Back

Complex Claims Manager - NE or Mid-Atlantic Region (Remote)

Worldwide Salaried Open

About the position The Complex Claims Manager at Selective Insurance is responsible for overseeing the Specialty Complex Claims unit, ensuring compliance with company policies and delivering superior customer service. This remote position, ideally located in the Northeast or Mid-Atlantic region, involves managing a team of Complex Claims Specialists, driving optimal claims outcomes, and maintaining high professional standards in claims processing. Responsibilities • Proactively manage the Specialty Complex Claims unit in accordance with company claims policies and procedures. , • Drive optimum claims outcomes while supporting operational goals and delivering superior customer service. , • Plan, control, and coordinate claims activity and workflow to maintain professional standards and meet deadlines. , • Ensure timely settlement of claims and maintain acceptable closing ratios for the department. , • Prepare and monitor the operating budget for the unit/department. , • Recommend and implement claims procedural changes in accordance with company guidelines. , • Maintain override capability and authorize settlements up to designated authority limits. , • Oversee combined loss ratio and productivity numbers to ensure compliance with company standards. , • Control allocated claims expenses and provide performance management for personnel. , • Conduct claims reviews and settlement conferences, mediating complaints and disputes. Requirements • College degree required; JD preferred. , • 10+ years of claims experience. , • 5+ years of claims supervisory experience. , • Ability to lead a team of complex claims specialists with expertise in complex coverage and high exposure claims. , • Excellent people and management skills for performance management. , • Ability to analyze reports and conduct trend analysis to identify issues. , • Experience in complex coverage analysis and large loss evaluations. , • Superior communication, strategic thinking, and problem-solving skills. , • Excellent presentation skills. , • Moderate proficiency with standard business software (Microsoft Outlook, Excel, PowerPoint). , • Sufficient keyboarding proficiency for accurate data entry. , • Valid state-issued driver's license in good standing. Nice-to-haves Benefits • Competitive base salary , • Incentive plan eligibility , • Comprehensive health care plans , • Retirement savings plan with company match , • Discounted Employee Stock Purchase Program , • Tuition assistance and reimbursement programs , • Paid time off plans Apply Job!

More jobs

Remote Staff Accountant - CPA with 2+ Years Experience

Worldwide Salaried

Remote HEDIS Registered Nurse (North Carolina) in Charlotte, NC

Worldwide Salaried

Senior Consultant - Epic Client Systems Administrator - Remote

Worldwide Salaried

Senior Pegasystems Engineer (PRPC) (multiple positions) in Jacksonville, FL

Worldwide Salaried

Customer Service Associate I (Remote) March Lewisville, TX Class

Worldwide Salaried

Mortgage Underwriters - Private Loan Modification Audits from HOME

Worldwide Salaried

Customer Service Representative - State Farm Agent Team Member

Worldwide Salaried

RC Insurance Follow-up Denial Specialist I (F/T) - Remote

Worldwide Salaried

(Mainframe) Software Engineer Senior Consultant II - National General

Worldwide Salaried

Senior Clinical Nurse - Fetal Monitoring Unit | Remote

Worldwide Salaried

(USA) Design Researcher III

Worldwide Salaried

Experienced Remote Data Entry Associate – Healthcare and Insurance Domain Expert

Worldwide Salaried

FEMA PA-TAC/Disaster Recovery Specialists (Engineers - Mid/Senior)

Worldwide Salaried

Tax Accountant, Internal Tax Team - State Direct Tax

Worldwide Salaried

Company Secretarial Administrator

Worldwide Salaried

Senior Remote Communications & Presentation Design Lead – End‑to‑End Storytelling for Sales Leadership at arenaflex

Worldwide Salaried

(Senior) ServiceNow Solution Consultant - Deutschland oder Österreich (m/f/d)

Worldwide Salaried

Account Executive, SMB

Worldwide Salaried

Content Writer – Blog & Online Content - US ONLY WEST COAST PREFERRED

Worldwide Salaried

Virtual Special Education Teacher

Worldwide Salaried