Insurance Claims Manager

Overview

The Insurance Claims Manager serves as the primary liaison between the company, its clients, and insurance carrier partners—ensuring a seamless, high‑quality claims experience from first notice of loss through final resolution.

This role requires deep expertise in P&C insurance coverage and claims management, paired with strong client advocacy and the ability to maintain productive, long‑term relationships with carriers and agency partners. As a subject matter expert, the Claims Manager provides guidance on coverage interpretation, claims strategy, and resolution approaches while supporting both internal stakeholders and external clients.

The position is highly client‑facing and requires the ability to clearly communicate complex claims scenarios, including claim status, denials, dispute resolution, and escalation paths. Beyond day‑to‑day claims handling, this role plays a strategic role in analyzing claims trends—such as loss types, severity, and geographic patterns—and translating insights into recommendations that influence underwriting strategy, product design, and operational processes.

The Claims Manager also contributes to the development and execution of production and profitability strategies across insurance programs. The ideal candidate operates with a high degree of independence, sound judgment, and professionalism—particularly when navigating complex, sensitive, or high‑exposure claims in a regulated insurance environment.

Responsibilities

• Serve as a subject matter expert on insurance coverage interpretation and claims handling
• Act as an advocate for clients throughout the full claims lifecycle, driving timely and effective resolution
• Respond to claims inquiries from internal teams, external clients, and carrier partners
• Clearly communicate claim status, next steps, and expectations to stakeholders
• Review and assess claim denials; articulate outcomes, rationale, and potential appeal strategies
• Collaborate closely with insurance carriers and adjusters to progress claims toward resolution
• Build and maintain strong, productive relationships with carrier and agency partners
• Analyze claims data to identify trends, risks, and recurring issues
• Translate claims insights into recommendations that support underwriting, product, and operational improvements
• Support insurance program production and profitability strategies through claims‑related insights and risk mitigation

Qualifications

• Bachelor’s degree in Business, Finance, Accounting, or a related field
• Minimum of 5 years of Property & Casualty (P&C) insurance experience
• Strong working knowledge of insurance products, coverage, and claims processes
• Excellent verbal and written communication skills, with the ability to explain complex topics clearly
• Strong analytical skills with experience reviewing and interpreting claims data
• Advanced proficiency in Excel
• Proven ability to build effective relationships with internal and external stakeholders
• Strong business writing and documentation skills

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