Claims Manager

About the role

Golden State Claims Adjusters is seeking a Claims Manager to lead a team of supervisors and adjusters. Reporting to the Senior Vice President of Claims, the Claims Manager oversees regulatory compliance, operational efficiency, and customer experience. Key responsibilities include managing a team, reviewing claim files, conducting claim conferences, and presenting operational results.

Responsibilities

• Manage multiple supervisors and adjusters, overseeing their hiring, training, and performance
• Provide leadership and mentorship to adjusters and supervisors, fostering engagement, accountability, and professional development
• Review and assign new claim files based on adjuster experience and workload
• Place supervisory notes in claim files and conduct claim conferences with adjusters, carriers, and vendors
• Ensure accuracy and compliance in coverage evaluations, reserves, and payments
• Participate in task forces and committees focused on continuous improvement and operational effectiveness
• Conduct training seminars and workshops for employees
• Carry key claim files and conduct internal audits
• Identify and report NHP claims and adverse trends
• Present claim files and operational results at leadership meetings
• Support department procedures, workflows, metrics, and KPIs
• Support audit compliance and staffing needs

Requirements

• Bachelor’s degree or equivalent claims management experience
• 10+ years of insurance claims experience, 5+ years of claims management experience
• Licensed as a Qualified Claims Manager in California
• Strong understanding of California claims regulations, multi-jurisdictional experience preferred
• Experience in construction liability, construction defect, GL/PD, GL/BI, Excess, high-level coverage evaluation
• NYLL, Energy, Environmental, Transportation experience a plus

Qualifications

• Strong analytical, organizational, and communication skills
• Proficient in Microsoft Office and claims management systems

Skills

• Data analysis and reporting
• Claims handling and legal trends knowledge
• Collaboration and teamwork
• Leadership and mentoring

Benefits

• Medical, dental, and vision insurance
• 401(k) plan with company match
• Paid time off
• Employee discounts
• Various time off programs
• Company-paid holidays