Claims Manager, Insurance & Risk Management

Claims Manager, Insurance & Risk Management

Join to apply for the Claims Manager, Insurance & Risk Management role at NYC School Construction Authority (SCA)

Build your career while building NYC schools!

The NYC School Construction SCA (SCA) maintains an Owner Controlled Insurance Program (OCIP) for all contractors and sub‑contractors and an Operational Insurance Program for the SCA and its employees. The SCA Claims Manager, Insurance & Risk Management reports directly to the Senior Manager, Insurance & Risk Management with strategic oversight by the Chief Operating Officer (COO), and is responsible for managing the entire claim life cycle (including incident investigation, evaluation, reservation, negotiation, and resolution) of reported General Liability, Workers Compensation, Builders' Risk, Environmental, Auto, Cyber, and Property Damage claims.

The Manager also supports the COO and Risk Management team efforts to promote the SCA goals of safety, loss prevention and risk mitigation.

• Timely coverage analysis and communication with the Senior Manager, Insurance & Risk Management, COO, and other members of the Insurance & Risk Management team based on application of policy information, facts or allegations of each incident or claim.
• Investigates each claim through prompt contact with appropriate parties such as SCA staff, contractors, claimants, witnesses, brokers, TPA, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Verifies claims are properly coded.
• Takes necessary statements. Identifies resources for specific activities required to properly investigate claims such as subrogation, loss control, medical consultants, and surveillance, fire or fraud investigators and other experts.
• Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation.
• Recognizes claims based on severity protocols for timely referral to and discussion with the Senior Manager, Insurance & Risk Management, and COO.
• Keeps effective diary management system and maintains claims files to ensure that all claims are handled timely and efficiently.
• Updates appropriate parties as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options.
• At required time intervals, evaluates liability and damages exposure, and establishes proper indemnity, expense, and settlement reserves.
• Responsible for prompt, cost effective, and proper disposition of all claims within delegated authority.
• Negotiates disposition of claims with the Senior Manager, Insurance & Risk Management, COO, broker, carrier, and TPA as well as claimants or their representatives.
• Recognizes and implements alternate means of resolution.

• Supports the development and maintenance of claims handling instructions to set adjuster expectations, ensure consistency, control, and compliance.
• Consults with the Senior Manager, Insurance & Risk Management, COO, broker and third‑party adjusters (TPA), and carriers on use of panel counsel.
• Supports the development of litigation plans with staff or panel counsel, track and control legal expenses.
• May attend depositions, mediations, arbitrations, pre‑trials, trials and all other legal proceedings, as needed.
• Serves as a technical resource, attends legal proceedings as needed, acts within established professional guidelines as well as applicable state laws.

• Leverages the Risk Management Information System (RMIS) to track incidents, analyze trends, and drive data‑informed decisions for claims and risk mitigation.
• Ensures correct data coding and supports the creation of dashboards, analytics, and reporting.

• Coordinates with internal stakeholders to maximize Risk Management efforts.
• Collaborates with the Office of Inspector General by identifying and reporting potential fraud, providing supporting documentation, facilitating investigations, and ensuring adherence to oversight requirements.
• Part…