Remote Claims Operations Manager (WC/Auto/GL)

ID Logistics US

United States

À distance

USD 70 000 - 80 000

Plein temps

Il y a 5 jours
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Avantages offerts par ce poste

Medical insurance
Dental insurance
Vision insurance
401(k) with company matching
Generous PTO
Sick time
Company holidays

Résumé du poste

ID Logistics US seeks an experienced Claims Operations Manager to own day-to-day administration and strategic handling of U.S. claims across workers' compensation and casualty lines, including auto, general liability, property, and cargo/logistics.

You will partner with internal teams and insurers, drive settlement decisions, and manage vendor performance to optimize outcomes. Remote within the Northeast, Mid-Atlantic, or Philadelphia area is preferred; travel up to 20% and a start date in

Qualifications

  • Bachelor's degree in Risk Management, Insurance, Business Administration, Finance, Legal Studies, or a related field.
  • 5-8 years of responsible claims experience, including hands-on management of multi-state workers' compensation and casualty claims.
  • Experience with large-deductible, self-insured, or other retained-risk programs and managing third-party administrators, carriers, or claims vendors.
  • Demonstrated ability to evaluate exposure, reserves, settlement strategy, medical and indemnity drivers, and claim closure opportunities.
  • Strong data discipline and experience using claims management systems, loss runs, dashboards, and spreadsheet-based analysis.

Responsabilités

  • Own day-to-day management of the U.S. non-litigated claims portfolio across WC and casualty lines.
  • Triage incidents, ensure reporting, preserve evidence, and determine handling pathways.
  • Serve as first-line decision owner for routine/mid-level claims and escalate major issues to Legal.
  • Manage carrier, TPA, broker, and vendor performance with clear SLAs and follow-ups.
  • Oversight of workers' compensation outcomes including treatment, nurse case management, and return-to-work planning.
  • Collaborate with HR, Safety, Operations to obtain claim information and enable transitions to work.
  • Review reserves and development; identify opportunities for early resolution or closure.
  • Develop settlement evaluations and coordinate negotiations with adjusters and counsel.
  • Handle non-workers' compensation casualty claims with coverage/deductible evaluation.
  • Identify subrogation and recovery opportunities while preserving evidence.
  • Monitor coverage, denials, and insurer disputes; coordinate with Legal on significant issues.
  • Maintain complete claim records in CM systems; produce dashboards and reviews for stakeholders.
  • Develop and improve claim reporting procedures and training for sites and partners.
  • Support litigated claims with counsel as needed and ensure timely handoffs to Legal.

Connaissances

Claims management
Multi-state claims
Data analysis
Reserves evaluation
Escalation and decisioning
Communication
File review and vendor management
Return-to-work awareness
Stakeholder collaboration

Formation

Bachelor's degree in Risk Management/Insurance/Business/Finance/Legal Studies

Outils

Claims management systems
Loss runs analysis

Description du poste

ID Logistics US seeks an experienced Claims Operations Manager to own day-to-day administration and strategic handling of U.S. claims across workers' compensation and casualty lines, including auto, general liability, property, and cargo/logistics.

You will partner with internal teams and insurers, drive settlement decisions, and manage vendor performance to optimize outcomes. Remote within the Northeast, Mid-Atlantic, or Philadelphia area is preferred; travel up to 20% and a start date in

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