Claims Risk Manager Jobs in Pennsylvania (NOW HIRING)

Alliant Insurance Services is one of the nation's largest and fastest-growing insurance brokerage and consulting firms. We operate through a network of specialized national platforms and local offices to offer our clients a comprehensive portfolio of solutions built on innovative thinking and personal service. Alliant is changing the way our clients approach risk management and benefits, so they can capitalize on new opportunities to grow and protect their organizations.
More information is available on the company's website at: www.alliant.com.
Hybrid work schedule: In-office requirement.
SUMMARY
Responsible for leading and overseeing Liability claims team including ensuring appropriate coverage determinations, preparation of coverage position letters, litigation management, and allocation of fault and liability determinations. Ensuring claims are handled fairly, efficiently, and in accordance with policy terms, service standards, contractual requirements, and applicable laws and regulations.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Manages claims governance, service providers, performance reporting, escalations, and team development while using claims insight to improve outcomes.
Establishes and maintains claims governance, procedures, service standards, authority levels, escalation protocols, and performance measures.
Oversees claims activity to support timely, accurate, fair, and commercially appropriate outcomes consistent with policy terms and underwriting intent.
Reviews significant, complex, disputed, sensitive, or escalated claims and provides recommendations for resolution or further escalation.
Manages relationships with adjusters, defense counsel, experts, insurers, brokers, clients, and other service providers.
Monitors claims performance including claim volumes, severity, cycle times, reserving, litigation, recoveries, complaints, and large losses.
Uses claims data and experience to identify emerging risks, opportunities, coverage or process issues.
Coordinates claims audits and quality assurance reviews, including any State audits or reviews
Ensures claims records, data, documentation, decisions, and management information are complete, accurate, secure, and reviewable.
Promotes fair claims handling, appropriate outcomes, privacy protection, consistent treatment of claimants, and compliance with applicable legal and regulatory requirements.
Leads, coaches, and develops claims personnel; manages objectives, performance, training, staffing, succession planning, and use of external resources.
Identifies and implements improvements to claims workflows, technology, automation, controls, service quality, efficiency, and financial performance.
Represents the company at industry events, marketing opportunities and conferences.
Performs all duties in accordance with all company policies and procedures, and all federal, state and local laws, wherein the Company operates
Performs other duties as assigned.
QUALIFICATIONS
EDUCATION / EXPERIENCE
Bachelor's Degree or equivalent combination of education and experience
Seven (7) or more years progressive experience in insurance claims, including complex commercial or specialty claims
Valid Insurance License
SKILLS
Strong knowledge of claims handling principles, policy interpretation, coverage analysis, reserving, litigation management, recoveries, and claims governance
Knowledge of applicable insurance laws, regulations, licensing requirements, privacy obligations, and fair claims handling expectations
Excellent verbal and written communication, presentation, negotiation, and stakeholder-management skills
Strong analytical, planning, organizational, prioritization, and problem-solving skills
Ability to interpret claims data and convert analysis into practical underwriting and business recommendations
Ability to exercise sound judgment, manage ambiguity, and resolve complex or sensitive issues
Ability to lead, motivate, coach, and develop staff and foster effective teamwork
#LI-KG1
We are proud to provide comprehensive, high quality employee programs to meet employees' needs now and in the future, including a very competitive financial package. We encourage you to explore what we have to offer.
For immediate consideration for this position, please click on the "Apply" button.
Alliant Insurance Services, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment based on their qualifications and ability without regard to race, color, religion, sex (including pregnancy, childbirth, breastfeeding, sexual orientation, and gender identity), national origin, ancestry, physical or mental disability, medical condition, marital status, age, genetic information, or status as a protected veteran, in accordance with applicable federal, state, and local laws, including California law.
Applicants are protected under Federal law from discrimination. If you need an accommodation to complete the application process or would like to review these materials in an alternative format, please reach out to Careers@Alliant.com
For more information on Alliant Insurance Service's benefits, please visit www.alliant.com/about/careers/benefits