Claims Manager

Reserv Claims Analysis, LLC

Atlanta (GA)

Hybride

USD 110 000 - 160 000

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Avantages offerts par ce poste

Health insurance
401(k) retirement plan with employer-m
Generous PTO
Family leave policy
Equipment provided

Résumé du poste

Reserv Claims Analysis, LLC is seeking a senior Claims Manager to lead a team of adjusters across multiple lines of business, driving operational efficiency through data-driven practices and technology. You will ensure quality, regulatory compliance, and strong client satisfaction while managing reserving and escalation handling.

The role emphasizes leadership, remote collaboration, and the ability to scale processes across multiple clients in a fast-paced insurtech environment, with a focus on

Qualifications

  • Active insurance adjuster license in home state
  • Demonstrated leadership and team management experience

Responsabilités

  • Manage a team of adjusters handling a mix of accounts and lines of business including general liability, commercial property, and others
  • Achieve or exceed goals and overcome obstacles
  • Implement and maintain best practices for claims handling across intake, investigation, evaluation, settlement, and recovery
  • Monitor claims data to identify trends and opportunities for process improvement
  • Align team with client and customer expectations of the claims process
  • Serve as a resource for escalated claims
  • Oversee claim reserving for accuracy and adequacy
  • Develop strategies to mitigate fraudulent claims and ensure regulatory compliance
  • Foster a positive work environment and promote professional growth
  • Lead performance management including hiring, training, and retention
  • Collaborate with internal teams to resolve complex claims and escalate issues
  • Build relationships with external stakeholders including policyholders, agents, brokers, and legal representatives
  • Prepare and present claims reports and analysis to clients and advise on trends and loss mitigation

Connaissances

Active insurance license
Leadership

Formation

Bachelor's degree in insurance or related field

Description du poste

Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can't wait to meet you.

Location Requirement

Candidates must reside in an eligible U.S. state throughout employment. We are unable to hire candidates residing in California, Alaska, Hawaii, U.S. territories, or outside the United States.

About the role

As a Claims Manager at Reserv, you will be responsible for a team of claims professionals managing claims in multiple LOBs. We want your background and experience to deliver operational effectiveness, particularly in leveraging technology and analytics to drive better efficiencies and performance. You will serve a critical role with the team, the customers, and the client. The high-performing team you will manage will service several clients as part of our Core Team. You will maintain high quality standards, and compliance with regulatory, internal, and external contractual SLAs. This position requires exceptional leadership skills, and foundational understanding of claims ideally with experience handling and/or managing multi lines of business.

What you'll do
  • Manage a team of adjuster managing a mix of accounts and lines of business including general liability, commercial property, and others
  • Be consistently dependable in achieving or exceeding goals and overcoming obstacles
  • Implement and maintain best practices for claims handling, including: claim intake, investigation, evaluation, settlement, and recovery
  • Monitor and analyze claims data to identify trends, patterns, and areas for process improvement
  • Align team with client and customer expectations of the claims process
  • Serve as a resource for escalated claims
  • Responsible for accuracy and adequacy of all aspects of claim reserving
  • Develop and implement strategies to mitigate fraudulent claims and ensure compliance with legal and regulatory requirements
  • Foster a positive work environment, promote teamwork, and encourage professional growth and development
  • Execute on performance management; attract, hire, retain and provide high level of training
  • Collaborate with internal teams, such as Account Management, Compliance, and Claim Operations, to resolve complex or escalated claims-related issues
  • Establish and maintain strong relationships with external stakeholders, including policyholders, agents, brokers, and legal representatives
  • Prepare and present comprehensive claims reports, metrics, and analysis to clients and customers; advise clients on claim trends and loss mitigation
Qualifications
  • Active insurance adjuster’s license by way of a designated home state, or home state
  • Bachelor's degree in insurance, business administration, or a related field; relevant certifications (e.g., CPCU, AIC) are a plus
  • 10+ years in insurance claims management experience in multiple lines of business, preference for property, general liability and/or auto with bodily injury experience
  • 5+ years management experience with preference for experience managing in a remote environment
  • Comfortable with technology and the ability to evolve the claims systems and processes to drive better efficiencies and outcomes
  • Demonstrated commitment to quality, accuracy, and attention to detail
  • Integrity, ethics, and a strong sense of accountability in handling confidential and sensitive information
  • Generous health-insurance package with nationwide coverage, vision, & dental
  • 401(k) retirement plan with employer matching
  • Competitive PTO policy – we want our employees fresh, healthy, happy, and energized!
  • Generous family leave policy after 8 months of continuous work
  • Work from anywhere to facilitate your work life balance
  • Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!

At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply.

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