Commercial Auto/General Liability Claims Director

Job Summary:

This position is responsible for overseeing the claims process for a commercial auto and general liability portfolio, managing a team of Claims Adjusters who oversee Third-Party Administrators (TPA). The role involves providing technical expertise and oversight to Claims Account Managers in the handling of complex claims, ensuring adherence to coverage guidelines, and working with internal stakeholders to address high-complexity coverage issues. The director will also oversee policy limit demands, claims file reviews, and engage in the Trial Committee process, ensuring successful resolution strategies are developed for complex cases.

Responsibilities:

• Oversee a portfolio of 750 - 1,200 claims, managing policy limit demands and ensuring effective claims handling.
• Provide technical oversight to Claims Account Managers and TPA Claims Handlers, particularly in the analysis and resolution of complex claims.
• Collaborate with the AVP Chief Deputy on high-complexity coverage issues.
• Conduct claim file reviews and work with TPAs to ensure claims are properly handled.
• Manage the Trial Committee process, including reviewing cases set for trial, developing resolution strategies, and overseeing reporting to the home office.
• Attend mediations and trials as necessary for complex cases.
• Review and edit responses to Time Limit/Stowers/Policy Limit Demands.
• Complete reserve reviews for general liability and automobile liability accounts.
• Analyze various reports, including BI Predictive Modeling System and Large Loss Snapshots, to identify cases for further discussion or escalation.
• Provide training on current claims topics to internal teams and facilitate calls to discuss ongoing claims-related issues.
• Collaborate with liability directors and line managers to ensure consistency in claims handling processes across business units.
• Identify opportunities for loss cost reduction and support strategies for improved financial outcomes.
• Address regulatory issues, including Medicare, state insurance department audits, and workers' compensation board requirements.
• Participate in claims-related projects as required.

Qualifications/Requirements:

• Minimum of 10 years of experience overseeing multi-line claims, including auto and general liability.
• At least 5 years of leadership/supervisory experience, ideally in a TPA or with TPA oversight; carrier experience is also required.
• Strong background in coverage analysis, litigation management, and handling complex claims.
• Juris Doctorate and/or professional liability claims handling experience is a plus.
• Knowledge of Stowers Demand and its application in car accident cases.
• Strong experience in managing underlying civil actions.
• Proper adjuster licenses in all applicable states.
• Proven ability to lead and mentor teams with a collaborative approach.
• Ability to manage and resolve state and federal regulatory issues effectively.

Compensation Package:

• Excellent opportunities for professional growth and advancement.
• Competitive compensation: Between $125K-$155K (based on experience).
• Paid time off and company holidays.
• Comprehensive benefits package, including health, dental, vision, 401(k), and more.

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-MW1

The Jonus Group is a specialized insurance staffing firm committed to connecting skilled professionals with leading insurance companies. Our client is currently seeking an experienced Property & Casualty Claims Audit Team Lead to join their team. This is a fully remote opportunity! 

COMPENSATION

• $110,000 - $160,000/year (based on experience
• Annual bonus potential
• Full medical benefits
• 401(k) with company match

REQUIREMENTS

• Bachelors Degree or related work experience
• 10+ years of experience in a Property & Casualty Claims auditing role
• Must have experience with claims involving Lloyds of London
• Strong understanding of property and casualty insurance policies, claims practices, and regulatory guidelines.
• Proven ability to lead and develop a team in a fast-paced environment.

RESPONSIBILITIES

1. Lead and manage a team of claims auditors, providing training, guidance, and performance management.
2. Develop and implement audit strategies to assess the accuracy and consistency of property and casualty claim settlements.
3. Perform in-depth reviews of claim files to evaluate compliance with company policies, industry standards, and regulatory requirements.
4. Identify trends, gaps, and discrepancies in claims handling and recommend corrective actions.
5. Provide detailed reports on audit findings, including root causes and recommendations for improvement.
6. Collaborate with claims leadership to establish best practices and improve overall claims handling quality.

#LI-DB1

ABOUT US:

The Jonus Group is a premier insurance staffing firm dedicated to connecting skilled professionals with top-tier insurance organizations. We are seeking an experienced Claims Manager to join our client’s team. This leadership role offers the opportunity to oversee a high-performing claims team while ensuring efficient and fair claims resolution. 

COMPENSATION:

• $130,000 - $150,000/year (DOE)
• Profit Sharing Bonus
• Low-Cost Medical Benefits
• 401(k) with company match

REQUIREMENTS:

• Bachelor’s degree in Business, Insurance, or a related field (or equivalent work experience).
• Minimum of 5 years of claims handling and management experience.
• Minimum of 2 years of supervisory experience within a Claims role
• Strong knowledge of insurance policies, coverage analysis, and claims best practices.
• Proven leadership experience with the ability to motivate and develop a team.

RESPONSIBILITIES:

1. Oversee and manage daily operations of the claims department, ensuring timely and accurate claims processing.
2. Develop and implement best practices for claims handling, improving efficiency and reducing costs.
3. Monitor claim files for quality control, compliance, and adherence to company policies.
4. Provide guidance, training, and mentorship to claims adjusters to enhance team performance.
5. Collaborate with legal, underwriting, and other departments to resolve complex claims.
6. Handle escalated claims, disputes, and litigation strategies as needed.
7. Analyze claims data and trends to improve processes and mitigate risks.

#LI-LQ1

Our client is currently looking for a Senior Claims Specialist experience working for a retail agency with a high level of understanding the entire claims process.

Knowledge of the EPIC agency management system is a must.

Responsibilities for claims position Include:

• Report Commercial Lines and Personal Lines claims to carrier.
• Help gather and review Loss data on largest clients, to help prepare for Claims reviews.
• Work hand in hand with Claims department to ensure that all claims information is accurate in EPIC, especially on larger accounts.
• Follow up on status of claims (includes calling and/or emailing insurance adjusters).
• Guiding Insured through the claims process.
• Keep organized log of follow ups.
• Salary between $115,000-$130,000

#LI-TM1

The AVP, Team Manager - MPL will oversee a team of professional liability underwriters or claims professionals, ensuring the effective management and growth of the MPL portfolio. This role involves strategic planning, staff development, and collaboration with other departments to enhance underwriting performance and customer satisfaction.

Salary/Benefits

• $160,000 - $170,000 + /Year (based on experience)  + Bonus
• Hybrid schedule

Job Description

• Drives employee engagement, adjuster development, and team performance and growth
• Drives Key Performance Indicators and adherence to Best Practices through managerial diary and file audits
• Reviews coverage analyses drafted by team, including denials
• Drives litigation management behaviors within assigned team
• Identifies and provides solutions for key issues and trends to senior claims management

Requirements

• 5-7 years of claims handling experience. A JD from an ABA accredited law school may be considered as a supplement to claims handling experience
• 5 years of Professional Liability claims experience.  Miscellaneous Professional Liability is a must.
• 3-5 years of Claims management experience
• Leadership and people management skills
• Expert knowledge of claims handling practices to include coverage analysis, litigation management and negotiation
• Excellent analytical, critical thinking, verbal and written communication skills
• Strong rapport-building and relationship effectiveness skills

#LI-BC1

The AVP, Professional Liability will oversee the professional liability underwriting and claims teams, ensuring the delivery of exceptional service and results. This role will involve strategic leadership, team management, and direct involvement in complex underwriting and claims decisions. The ideal candidate will have extensive experience in professional liability insurance, strong analytical skills, and a proven track record of leadership.

Salary

• $145,000 - $1650,000 +/year (based on experience)

Job Description

• Drives employee engagement, adjuster development, and team performance and growth
• Drives Key Performance Indicators and adherence USA Best Practices through managerial diary and file audits
• Reviews coverage analyses drafted by team, including denials
• Drives litigation management behaviors within assigned team
• Identifies and provides solutions for key issues and trends to senior claims management

Requirements

• Needs to have professional Lines background (open to GL/BI)
• Will handle claims from all over the US
• Handling claims with policy limits up to $2M. Average is going to be less than $1M
• 8+ years in insurance and 5+ in Claims handling 3+ years in leadership
• A JD from an ABA accredited law school may be considered as a supplement to claims handling experience Advanced knowledge of claims analysis and adjusting practices 
• B.A./B. S degree from an accredited College or University preferred

#LI-BC1

The AVP, Team Manager for Commercial Lines: General Liability (GL), Auto, and Property Damage will oversee and manage a team of claims adjusters and examiners. This role involves ensuring the effective handling of complex commercial claims, maintaining high levels of customer service, and achieving financial objectives. The successful candidate will have extensive experience in commercial lines insurance, strong leadership skills, and the ability to drive continuous improvement in claims handling processes.

Salary/Benefits

• $150,000 - $165,000+/year (based on experience)
• Hybrid

Job Description

• Effectively manage the claims and claims volume through proper staffing of the team and active oversight of the claims, including assessing and allocating new incoming claims, reopened claims, and claims that may need to be transferred due to severity or complexity
• Responsible for implementing and executing Hiscox’s Best Practices, including but not limited to reserve-setting and reserve timeliness, undertaking comprehensive coverage analysis, developing claim-handling strategy, in an effort to align with and deliver on Hiscox’s KPIs, execute on strategies to efficiently manage claims and claim outcomes and deliver excellent service as the business scales
• Drive KPI’s and adherence to Hiscox’s Best Practices through managerial diary and file audits
• Review and approve coverage correspondence, particularly matters involving coverage denials and sensitive or complicated coverage issues
• Focus on litigation management and strategy within your direct team and across the wider Claims organization to achieve effectiveness and efficiencies of scale

Requirements

• 5-7 years of experience in handling claims. A JD from a law school with ABA accreditation may count as additional claims handling experience
• 5+ of experience in Commercial General Liability claims to include both Bodily Injury and 3rd Party Property Damage experience. Construction Defect and/or New York Labot Law experience is a plus.
• 4+ year of Claims management experience
• Expert knowledge of claims handling practices, including coverage analysis, litigation management and negotiation
• Excellent analytical, critical thinking and communication skills are a must
• Strong skills in building engagement, rapport and relationships with others
• Advanced analytical skills for evaluating coverage and for developing and executing claim handling strategies to achieve optimal claim results

#LI-BC1