Claims Manager

Job Description

Job Description

Description:

Location: 100% remote position with a preference towards candidates located on east coast or central time zones

Travel Required: 10%

Direct Reports: n/a

Claims is where underwriting intent meets real-world outcomes and Obsidian is looking for a Claims Manager who can manage that intersection with confidence. This role is ideal for someone who understands coverage, communicates with authority, and can drive consistent, disciplined claims handling. The Claims Manager will have responsibility for performing oversight of the assigned third party administrators (TPA) and achieving the best claim outcomes on their designated programs. At Obsidian, we take a very involved and collaborative approach to all internal and external relationships. We are partnership-oriented, and view communication as a cornerstone strategy. By focusing on these ideals in all aspects of our business, we try to ensure we are being appropriately circumspect and making the best decisions for our organization and partners.

Role and Responsibilities:

• Engage with our TPA partners to ensure proper claims handling and resolution as well as superior service delivery.
• Maintaining a diary and performing oversight on claims with anticipated exposure meeting or exceeding the TPA’s delegated authority level.
• Collaborating with and directing the TPA claims team on individual case strategies, counsel and vendor selection, plans of action, and disposition.
• Reviewing and granting reserve and settlement authority requests on claims above the TPA’s delegated authority level.
• Reviewing and approving all TPA coverage analyses and position letters, either independently or with the assistance of coverage counsel.
• Completing program level TPA claim audits or arranging these audits with an external auditor.
• Attending mediations and trials, either via teleconference or in person.
• Maintaining overall responsibility for the claims portion of designated programs.
• Partner and communicate with all internal Obsidian disciplines on claim and program issues. This includes: (1) Working with Obsidian Finance on regular payment, loss funding and reinsurance tasks (2) Engaging with Obsidian Legal on regulatory, contractual or coverage issues (3) Communicating regularly with Obsidian Underwriting and Actuarial on new programs, high exposure losses, program issues, trends, and other topics of interest (4) Presenting high exposure losses to senior management at monthly claim meetings and ad hoc discussions.
• Additional duties as warranted

• Bachelor’s degree
• A minimum of 10 to 15 years’ experience handling and managing multi-line commercial claims, including general liability, auto liability, professional liability, construction, property, and cyber.
• Experience working with TPA’s and performing claims oversight & supervision.
• Familiarity with traditional Program business and the role of General Agents.
• Ability to oversee and/or handle high exposure claims.
• Experience with claims in multiple jurisdictions.
• Familiarity with policy forms, endorsements, and coverage interpretations.
• Strong written and verbal communication skills.
• Superior organizational, analytical, time management, client-service and problem-solving skills.
• Ability to work equally well both autonomously and within a team environment.
• Comfort level with preparing and completing presentations, both internally as well as to current and prospective partners.
• Ability to travel (10%).
• Proficiency with MS Office suite of applications.