Claims Manager

Job Summary

Seeking a dedicated and experienced Claims Manager to join a team. In this pivotal role, you will oversee the entire claims process, ensuring efficiency, accuracy, and a client-focused approach. You will evaluate, manage, and resolve insurance claims while collaborating with clients and carriers to deliver optimal outcomes. This position requires strong analytical skills, a deep understanding of insurance policies, and a proactive approach to problem-solving.

Compensation Package

• Competitive salary commensurate with experience
• Comprehensive benefits package, including health insurance, and paid time off

Responsibilities

• Manage the claims process autonomously from initiation to resolution, ensuring seamless operations.
• Conduct thorough assessments of claims, including property, commercial auto, general liability, and worker’s compensation, and provide strategic recommendations for resolution.
• Ensure accurate and comprehensive claim settlements, utilizing legal reviews and investigations as necessary.
• Facilitate client meetings, claim reviews, and vendor interactions to foster productive communication and swift resolutions.
• Monitor claim statuses, develop action plans, and establish reserves with a focus on minimizing client costs.
• Proactively analyze reserves and negotiate adjustments to optimize outcomes for clients.
• Provide expert claims support through detailed review, research, investigation, negotiation, and processing.
• Maintain accurate records by inputting claim data into the agency management system.
• Collaborate with the Risk Manager to identify trends and patterns, contributing to proactive risk mitigation strategies.
• Assist with additional projects as assigned, demonstrating flexibility and a team-oriented mindset.

Qualifications/Requirements

• Proven experience in claims management, preferably within the insurance industry.
• Strong knowledge of insurance policies and claims processes, including property, commercial auto, general liability, and worker’s compensation.
• Exceptional analytical and problem-solving skills with a proactive approach to resolving complex issues.
• Excellent communication and negotiation skills, with the ability to foster positive relationships with clients and carriers.
• Proficiency in using agency management systems and maintaining accurate records.
• Ability to work independently while collaborating effectively with team members and stakeholders.
• Strong organizational skills and attention to detail to ensure timely and accurate claim processing.

#LI-DD3

Senior Agency Claims Advocate

Job Summary

Seeking a highly skilled and experienced Senior Agency Claims Advocate to join a growing team. This role is pivotal in providing expert claims advocacy for middle to large market accounts, including General Liability, Workers' Compensation, Property, Commercial Auto, and Professional Lines. The ideal candidate will bring a consultative approach to claims management, collaborating with sales and service teams to deliver exceptional client support. This is a hybrid position, offering a mix of in-office and remote work flexibility.

Compensation Package

• Salary Range: $90,000 - $125,000 annually
• Benefits: Comprehensive benefits package available
• Work Arrangement: Hybrid (3 days in-office for the first 30 days, 1 day in-office thereafter)

Responsibilities

• Serve as a trusted advisor to clients, providing guidance on coverage options and claims processes.
• Track claims throughout their lifecycle, ensuring timely and accurate resolution.
• Conduct claims reviews with clients, offering insights and recommendations for risk mitigation.
• Collaborate with sales and service teams to address client needs and enhance service delivery.
• Manage claims for middle to large market accounts, with account sizes ranging from $300,000 to $3 million.
• Utilize EPIC software to manage claims documentation and communication.
• Build strong relationships with clients in industries such as manufacturing, hospitality/restaurant, and logistics.

Qualifications/Requirements

• Licenses/Certifications: Property & Casualty (P&C) license required; additional designations such as ARM, CRIS, or WCIS are preferred.
• Experience: Minimum of 5 years of prior claims experience with a carrier, TPA, agency, or internal claims management.
• Industry Knowledge: Familiarity with claims in manufacturing, hospitality/restaurant, and logistics industries is highly desirable.
• Technical Skills: Proficiency in EPIC software or similar claims management tools.
• Soft Skills: Strong consultative approach, organizational skills, process orientation, problem-solving abilities, and analytical thinking.
• Education: Bachelor’s degree or equivalent experience preferred.

#LI-DM2

Claims Adjuster – Insurance Agency

Location: Remote Limited NY and NJ experience required 
Salary: Open depending on experience 

Position Overview

Our client, an established insurance agency, is seeking an experienced Claims Adjuster / Claims Specialist to manage and advocate for clients throughout the claims process. This position will support claims across Commercial Lines, Personal Lines, and Employee Benefits and serve as a key liaison between clients, insurance carriers, adjusters, and internal account teams.

The ideal candidate will have direct insurance agency claims experience, strong knowledge of multiple lines of coverage, and hands-on experience working within Applied Epic.

Key Responsibilities

• Manage and coordinate claims across Commercial Lines, Personal Lines, and Employee Benefits accounts.

• Serve as the primary point of contact for clients throughout the claims process, providing proactive communication and guidance.

• Report claims to carriers and ensure all necessary documentation and supporting information is submitted accurately and promptly.

• Communicate directly with carrier claims adjusters, underwriters, account managers, producers, and other stakeholders.

• Advocate on behalf of agency clients to help facilitate timely and appropriate claim resolutions.

• Monitor open claims, maintain follow-up schedules, and proactively address delays or outstanding issues.

• Review claim activity and identify potential coverage concerns, trends, or issues requiring escalation.

• Maintain accurate and detailed claim documentation within Applied Epic.

• Assist Commercial Lines and Personal Lines clients with property, liability, auto, workers’ compensation, and other P&C-related claims.

• Support Employee Benefits claim issues and escalations involving medical, dental, disability, life, and other benefit programs.

• Partner with account management and production teams on complex or high-exposure claims.

• Participate in client claim reviews and provide updates on claim status, trends, and outstanding matters.

• Deliver a high level of client service while maintaining strong relationships with carrier claims teams.

Qualifications

• Prior claims experience within an insurance agency or brokerage environment required.

• Experience handling or coordinating claims across Commercial Lines and Personal Lines required.

• Experience with Employee Benefits claims and escalations strongly preferred.

• Applied Epic experience required.

• Strong understanding of insurance policies, coverage terminology, and the overall claims process.

• Experience communicating and negotiating with insurance carrier claims departments.

• Strong client advocacy, problem-solving, and relationship-management skills.

• Ability to manage multiple open claims and priorities simultaneously.

• Excellent written and verbal communication skills.

• Highly organized with strong attention to detail.

Ideal Background

The ideal candidate comes from an independent insurance agency or brokerage and has experience acting as the client's advocate rather than working solely from the carrier side. A well-rounded background supporting Commercial Lines, Personal Lines, and Employee Benefits clients, combined with strong Applied Epic knowledge, will be highly valued.

Claims Specialist

Job Summary

Seeking a highly skilled and experienced Claims Specialist to join a team. This role is pivotal in managing the claims process from initial notice to resolution, ensuring a seamless experience for our customers. The ideal candidate will have prior experience managing claims at an agency level, and will possess a strong understanding of commercial property and casualty insurance.

Compensation Package

• Salary: $80,000 - $100,000 annually, commensurate with experience.
• Benefits:
  • Comprehensive health, vision, dental, and life insurance.
  • Opportunities for professional growth in a collaborative and casual office environment.

Responsibilities

• Review and process incoming claims promptly and accurately, adhering to regulatory and company standards.
• Request and track necessary information from customers for accurate claim submissions.
• Investigate and resolve complex claim issues.
• Maintain detailed records of all claims activity, including correspondence and findings.
• Communicate regularly with customers and carriers to provide updates on claim status and next steps.
• Monitor and manage large claims, ensuring continuous communication with insured parties from notification to closure.
• Notify senior leadership of any large claim concerns or issues.
• Provide exceptional customer service by addressing customer concerns and complaints.
• Analyze and investigate claims to identify and prevent potential fraud.
• Generate monthly, quarterly, and annual loss run reports for internal and external stakeholders.
• Perform additional duties as assigned.

Qualifications/Requirements

Required Skills/Abilities:

• Valid resident Property & Casualty insurance license, or the ability to obtain and maintain one (assistance may be provided).
• Proficiency in Microsoft Office Suite.
• Familiarity with AMS360 and ImageRight, or the ability to quickly learn these systems.
• Strong analytical skills and attention to detail.
• Excellent communication skills, both written and verbal, with the ability to interact effectively with leadership, coworkers, insureds, and carriers.
• Ability to work independently with minimal supervision.
• Professional and tactful interpersonal skills to engage with diverse personalities.
• Strong organizational skills and the ability to manage multiple tasks efficiently.
• Team-oriented mindset with a willingness to seek and provide feedback.

#LI-CS1

Commercial Lines Claims Advocate - Agency

Job Summary

Seeking a highly skilled and experienced Commercial Lines Claims Advocate to join a dynamic and growing team. The role may require minimal travel. As a key member of team, you will handle complex, high-severity, disputed, or coverage-sensitive claims, ensuring exceptional service and advocacy for the clients.

Compensation Package

• Salary Range: $80,000 - $85,000 annually
• Benefits Offered:
  • Competitive benefits package, 401(k), paid time off, professional development opportunities, etc.
• Work Arrangement: Fully remote
• Travel Requirements: Minimal

Responsibilities

• Manage and advocate for commercial lines claims, including complex, high-severity, disputed, or coverage-sensitive cases.
• Serve as a liaison between clients and insurance carriers to ensure timely and accurate resolution of claims.
• Provide expert guidance and support to clients throughout the claims process.
• Collaborate with internal teams, including marketing and account management, to deliver exceptional client service.
• Maintain accurate and detailed records of claims activities in the AMS360 system.
• Stay updated on industry trends, regulations, and best practices to provide informed advice and solutions.

Qualifications/Requirements

• Licensure/Certifications: Property & Casualty (P&C) license and/or Adjuster license required.
• Experience: Minimum of 7 years of experience handling commercial lines claims, with significant exposure to complex and high-severity cases.
• Technical Skills: Proficiency in AMS360 software is preferred.
• Skills and Attributes:
  • Strong analytical and problem-solving skills.
  • Excellent communication and interpersonal abilities.
  • Detail-oriented with a commitment to accuracy and thoroughness.
  • Ability to work independently in a remote environment while maintaining high productivity.

#LI-DR1

Commercial Insurance Agency Claims Consultant

Job Summary

Seeking a detail-oriented and customer-focused Commercial Insurance Agency Claims Consultant to join the team. This role involves acting as a trusted advocate for clients, providing expert guidance and support throughout the claims process. Knowledge and experience in agency claims will be essential in delivering exceptional service, ensuring clients stay informed and confident during every step of the process.

The Claims Consultant will be responsible for managing claims, addressing potential coverage issues, and advocating on behalf of clients to carriers. This position requires someone who excels in a fast-paced, collaborative environment and is committed to fostering client satisfaction and trust.

Responsibilities

• Serve as the primary advocate for clients, managing commercial insurance claims from initiation through resolution.
• Assist clients in understanding policy coverage, conditions, exclusions, and the claims process.
• Collaborate with insurance carriers and adjusters to ensure accurate and timely claim resolution while protecting clients' interests.
• Provide proactive communication to clients and stakeholders regarding claim status, updates, and key developments.
• Assess coverage issues and escalate to subject-matter experts or additional resources when necessary.
• Review and evaluate claims documentation, including estimates, invoices, and adjuster reports, to ensure fairness and accuracy.
• Identify trends and offer claims mitigation and risk management recommendations to clients and agency leadership.
• Build and maintain strong client relationships through integrity, trust, and professional service.
• Maintain organized and accurate records of all claim-related activities and correspondence in the agency’s CRM or claims management system.
• Stay up-to-date on industry regulations, changes, and best practices to enhance service delivery.

Qualifications/Requirements

• Bachelor’s degree in Business, Insurance, Risk Management, or a related field, or equivalent work experience.
• A minimum of 3 years of experience in commercial insurance claims handling, agency claims advocacy, or a similar role.
• Expertise in commercial insurance policies, including liability, property, and workers' compensation.
• Excellent communication and interpersonal skills with a strong client-focused approach.
• Advanced analytical and problem-solving skills to handle complex claims effectively.
• Proficiency in claims management software and Microsoft Office Suite (Excel, Word, Outlook).
• Ability to manage multiple priorities and meet deadlines in a fast-paced setting.
• Strong negotiation and conflict resolution abilities.
• Exceptional attention to detail and professional integrity.
• Licensed Property and Casualty Agent.
• Claims Adjuster License or industry designations such as AIC, CPCU, or ARM.

Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion.

#LI-DR1

Senior Claims Advocate

Job Summary

Seeking a highly skilled and experienced Senior Claims Advocate to provide strategic claims support and advocacy for a clients. This role focuses on managing complex claims, improving claims performance, and delivering actionable insights to clients. As a key advisor, you will lead client-facing claims reviews, influence carrier decisions, and drive optimal claims outcomes.

Compensation Package

We offer a competitive compensation package that reflects your skills, experience, and expertise. The annual salary range for this position is $87,550.00 - $124,755.00 USD, commensurate with job-related qualifications and geographic location. This range includes base pay earnings. Additional benefits include:

• Comprehensive health, dental, and vision insurance
• Paid time off and holidays
• Professional development opportunities

Responsibilities

As a Senior Claims Advocate, your primary responsibilities will include:

• Overseeing the strategy and resolution of complex, high-exposure, and multi-line claims to align with client financial and risk management objectives.
• Serving as the primary advocate for clients with carriers, influencing reserves, coverage positions, and claim outcomes.
• Directing claim strategy and engagement with adjusters to ensure timely and effective claim progression.
• Identifying opportunities to reduce total cost of risk through strategic claim oversight and early intervention.
• Leading the development and delivery of quarterly claims reviews, including advanced trend analysis and actionable insights.
• Presenting claims reviews to clients, providing clear recommendations to improve outcomes and inform risk management decisions.
• Managing and resolving complex or escalated claim issues, serving as a senior escalation point for clients and internal stakeholders.
• Collaborating with carrier leadership, legal partners, and internal teams to resolve challenging claims.
• Mentoring and developing Claims Advocates, providing technical guidance and oversight of claim strategies.

Qualifications/Requirements

Required Education & Experience:

• A minimum of 5 years of experience in commercial insurance claims or claims advocacy.
• Strong understanding of claims handling, reserving, and coverage.

Preferred Education & Experience:

• Advanced designations such as AIC, SCLA, CPCU, ARM, or equivalent.
• Experience managing large and complex commercial claims.

Planning/Organizing/Managerial Knowledge:

• Proven ability to manage complex workloads and integrate claims strategy with client risk profiles and renewal impacts.

Communicating & Influencing Skills:

• Strong leadership in client discussions and presentations.
• Demonstrated ability to influence carrier decisions on reserves, settlements, and claim handling strategies.

#LI-CS1

Claims Advocate

Job Summary

Seeking a dedicated and detail-oriented Claims Advocate to support clients through the claims process. In this role, you will be responsible for reporting, monitoring, and facilitating communication between clients and insurance carriers. The ideal candidate will ensure timely claim handling, track claim statuses, and assist with claims analysis and reporting. This position requires a proactive approach to managing claims, providing strategic advice, and delivering exceptional client service.

Compensation Package

Salary that reflects your skills, experience, and education. The annual compensation range for this position is $72,950.00 - $103,955.00 USD for full-time employees.

Responsibilities

• Independently evaluate and triage claims to determine appropriate handling strategies and align with client risk management objectives.
• Analyze claims data, loss trends, and exposure factors to identify patterns and provide actionable recommendations.
• Serve as a strategic advisor to clients on claims processes, coverage interpretation, and best practices for mitigating future risks.
• Coordinate claim resolution strategies with carriers, legal partners, and internal teams to address cost, liability, and operational impacts.
• Lead claims review discussions with clients, presenting insights, advising on reserve challenges, and influencing claim outcomes.
• Interpret and apply policy provisions and carrier practices to guide clients through complex or escalated claims scenarios.
• Manage carrier relationships and advocate on behalf of clients to ensure appropriate handling, responsiveness, and equitable resolution of claims.
• Develop and deliver claims reporting and analysis, including loss runs, KPIs, and trend summaries, tailored to support client decision-making.
• Establish and refine claims handling procedures and workflows to improve efficiency, compliance, and overall client service delivery.
• Provide consultative guidance to clients and internal partners on claims-related risks, process improvements, and operational impacts.

Qualifications/Requirements

Required Education & Experience

• 1–3+ years of commercial insurance or claims-related experience.
• Basic understanding of claims handling and coverage.

Preferred Education & Experience

• Carrier or agency claims experience.
• Insurance designation (e.g., CISR or similar).

Planning/Organizing/Managerial Knowledge

• Ability to manage multiple claims and follow-ups within defined processes.

Communicating & Influencing Skills

• Strong communication skills to obtain updates from clients and carriers and provide clear status updates.
• Ability to explain claims processes and timelines effectively.

#LI-CS1

Senior Agency Claims Consultant

Job Summary

Seeking a highly skilled and experienced Senior Agency Claims Consultant to join a team. This role is pivotal in managing complex claims, developing strategic solutions, and providing exceptional service to clients. The ideal candidate will have a strong background in commercial insurance claims, excellent analytical and negotiation skills, and the ability to collaborate effectively with internal and external stakeholders.

Compensation Package

• Salary: $100,000 - $120,000 annually, based on experience
• Benefits: Comprehensive benefits package

Responsibilities

• Manage catastrophic, litigated, and high-severity claims while leading strategy and negotiating settlements
• Analyze policy language and carrier coverage positions to develop claim strategies and support advocacy efforts
• Collaborate with attorneys, adjusters, and internal teams to resolve complex claims issues
• Conduct root-cause analysis and coordinate risk control initiatives to mitigate future losses
• Prepare and present claim reviews, loss trends, and performance analysis to senior client leadership
• Lead multi-year loss analysis and benchmarking to support renewal strategy and underwriting discussions
• Develop underwriting narratives and claims summaries to assist with renewal negotiations and pricing discussions
• Maintain strong relationships with key client contacts, carrier representatives, legal counsel, and other service partners
• Mentor and support Claims Consultants through technical guidance, training, and process improvement initiatives
• Oversee assignment of accounts within the Claims Department to ensure proper workload distribution
• Represent the organization in professional associations, industry forums, and events

Qualifications/Requirements

• Bachelor’s Degree or equivalent professional experience
• Insurance licensing or ability to obtain within 60 days
• Strong knowledge of commercial insurance policy language and claims processes
• Experience managing complex or litigated claims and developing claim resolution strategies
• Strong analytical, negotiation, and problem-solving skills
• Excellent communication and presentation skills, including experience working with executive-level clients
• Ability to collaborate effectively across internal teams and external partners
• CPCU or CIC designation (strongly preferred)
• AIC or CRIS designation (preferred)
• Experience working with an Agency Management System such as EPIC or AMS360 (preferred)
• Proficiency with Microsoft Office applications including Outlook, Excel, Word, and PowerPoint (preferred)
• Minimum of 6+ years of relevant experience

#LI-MB6

Senior Claims Consultant

Compensation Package

• Base Salary: $90,000 – $110,000 annually (based on experience)
• Competitive benefits package, paid time off, professional development opportunities, etc.
• Must have P&C License
• At least 5 years of experience adjusting claims

Position Summary
Our National retail client is seeking a Senior Claims Consultant to oversee claims handling and client advocacy. This role requires independent judgment, strong technical expertise, and the ability to serve as a key liaison among clients, carriers, Account Executives, and Producers. Candidates must hold an active P&C (Property and Casualty) insurance license.

Key Responsibilities

• Oversee a portfolio of Commercial and, as applicable, Personal Lines claims
• Act as liaison between clients, carriers, and internal teams on claim-related issues
• Attend strategy meetings and renewal meetings with Producers and Account Executives
• Advocate for clients in interactions with carriers on claims matters
• Maintain strong relationships and communications with carriers and clients
• Prepare and present claim reviews and action plans to clients
• Review and process new claim reports and court decisions
• Provide claims support through research, expertise, and communication
• Participate in trainings and educational presentations on claims handling and coverage issues
• Provide guidance to Claims Administrators on submission of claims and applicable lines of business

Qualifications

• Bachelor’s degree preferred
• Minimum 5 years of insurance industry experience adjusting claims
• Holds an active P&C (Property and Casualty) insurance license
• Strong knowledge of insurance coverages, claims processes, and regulations
• Proficiency with Microsoft Office Suite and agency management software
• Excellent communication, strategic planning, and problem-solving skills
• Highly organized with ability to manage multiple priorities independently and in a team environment

#LI-JL1