Manager, Specialty Claims

Manager, Specialty Claims Fortegra - 4.0 Iselin, NJ Job Details Full-time $120,000 - $160,000 a year 1 day ago Benefits Disability insurance Health insurance Dental insurance 401(k) Tuition reimbursement Vision insurance Qualifications Microsoft Word Microsoft Outlook Data analysis skills Litigation Team management Technical Proficiency Customer complaint resolution Full Job Description This full-time position will report to the Vice President, Specialty Claims. We are seeking a highly skilled and experienced Claims Manager who will direct a team of claims professionals in the investigation, evaluation, and settlement of complex GL and casualty claims. This role drives litigation strategy, ensures proper reserving, manages outside counsel, and mitigates indemnity exposure while delivering exceptional service. Additionally, the Claims Manager will be responsible for conducting detailed claim audits to ensure accuracy, consistency, and compliance with internal standards and regulatory requirements.

Minimum Qualifications:

Bachelor's degree in Business Administration, Accounting, Finance or a related field, or the equivalent education, or career experience. At least 10 years of relevant and progressive experience in direct handling of liability claims and management of staff. Adjuster's license, as mandated by specific states, are required.

Primary Job Functions:

Team leadership and development: Hire, train, and mentor a team of claim adjusters. Conduct regular performance review, quality audits, and provide technical guidance on complex claims.

Stakeholder engagement:

Serve as the primary point of contact for internal business partners, brokers, MGAs, and escalated customer complaints.

Quality management:

Analyze open and closed claims to ensure the team is handling claims in accordance with our internal standard and regulatory requirements. Data & loss trend analysis: Ensure completeness of requisite data to track claim metrics focused on identifying fraud risks, reducing loss ratios, and implementing process improvements. Track and report on KPIs such as cycle time, closing ratio, and cost-effectiveness; use data to improve processes. Design and refine workflows and strategies to improve efficiency, productivity, and quality. Participate in claim reviews and claim audits. Attend settlement conferences and trials when necessary. Performs other duties or special projects as required. The above-cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform.

Skills & Competencies Required:

Excellent written and verbal communication skills. Strong analytical skills. Strong negotiation skills. In-depth knowledge of claims, litigation, and trial process. Excellent organizational and time management skills. Proficiency in MS Office (Word, Excel, Outlook). Ability to successfully obtain the required state adjusters' licenses.

Additional Information:

Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more. The anticipated salary for this position is $120,000 - $160,000 per year, based on qualifications and experience. Fortegra is not accepting unsolicited resumes from search firms for this position. #

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