Manager, Claims

About Our Client:This organization operates within the insurance industry, focusing on managing claims related to medical malpractice and heavy bodily injury. It addresses the challenges of claims and litigation management by overseeing claim handling processes and ensuring timely, cost-effective resolution of cases. The company emphasizes maintaining proper claim handling practices, compliance, and strategic planning to support insured clients and stakeholders. About the Opportunity:The MANAGER, CLAIMS leads the claims professional staff in managing claims and litigation activities. This role is responsible for monitoring claims handling and reserve setting, overseeing defense counsel performance, and ensuring effective case resolution. The manager contributes to the organization's success by maintaining claims quality, guiding staff performance, and supporting strategic initiatives that enhance claims operations. Responsibilities:Analyze and verify insurance coverage for claims against policyholdersEnsure timeliness and adequacy of claim reserves; approve or recommend adjustmentsAssign claims to staff for dispositionEvaluate liability, damages, causation, and approve settlements within authority limitsAdvise claims leadership on claim status and participate in Reserve & Settlement Committee meetingsManage work procedures, schedules, and workflowMaintain and develop claims policies and proceduresCoordinate with other departments to facilitate services to insured clientsConduct quarterly audits of consultant case files to ensure compliance with claim handling standardsIdentify and implement staff training and compliance with claims requirementsTrack performance results and participate in departmental strategic planningManage staff performance evaluations, time management, recognition, and disciplinary actionsMonitor trials as necessaryAssist leadership with claims-related marketing strategies for client retention and business cultivation Requirements:Bachelor's degree from a four-year college or universityAt least 8 years of experience handling medical malpractice or heavy bodily injury claims preferredMinimum of 3 years supervisory or management experienceBroad knowledge of medicine and familiarity with legal concepts and litigation trendsKnowledgeable in insurance policy contracts, especially medical malpractice and general liabilityFormal nursing and/or legal education is a plus but not required Pay Range and Compensation Package:The base salary range for this role is $132,300 to $178,900Individual compensation packages depend on factors such as geographic location, skills, experience, qualifications, and education Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin. Note:RemoteHunter is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.