Manager of Coverage & Specialty Claims (hybrid)

Utica National Insurance Group; Town of New Hartford (NY); Hybrid; USD 124,000 - 181,000; Full time

Benefits offered by this job

Medical and Prescription Drug Benefit

Life Insurance and Disability Benefits

401(k) Profit Sharing and Investment

Health Savings Account (HSA)

Tuition Assistance, Training, and Prof

Job security and career advancement

Wellness programs

Job summary

Utica National Insurance Group in Central New York is seeking a Manager of Coverage & Specialty Claims to lead and develop a skilled team handling complex general liability and commercial auto claims in a hybrid work setting.

You will establish coverage review practices, guide reserve decisions, and oversee select pollution, hazardous waste, bond, cyber, and related claims while ensuring high service standards and regulatory compliance.

Qualifications

• JD is required.
• 10+ years' experience handling or supervising complex general liability claims.
• 5+ years in a claims liability leadership position preferred.

Responsibilities

• Supervise and develop a team of Coverage and Specialty Claims Examiners and Staff Attorneys handling complex general liability and commercial auto claims.
• Establish and maintain coverage review practices across casualty claims teams, including evaluation and determination of coverage.
• Oversee direct handling of select pollution, hazardous waste, bond, cyber, and other claims within the unit.
• Ensure reserve adequacy and proper loss costs, with strong claim service delivery and timely investigation.
• Embed robust litigation management practices and defense panel management to mitigate severity of claims.
• Provide guidance to less experienced claims staff and perform other duties as assigned.

Education

JD required

Job description

Manager of Coverage & Specialty Claims (hybrid)

At Utica National Insurance Group, 1,400 employees countrywide take our corporate promise to heart every day: To make people feel secure, appreciated, and respected.

Utica National Insurance Group is an \"A\" rated $2.0B award-winning, nationally recognized property & casualty insurance carrier.

Operating along the Eastern half of the United States, our Home Office is based in Central New York, with Regional Office locations in NYC, Dallas and Charlotte.

What you will do:

This is a leader position that will supervise and develop a team of Coverage and Specialty Claims Examiners and Staff Attorneyswho handle complex general liability and commercial auto claims. With technical skills in coverage review, evaluation, and determination, the Manager of Coverage and Specialty Claims will establish and maintain coverage review practices across the company's casualty claims teams. Additionally, the Manager of Coverage and Specialty Claims will oversee the direct handling of select pollution, hazardous waste, bond, cyber, and other claims.

Key responsibilities:

• Ensure consistently strong day to day execution in management of the Company’s Coverage and Specialty Claims examiners and staff attorneys handling of complex general liability and commercial auto claims.
• Establish and maintain practices to support coverage review and evaluation across the casualty claims teams including the evaluation and determination of coverage as well as drafting and finalization of coverage positions.
• Maintain responsibility for claim outcomes through direct claim handling or oversight, accountability for coverage determinations, reserve adequacy, loss costs, loss expenses, claim service delivery, timely investigation, evaluation and disposition of claims.
• Develop and implement reviews to ensure that claims technical standards are being met and improvement opportunities are recognized and communicated.
• Follow established reserve control procedures to ensure that reserves are current and reflect accurate loss and loss expense exposure of claims in accordance with Utica National’s reserving philosophy.
• Embed strong litigation management practices and performance metrics within the Coverage and Specialty Claim Unit and establish defense panel management practices to mitigate claims severity.
• Participate in the evaluation and negotiation strategy of high exposure casualty claims including general liability, commercial auto, abuse and molestation, EPLI, pollution, and legal liability claims.
• Manage the Coverage and Specialty Claims examining team resources to maximize efficiency and effectiveness in providing coverage evaluations and support to the various casualty claim units in the Company.
• Evaluate and provide direction to the Coverage and Specialty Claims examining teams on the application of reinsurance to specific claims and reinsurer reporting obligations.
• Manage the Coverage and Specialty examining teams direct handling of bad faith claims against the Company.
• Oversee the direct handling of select pollution, hazardous waste, bond, cyber, and other claims within the Coverage and Specialty Claims examining team.
• Provides guidance and assistance to less experienced claims staff in other functional areas.
• Performs other duties as assigned.
• Conforms with all corporate policies and procedures.

What you need:

• JD required.
• 10+ years' experience handling or supervising complex general liability claims.
• 5+ years in claims liability leadership position preferred.

Licensing:

Required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims. Licensing must be obtained within the timeframe set forth by the Company and must be maintained as needed throughout your employment.

Salary range: $124,000 - $181,000

The final salary to be paid and position within the internal salary range is reflective of the employee’s work experience, their geographic location, education, certification(s), scope and responsibilities in the role, and additional qualifications.

We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. We offer a Comprehensive Benefits Plan for full time employees that include the following:

• Medical and Prescription Drug Benefit
• Life Insurance and Disability Benefits
• 401(k) Profit Sharing and Investment Plan(Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results)
• Health Savings Account (HSA)
• Flexible Spending Accounts
• Tuition Assistance, Training, and Professional Designations
• Company-Paid Family Leave
• Adoption/Surrogacy Assistance Benefit
• Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance
• Student Loan Refinancing Services
• Care.com Membership with Back-up Care, Senior Solutions
• Business Travel Accident Insurance
• Matching Gifts program
• Employee Referral Award Program
• Wellness programs

Additional information:

This position is a full time salaried, exempt (non overtime eligible) position.

Utica National is an Equal Opportunity Employer.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.