administration or a related field
Connecticut Adjuster's License or a suitable license
Strong communication and problem-solving skills to meet challenges with a high degree of ownership and delivery

Preferred

Pursuit of professional designations (e.g., AIC, CPCU, ARM, SCLA, etc.) is recommended

Benefits

Paid health, dental, life, vision, and long-term disability insurance plans— some of the most competitive plans out there.
Flexible schedules and healthy work/life balance— these are not just trendy buzz words at CIRMA.
Generous 401 pension plan without employee contributions— we invest in you •and• your future.
Paid vacation and holiday time / Tuition Reimbursement / Employer-paid staff development and training programs— again, we care for and invest in one of our most valuable assets.

Company

Connecticut Interlocal Risk Management Agency (CIRMA)

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The undeniable top choice for Connecticut's Municipalities, Public Schools, and Local Public Agencies.

Funding

Current Stage
Growth Stage

Leadership Team

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David Demchak, ARM
President and Chief Executive Officer
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