Claim Manager

CWA Recruiting; New Jersey; On-site; USD 95,000 - 130,000; Full time

Job summary

CWA Recruiting seeks an experienced Claims Manager for our New Jersey operations. You will lead the Claims Department, ensure top-tier service for associates, agents, adjusters, attorneys and insureds, and coordinate with senior management to drive efficiency and regulatory compliance.

You will manage staff, oversee audits, review complex files, mentor team, monitor performance, and report on exposures and payments.

Qualifications

• Insurance & regulatory knowledge of standard property and casualty statutes and claims adjusting.
• Supervisory experience in team leadership and performance management.
• Analytical and decision-making skills to interpret complex laws and regulations.
• Strong communication across all levels, including attorneys, agents and insureds.

Responsibilities

• Oversee daily claims functions and department operations; handle inquiries and assign processing tasks.
• Lead staff recruitment, onboarding, training, supervision and annual performance evaluations.
• Advise senior leadership on large exposures and E&O issues with full case details.
• Review complex files including denials, regulatory complaints and external inquiries.
• Coordinate defense counsel selections and coverage opinions for London contracts.
• Oversee daily payments, bordereaux reporting, and payment reconciliation with accounting.
• Prepare claim files for audits, ensure contract compliance and manage subpoenas.
• Vet adjusting firms, conduct peer reviews, monitor performance and maintain E&O records.

Skills

Supervisory experience

Analytical

Communication

Job description

We are seeking an experienced and detail-oriented Claims Manager to oversee all daily operations of a Claims Department. In this leadership role, you will serve as the primary liaison between upper management and the claims team, ensuring top-tier customer service for associates, agents, adjusters, attorneys, and insureds. You will drive departmental efficiency, manage regulatory and contractual compliance, and guide a dedicated team of claims professionals.

Key Responsibilities

Department Leadership & Operations: Oversee daily claims functions, handle incoming phone calls, and review/distribute incoming mail for processing.

Team Management & Development: Handle hiring, onboarding, training, and ongoing supervision of claims staff. Conduct yearly performance evaluations, set department goals, and encourage continuing education and professional training.

Risk & Executive Reporting: Advise the CEO, Underwriter, and Branch Manager of potentially large exposures or abnormal issues. Immediately report all Errors & Omissions (E&O) exposures to the CEO with full details and claim files.

Complex File Review: Review problem files, including insureds disputing denials, Department of Insurance complaints, and London Complaint Department inquiries.

Litigation & Counsel Management: Recommend and assign defense attorneys appointed by London to defend losses or request coverage opinions, keeping all involved parties updated and directing staff on coverage issues.

Financial & Accounting Oversight: Review daily checks prepared by the team, collaborate with accounting to verify funds for weekly claim payments, run monthly Bordereaux reports, and reconcile payments with accounting.

Audits & Compliance: Prepare claim files for annual audits, review London contracts to ensure full compliance, manage adjuster panels for each contract, and handle company document production for subpoenas.

Vendor & Quality Control: Interview and vet adjusting firms for compatibility, perform Peer Reviews for London contracts, monitor adjuster performance, and maintain records of E&O certificates.

Qualifications & Requirements

Insurance & Regulatory Knowledge: Strong, demonstrated knowledge of standard property and casualty insurance statutes, regulations, and practices, alongside comprehensive expertise in casualty/liability claims adjusting (analyzing and coordinating claim dispositions).

Supervisory Experience: Proven background in successful team leadership, staff supervision, and performance management.

Analytical & Decision-Making Skills: Strong analytical capabilities for interpreting complex laws and regulations to form sound decisions.

Communication & Interpersonal Skills: Exceptional communication abilities to liaise effectively across all levels—from upper management to external attorneys, agents, and insureds.