Comml Auto Unit Mgr

Evolving Solution Services; United States; On-site; USD 145,000 - 175,000; Full time

Job summary

Evolving Solution Services in the United States is seeking an experienced Claims Manager to lead a team handling complex, high‑exposure claims across lines of business. This senior working leader balances hands‑on claim handling (about 30%) with strategic oversight (about 70%), delivering outcomes for clients and the organization.

The role emphasizes technical expertise in coverage analysis, reserving, and resolution strategies, along with coaching and succession planning.

Qualifications

• Bachelor's degree preferred
• 8–12+ years progressive claims handling experience
• Demonstrated leadership experience in a working‑leader capacity
• Strong understanding of TPA operations and client service expectations
• Advanced analytical, decision‑making, and communication skills

Responsibilities

• Manage a portfolio of complex, high‑exposure, or sensitive claims across lines of business
• Provide advanced technical expertise in coverage analysis, investigation, reserving, and resolution strategies
• Directly handle large‑loss or escalated claims
• Serve as a technical resource and escalation point for supervisors and staff
• Ensure financial accuracy and effective management of claim exposures
• Lead and support supervisors and claims professionals in day‑to‑day operations
• Provide coaching, guidance, and mentorship to drive performance and development
• Support hiring, onboarding, and succession planning efforts
• Promote a culture of accountability, quality, and continuous improvement
• Monitor performance metrics, including quality, cycle time, and financial outcomes
• Identify trends, risks, and opportunities for operational improvement
• Support consistency in claim handling practices across teams
• Serve as a key contact for clients on complex claims and service‑related matters
• Participate in client meetings and performance reviews
• Ensure adherence to client‑specific guidelines, contracts, and SLAs
• Ensure strong reserving discipline and oversight of claim financials
• Support audit processes and maintain compliance with regulatory requirements
• Reinforce internal controls and risk management practices

Skills

Leadership

Claims handling

Analytical skills

Communication

Client service

Team mentoring

Education

Bachelor's degree in business or insurance

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Comml Auto Unit Mgr

FullTime Management US

10 days ago Requisition ID: 1023

Salary Range: $145,000.00 To $175,000.00 Annually

Position Summary

The Claims Manager is a senior working leader responsible for managing a reduced, complex caseload while providing leadership across claims teams or functional areas. This role balances hands‑on claim handling (approximately 30%) with management responsibilities (approximately 70%), focusing on high‑exposure claims, operational oversight, and client service excellence.

Key Responsibilities

Claims Handling Leadership (Primary Focus – ~80%)

• Manage a portfolio of complex, high‑exposure, or sensitive claims across lines of business
• Provide advanced technical expertise in coverage analysis, investigation, reserving, and resolution strategies
• Directly handle large‑loss or escalated claims
• Serve as a technical resource and escalation point for supervisors and staff
• Ensure financial accuracy and effective management of claim exposures

Leadership & Team Management (~20%)

• Lead and support supervisors and claims professionals in day‑to‑day operations
• Provide coaching, guidance, and mentorship to drive performance and development
• Support hiring, onboarding, and succession planning efforts
• Promote a culture of accountability, quality, and continuous improvement

Operational Oversight

• Monitor performance metrics, including quality, cycle time, and financial outcomes
• Identify trends, risks, and opportunities for operational improvement
• Support consistency in claim handling practices across teams

Client Relationship Management

• Serve as a key contact for clients on complex claims and service‑related matters
• Participate in client meetings and performance reviews
• Ensure adherence to client‑specific guidelines, contracts, and SLAs

Financial, Compliance & Governance

• Ensure strong reserving discipline and oversight of claim financials
• Support audit processes and maintain compliance with regulatory requirements
• Reinforce internal controls and risk management practices

Qualifications

• Bachelor’s degree in business, insurance, or related field preferred
• 8–12+ years of progressive claims handling experience, including complex claims
• Demonstrated leadership experience, particularly in a working‑leader capacity
• Strong understanding of TPA operations and client service expectations
• Advanced analytical, decision‑making, and communication skills