Complex Claims Manager
Manages complex and large-loss insurance claims, coordinating insurers, TPAs, legal teams, and cross-functional stakeholders to mitigate risk and achieve appropriate resolutions. Requires 10+ years of claims coverage and litigation experience, strong policy and regulatory knowledge, and advanced negotiation and analytical skills.
About the job
Responsibilities
- Identify, investigate, and manage risk mitigation strategies for complex and large-loss claims.
- Manage insurers, third-party administrators, brokers, outside counsel, and other partners to drive accountability, prioritization, and timely resolution.
- Lead large-loss claim reviews with insurers and monitor claim handling, coverage or relationship issues, material reserve changes, policy limits, and notification requirements.
- Create resolution plans and drive carriers and TPAs toward appropriate claim outcomes.
- Partner with Legal, Global Crisis Management, Trust, Safety, Policy, Privacy, Product Management, Finance, Data Science, and Community Support on complex claim resolution and emerging risks.
- Report monthly, quarterly, and annual business reviews for the assigned area.
- Mentor and upskill claims specialists, simplifying complex claims, data, business, and process information.
- Ensure compliance with company policies, procedures, and legal requirements related to claims handling.
- Provide on-call and occasional weekend or evening support.
Requirements
- 10+ years of insurance claims coverage and litigation experience, emphasizing liability and property.
- Strong insurance policy, claims, legal, regulatory, and risk knowledge.
- Experience resolving complex disputes with internal stakeholders and third-party providers.
- Strong analytical, problem-solving, communication, negotiation, judgment, and influencing skills.
- Experience collaborating across disciplines, regions, and seniority levels.
- Knowledge of casualty and property insurance policies and claims preferred.
- Knowledge of legal and claims complexities in North America, LATAM, and EMEA preferred.
- Understanding of captive insurance and FINC claims preferred.
- BA/BS degree in a business or technical field preferred.
Compensation and Benefits
- Salary range: 83,000–98,000 CAD.
- Remote-eligible position for employees living in eligible Canadian provinces; occasional office or offsite attendance may be required.
Skills
Insurance Claims, Claims Litigation, Insurance Policies, Liability Insurance, Property Insurance, Risk Management, Regulatory Compliance, Claims Investigation, Claims Resolution, Negotiation, Data Analysis, Captive Insurance, Finc Claims, Legal Analysis, Third-Party Administration
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