Claims Manager

Jobtailor; San Diego (CA); On-site; USD 140,000 - 190,000; Full time

Job summary

Jobtailor is seeking a senior claims leader to direct indemnity claim teams in California. You will supervise Claim Supervisors, drive performance, and ensure compliance with laws, regulations, and company standards to deliver strong audits and outcomes.

The role involves coaching, strategic oversight of high-exposure claims, and partnering with multiple departments to optimize risk, cost containment, and customer satisfaction.

Qualifications

• Bachelor's degree or equivalent combination of education and experience.
• 8+ years of workers' compensation claims experience with 3+ years in supervisory roles.
• California adjusting license or ability to obtain within 9 months.

Responsibilities

• Direct, lead, and develop indemnity claim teams through managing Claim Supervisors.
• Ensure compliance with statutes, regulations, and company standards while achieving audit results.
• Monitor performance metrics and implement strategies to improve quality, productivity, and customer satisfaction.
• Provide oversight on high-exposure, litigated, and strategic claims and risk management practices.
• Oversee reserving, settlements, and cost containment to safeguard financial integrity.

Skills

Indemnity Claims

Workers' Compensation

Data Analytics

Supervisory Experience

California Adjusting Certification

Education

Bachelor's degree

California Adjusting License

Tools

Reporting Tools

Emerging Technologies

Job description

• Direct, lead, and develop indemnity claim teams through effective management of Claim Supervisors, ensuring alignment with organizational goals, priorities, and performance expectations.
• Ensure claims are administered in compliance with applicable statutes, regulations, case law, and company standards, while achieving strong results in internal and external claim audits.
• Monitor operational and individual performance metrics, implementing strategies and corrective actions to improve claim quality, productivity, customer satisfaction, and claim outcomes.
• Provide oversight and guidance on complex, high-exposure, litigated, and strategically significant claims, ensuring sound claim resolution strategies and appropriate risk management practices.
• Promote and safeguard the financial integrity of claim files through timely and accurate reserving, settlement authority oversight, and effective claim cost containment practices.
• Utilize data analytics, reporting tools, and emerging technologies to identify trends, measure performance, mitigate risk, and drive operational improvements.
• Ensure timely implementation and consistent execution of changes in laws, regulations, industry best practices, and company claim management strategies.
• Develop, coach, and mentor Claim Supervisors, fostering professional growth, leadership effectiveness, employee engagement, succession planning, and accountability for results.
• Partner with stakeholders across Claims, Underwriting, Legal, Finance, Human Resources, and other departments to achieve business objectives and deliver integrated solutions.
• Lead or participate in strategic initiatives, process improvements, organizational objectives, training programs, and cross-functional projects that support operational excellence and continuous improvement.
• Manage escalated customer concerns, complaints, and service issues, ensuring timely resolution and preservation of key business relationships.
• Represent the organization in client meetings, claim reviews, audits, and other business forums, reinforcing the company's commitment to exceptional service and claim outcomes.
• Establish and communicate clear expectations, monitor results, and hold leaders accountable for performance, compliance, service standards, and professional conduct.
• Foster a culture of inclusion, collaboration, innovation, and continuous improvement that supports employee development and organizational success.

Requirements

• EDUCATION: Bachelor's degree from an accredited college or university; or minimum 8 years relevant experience; or an equivalent combination of education and technical training combined.
• CERTIFICATIONS/LICENSES: Designated for California adjusting or ability to achieve within 9 months from placement into position.
• EXPERIENCE: A minimum of 8 years of work experience in workers compensation insurance claims adjusting, claims operations, or a closely related function, with a minimum of 3 years of supervisory experience.

Core Competencies

Demonstrates expertise in managing indemnity claims teams, ensuring compliance with regulations, and driving operational improvements through data analytics and performance metrics. Proven ability to develop leadership skills in team members while fostering collaboration and accountability across departments.

Highest-signal resume keywords

• Indemnity Claims Management
• Workers Compensation Insurance
• Data Analytics
• Supervisory Experience
• California Adjusting Certification

ATS Optimization Keywords

Hard Skills

• Claims Administration
• Risk Management
• Performance Metrics Monitoring
• Claim Resolution Strategies
• Cost Containment Practices

Soft Skills

• Leadership Development
• Employee Engagement
• Conflict Resolution
• Collaboration
• Coaching

Certifications & Qualifications

• California Adjusting License

Industry Keywords

• Claims Operations
• Compliance
• Audit
• Customer Satisfaction
• Continuous Improvement

Tools & Technologies

• Reporting Tools
• Emerging Technologies