Remote Claims Manager Jobs Near Me

Technical Claim Oversight 

• Oversee bodily injury claims ranging from minor soft tissue exposures to serious and permanent injury claims valued up to $250,000, including claims in active litigation.
• Direct coverage analysis on business auto and commercial general liability policies, including additional insured status, contractual risk transfer, other insurance and excess clauses, primary and non-contributory wording, and umbrella or excess placement.
• Review and approve reservation of rights positions, coverage disclaimers, and referrals for coverage counsel where warranted.
• Ensure timely and accurate reserves that reflect ultimate probable exposure, with documented rationale supporting every material reserve movement.
• Approve settlement authority within your level, prepare and present files above your authority, and participate in roundtables and large loss reviews.
• Ensure thorough liability investigations.
• Oversee damages evaluations.
• Drive recognition and pursuit of subrogation, contribution, and indemnity, and hold the team accountable to deadlines.
• Lead the team in identifying fraud indicators and ensuring suspected fraudulent claims are appropriately referred for investigation.
• Manage litigated inventory in partnership with defense counsel, including litigation plans, budgets, discovery strategy, dispositive motions, and trial readiness. 

• Bachelor's degree and six years of claims experience with demonstrated expertise in investigating, evaluating, negotiating, and settling claims, or eight years of claims experience with the same demonstrated expertise.
• Minimum of two years of prior leadership experience directly managing or supervising claims adjusters, including responsibility for performance management, coaching, file quality review, and workload assignment.
• Demonstrated experience developing adjuster technical skill through structured file reviews, one-on-one coaching, and onboarding or training of new team members.
• Hands-on experience handling commercial general liability and business auto claims is required.
• Demonstrated experience with first and third party bodily injury claims, including serious injury exposures.
• Demonstrated experience managing claims in litigation, including working directly with defense counsel and participating in mediation or other alternative dispute resolution.
• Experience setting and defending reserves on bodily injury exposures and evaluating claims within a defined authority structure.
• Experience handling claims across multiple jurisdictions with differing negligence standards, damages rules, and statutory requirements.
• Adjuster licensing as required by state regulation, or the ability to obtain licensing.
• Travel required as needed. 

• Strong working knowledge of commercial general liability and business auto policy forms, including common endorsements, exclusions, and additional insured wording.
• Ability to lead a team through complex coverage analysis and to articulate a coverage position clearly in writing.
• Solid command of bodily injury damages evaluation, including medical terminology, treatment patterns, causation issues, pre-existing conditions, wage loss, and future care exposure.
• Understanding of comparative and contributory negligence frameworks, joint and several liability, statutes of limitation, and the practical impact of venue on claim value.
• Working knowledge of litigation process and litigation cost management, including budgets, staffing decisions, and defense counsel performance.
• Ability to train, develop, motivate, and evaluate the performance of employees.
• Ability to coach through questions and build decision-making capability rather than simply providing answers.
• Strong analytical and problem-solving skills with the ability to make sound decisions using incomplete information.
• Clear and professional written and verbal communication with customers, agents, attorneys, and internal partners.
• Ability to manage external vendor resources including independent adjusters, surveillance, bill review, and other experts.
• Skilled in change management with an innovative and continuous improvement mindset.
• Proficient in Microsoft Suite and comfortable using claims systems and reporting dashboards.
• Ability to ensure the team complies with state regulatory and statutory requirements, corporate privacy standards, and internal claim handling policy.