Claims Manager

Overview

Job Summary: The Claims Manager provides expert advocacy and consulting services for Commercial and Personal Lines clients, with a focus on complex claims such as Construction Defect, General Liability, Product Recall, EPLI/BOLI, E&O, and Motor Truck Cargo. Acting as a trusted advisor, this role ensures fair and timely claim resolution while delivering strategic insights to help clients mitigate future risks. The Claims Manager monitors all claims activity, identifies trends through data analysis, and communicates risk exposure and actionable recommendations to clients and internal leadership.

Success in this role requires strong technical knowledge, exceptional communication skills, and the ability to lead claims strategy with professionalism and client-first focus.

• Serve as the primary advocate and intermediary between clients and insurance carriers to ensure fair and efficient claims outcomes.
• Conduct thorough coverage analysis for individual claims and provide clients with tailored solutions and strategic recommendations.
• Evaluate claim denials and reservation of rights letters, advocating for favorable coverage positions on behalf of the client.
• Negotiate with carriers and adjusters to establish expectations and resolve complex and high-exposure claims.
• Monitor and assess the financial impact of claims across all lines; identify trends and communicate findings to clients and stakeholders.
• Analyze large loss reserving practices and recommend adjustments where necessary to ensure appropriate financial representation.
• Develop and execute strategic action plans to address high-profile, litigated, or complex claims efficiently.
• Provide guidance on litigation management processes and work collaboratively with clients and carriers to ensure consistent and informed strategies.

• Assist clients in evaluating and reporting on complex losses to support effective risk management and decision-making.
• Deliver educational sessions—virtually or in-person—for clients and their staff on claims processes, coverage, and best practices.
• Conduct formal claim review meetings to discuss open claims, trend analysis, and customized loss mitigation strategies.
• Identify client-specific loss trends and partner with producers to craft and present proactive risk-reduction initiatives.
• Maintain strong working relationships with internal teams, third-party providers, and client representatives to coordinate claims service and resolve ongoing concerns.
• Demonstrate leadership through mentoring team members and fostering a collaborative, solutions-oriented environment.
• Collaborate with the Claims Coordinator to support departmental operations and ensure a high level of service delivery.

• Minimum 10 years’ experience in Claims, hold a P&C license in Oregon and other states needed.
• Advanced knowledge of Commercial and P&C policies, including expertise in specialized coverage and claims handling processes.
• Have or obtain Insurance Adjuster License within the first year of employment.
• Insurance certifications are not required but encouraged like CISR or CIC.
• College diploma or equivalent experience.
• Knowledge of insurance coverages and an ability to communicate this clearly to clients and adjusters.