See all roles

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

Work from home Full-time role Hiring

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!

You might like

Remote Staff Accountant - CPA with 2+ Years Experience

Work from home Full-time role

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

Work from home Full-time role

Senior Consultant - Epic Client Systems Administrator - Remote

Work from home Full-time role

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

Work from home Full-time role

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

Work from home Full-time role

Mortgage Underwriters - Private Loan Modification Audits from HOME

Work from home Full-time role

Customer Service Representative - State Farm Agent Team Member

Work from home Full-time role

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

Work from home Full-time role

(Mainframe) Software Engineer Senior Consultant II - National General

Work from home Full-time role

Senior Clinical Nurse - Fetal Monitoring Unit | Remote

Work from home Full-time role

Director, Customer Experience and Operations – Driving Exceptional Customer Delight at arenaflex

Work from home Full-time role

Delta Virtual Assistant (Remote Jobs) – Earn $24/Hour

Work from home Full-time role

Experienced Remote Live Chat Agent – Delivering Exceptional Customer Experiences from Home

Work from home Full-time role

Experienced Remote Data Entry Specialist – E-commerce Operations and Data Management

Work from home Full-time role

Freelance Writer (Academic)

Work from home Full-time role

Supply Chain Operations Analyst (Remote, TX, US, 99999)

Work from home Full-time role

Experienced Customer Service Representative - Entry Level – Remote Opportunity at arenaflex

Work from home Full-time role

Independent Medicare Supplement Producer (1099)

Work from home Full-time role

Tech Lead, Digital Commerce Job

Work from home Full-time role

Experienced Chat Brand Representative – Golf Enthusiast Wanted to Join arenaflex Team

Work from home Full-time role