Program Claim Manager - Liability Lines

Davita Inc.; Boca Raton (FL); Remote; USD 90,000 - 130,000; Full time

Job summary

AmTrust Financial Services is seeking a Program Claims Manager, responsible for overseeing Third Party Administrators and managing complex liability claims. This role demands expertise in legal and technical aspects of claims and requires a minimum of 7-10 years of experience. The successful candidate will negotiate strategy and ensure compliance with best practices, all while working in a supportive, inclusive environment that values diversity.

Benefits

Medical & Dental Plans

Life Insurance

401k Savings Plans

Paid Time Off

Qualifications

• Minimum of 7-10 years' experience in complex commercial liability claims.
• Proficient in using a paperless claim file system.
• High level of technical claim and legal knowledge.

Responsibilities

• Provide oversight of Third Party Administrators in handling various claims.
• Ensure appropriate investigations and selection of legal counsel.
• Lead new TPA program implementations and manage account oversight.

Skills

Communication skills

Negotiation

Technical claim knowledge

Legal knowledge

Adaptability

Education

Texas designated home state adjuster license

SCLA or CPCU designation/AIC certification

Tools

Paperless claim file system

Job description

Program Claim Manager - Liability Lines

Job Locations

US-United States

Requisition ID

2024-17745

Category

Claims - Specialty Lines

Position Type

Regular Full-Time

Overview

Amtrust Financial Services, a fast growing commercial insurance company, is seeking a Program Claims Manager. This position can be located in one of our claims offices, with the possibility of working remotely. The successful candidate will provide oversight of Third Party Administrators in the handling of General Liability, Construction, Excess, Medical Malpractice and Trucking related claims. The successful candidate will evaluate coverage issues and risk transfer opportunities as well as ensuring appropriate investigations of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, and proper negotiation strategy is employed. This position reports to a line of Business Director.

Responsibilities

Provides guidance, feedback, information to drive results through Third Party Administrators
• Provide account management and oversight on assigned accounts
• Assist in claim due diligence as part of the approval process for any new TPA or MGA/TPA partner
• Lead new TPA program implementation process
• Work with the data analytics team to evaluate TPA/Program performance and communicate results to internal/external partners
• Draft, review and/or update service instructions for assigned programs
• Partner with Internal parties to assist with all necessary regulatory and compliance reporting requirements
• Ensure TPA compliance with best practices and litigation management guidelines
• Escalate service issues involving TPA's and MGA's to senior management
• Recognizing exposures and ensuring reserving is appropriate and timely
• Evaluating coverage issues and risk transfer opportunities, with preference to candidates with claims-made policy coverage experience
• Ensuring appropriate investigations of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, proper negotiation strategy is employed.
• Effectively communicate exposures both internally and externally
• Overall responsibility for formulating proper resolution strategy to ensure best total outcome.
• Perform Claim Audits
• Position may require periodic travel to attend meditations, trials and / or other related meetings
• Perform other duties as assigned

Qualifications

• Minimum of 7-10 years' experience in the handling or litigating of complex commercial liability claims.
• Proficient computer skills required to navigate our paperless claim file system.
• Possesses a high level of technical claim and legal knowledge and skills.
• Excellent communication skills both written and oral.
• Ability to interact at a high level with parties both internal and external to AmTrust.
• Easily adapts to changing situations requirements or priorities.
• Ability to effectively influence others without damaging relationships.
• Skillful negotiator.
• Texas designated home state adjuster license preferred.
• SCLA or CPCU designation/AIC certification preferred.

#LI-REMOTE

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What We Offer

AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.

AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.

AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.

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