Comml Auto Unit Mgr
Triton CMS for Programs · United States · 1 wk ago
RemoteRemoteManagementFull-time
About the Role
The Claims Manager is a senior working leader responsible for managing a reduced, complex caseload while providing leadership across claims teams or functional areas. This role balances hands-on claim handling (~80%) with management responsibilities (~20%), focusing on high-exposure claims, operational oversight, and client service excellence.
Responsibilities
- Claims Handling Leadership (Primary Focus – ~80%)
- Manage a portfolio of complex, high-exposure, or sensitive claims across lines of business
- Provide advanced technical expertise in coverage analysis, investigation, reserving, and resolution strategies
- Directly handle large-loss or escalated claims
- Serve as a technical resource and escalation point for supervisors and staff
- Ensure financial accuracy and effective management of claim exposures
- Leadership & Team Management (~20%)
- Lead and support supervisors and claims professionals in day-to-day operations
- Provide coaching, guidance, and mentorship to drive performance and development
- Support hiring, onboarding, and succession planning efforts
- Promote a culture of accountability, quality, and continuous improvement
- Operational Oversight
- Monitor performance metrics, including quality, cycle time, and financial outcomes
- Identify trends, risks, and opportunities for operational improvement
- Support consistency in claim handling practices across teams
- Client Relationship Management
- Serve as a key contact for clients on complex claims and service-related matters
- Participate in client meetings and performance reviews
- Ensure adherence to client-specific guidelines, contracts, and SLAs
- Financial, Compliance & Governance
- Ensure strong reserving discipline and oversight of claim financials
- Support audit processes and maintain compliance with regulatory requirements
- Reinforce internal controls and risk management practices
Qualifications
- Bachelor’s degree in business, insurance, or related field preferred
- 8–12+ years of progressive claims handling experience, including complex claims
- Demonstrated leadership experience, particularly in a working-leader capacity
- Strong understanding of TPA operations and client service expectations
- Advanced analytical, decision-making, and communication skills