Senior Claims Manager Delegated Authority, Claims

SENIOR CLAIMS MANAGER DELEGATED AUTHORITY, CLAIMS

This position is responsible for overseeing and managing losses directly handled by claims professionals across a variety of claim and policy types nationwide.  The policies at issue vary greatly but will generally include auto, property, and liability exposures. 

Successful candidates will have the ability to balance the daily needs of the team, our insureds, and business partners while upholding the highest standards of integrity and honesty.  This position play’s a key role in maintaining the Trisura’s brand and interests while fostering strong working relationships with internal and external parties and protecting our insureds. 

A deep understanding of insurance regulations, strategic oversight of claims from inception through resolution, good faith claims handling practices, coverage and liability analysis, pre-trial and trial strategy, and the roles and responsibilities of Third-Party Administrators, as well as a dedication to serving our insureds, is required.

As an integral member of the team, you will bring

• Dynamic, motivated, and self-confident disposition
• Tenacious, resilient, and resourceful persona with the ability to thrive in a fast-paced environment involving multiple, competing priorities
• Excellent commercial awareness, analytical and problem-solving skills
• Diligence and vigilance in executing claims management responsibilities
• Proven ability to work effectively within a team environment
• Strong understanding of insurance coverage, strategic direction, and litigation management from a claims oversight perspective
• Integrity and personal credibility along with effective and articulate communication skills, demonstrating ability to influence best outcomes.

Responsibilities

• Delegated Authority:  Work with and influence claims administrators’ handling of claims for Trisura to ensure losses are appropriately assessed, investigated, mitigated, and handled.  This position involves consulting on coverage and overall claims resolution strategy, exposure analysis for establishment of reserves in line with Trisura’s reserving philosophy, identification of matters that should be escalated internally, and otherwise monitoring the progression of claims to ensure alignment with Trisura’s interests.  Engagement extends beyond instances of referred claims, to initiating formal touchpoints with the claim administrator via regularly scheduled meetings, participating in audit kick-offs and wrap-up meetings, etc.
• Oversight Management:  Maintain detailed records and documentation, including claim documents, communications, and key decision details, as well as handle the initiation of cash calls, within the Claims Oversight and Cash Call PowerApp.  Operates as a mentor within the Delegate Authority Claims unit of Trisura, actively participates in roundtables, reviews and decisions internal approval recommendations for authority (reserve and settlement, as well as coverage letter), contributes to ongoing training initiatives and stays current with emerging trends – sharing subject matter insights with the team.

• Stakeholder Communication:  Serves as the primary point of contact within Trisura for those claim matters corresponding to the assigned program(s) and is responsible for responding to internal requests for sourcing and delivering accurate, complete, and timely responsive information as necessary.  As such, participates in new program development meetings, program roll-out and new or transfer implementation engagements.
• Portfolio Monitoring:  Performs analysis of claims data, claims metrics, and results from TPA audits  to effectively manage the portfolio of claims in the assigned program(s) and communicate points and conclusions to relevant parties in a manner that matches the given audience’s need for level of detail and communication preferences. 
• Travels as needed and/or warranted (for mediations, trials, etc.)
• Performs other duties as required or assigned which are reasonably within the scope of the duties in this job description.

Qualifications

• Required minimum of five (5) years' experience in claims management with a focus on complex exposures in all lines
• Minimum of ten (10) years’ experience in  claim handling and/or claims management specific to commercial and residential property, commercial and personal auto, and commercial general liability (liquor liability a plus)
• Bachelor’s degree in Risk Management, Business Administration, Finance, or related field preferred; Insurance industry recognized accreditation(s) considered a plus.
• Current and in good standing Resident State Adjuster License with Multi-Lines
• Competent in the Microsoft suite of products