Senior Claims Manager, Cyber

About TMHCC

TMHCC brings 50 years of service to the specialty insurance industry, offering over 100 products to commercial customers in 180 countries. Every policy written is special, enabling clients to accomplish remarkable things—from insuring crops that feed us to rock concerts that entertain us, and even rescuing international travelers in trouble. Organic growth and over 60 successful acquisitions have grown 2023 Gross Written Premium to over $7.5 billion. Our workforce of 4,300 worldwide is large enough to make an impact but small enough for individuals to make a difference. Our Good Company values—integrity, empowerment, commitment to customer service, innovation, communication, and collaboration—create a great place to work.

What We Offer

• Competitive salary and employee benefit package
• Strong learning culture
• Growth perspectives
• 6% 401(k) match
• 20 days of PTO and 2 floating days
• Paid parental leave
• An opportunity to love what you do

About the role

Leads and directs a team of claims professionals handling Reinsurance and Open Market cyber, media, and technology error and omissions claims and litigation. Manages claims and staff in other areas, including Miscellaneous Professional Liability, Employment Practices Liability, and other specialty liability insurance products. Ensures staff follows company procedures and benefits are paid to eligible parties. Analyzes legal pleadings, documents, and statutes to determine liability claim validity.

Responsibilities

• Supervise and direct a team handling primarily Cyber, Media, and Technology Errors & Omissions claims and manage workflow
• Coordinate work activities of the team
• Develop and coach staff to maximize proper handling; build a team-oriented environment by establishing goals through empowerment
• Coach and mentor direct reports; provide training opportunities and educate on best claims practices
• Review and evaluate personnel performance; define goals
• Perform quality reviews on claims to ensure compliance with internal and external audit requirements
• Communicate with internal and external stakeholders—insureds, brokers/agents, and carrier clients—providing exceptional customer service
• Provide in-depth coverage analysis and wording interpretation
• Conduct investigations and evaluate liability to determine validity of complex claims
• Oversee formulation and issuance of coverage position letters, negotiation and resolution of claims, and decision-making within defined authority
• Prepare and draft complex legal correspondence to affected parties; maintain electronic claim files
• Oversee all aspects of the litigation process for high-exposure liability claims to minimize company risk of loss
• Negotiate claim settlements within defined authority; recommend and present proposed resolutions for claims exceeding authority limits
• Develop and maintain team processes and procedures in coordination with Claims Department Management
• Recommend and implement techniques to improve productivity, efficiency, and cost reduction
• Oversee outside counsel and vendors related to claims handling
• Stay current on state regulations, industry activities, and trends
• Attend settlement conferences, mediations, and facilitation hearings as needed
• Provide supervision and guidance to less experienced claims personnel, including review of settlement payments and denials
• Provide timely and accurate reporting to management and internal clients, including summaries of open/closed claims and bordereaux
• Support Claims Department Management and Underwriting as needed
• Obtain and maintain claims adjuster licenses or professional designations as required
• Oversee payment of claims based on coverage, proof of damage, and appraisal
• Ensure claims validity according to company policy and consult legal representation when necessary
• Review and respond to claim referrals, questions, appeals, and grievances from staff
• Perform claims reviews and make recommendations based on policy provisions and processing guidelines
• Prepare and present reports on claims performance, trends, and operational efficiencies to senior management

Competencies

Planning

• Develop and implement short- and long-term plans to improve business processes
• Coordinate resources to ensure strategy execution

Communication

• Communicate team or group plans or results at all organizational levels
• Prepare written and verbal presentations that educate and inform on area of responsibility/expertise
• Write or contribute to management/technical reports or contractual documents

Cost Management

• Lead business process improvement for the department
• Develop and account for the department budget
• Perform cost-benefit analyses for the department

Business Controls and Policies

• Comply with all corporate policies and procedures
• Identify control objectives and implement cost-effective controls designed to meet those objectives
• Test controls to determine if they are performing as intended

People Management

• Full HR responsibility for direct reports, including hiring decisions, training, work coordination, standard-setting, performance reviews, coaching, and counseling

Pay

The pay range for this position is $146,900–$220,300, which includes geographic adjustments where applicable. The range reflects what TMHCC believes is appropriate compensation for this role at the time of posting. The hired applicant will be offered pay within the entire range based on geographic location, qualifications, work experience, education, and skill level. TMHCC is committed to equal pay for equal work regardless of color, race, sex, national origin, sexual orientation, religion, age, veteran status, disability, pregnancy, citizenship status, genetic information, or any other basis protected by federal, state, or local pay equity laws.