KEY RESPONSIBILITIES: 

Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.  

​​• Supervise and lead a team of claims adjusters and specialists, ensuring performance objectives and quality standards are met. 
• Review and approve coverage analysis on claims within delegated authority and escalate as necessary. 
• Provide technical guidance, coaching, and mentorship to team members to enhance proficiency and support career development. 
• Monitor workflow, allocate resources, and resolve escalated issues to maintain service-level agreements. 
• Ensure compliance with applicable laws, industry regulations, and internal policies for all claims activities. 
• Collaborate with internal stakeholders to identify process improvements and implement best practices for claims handling. 
• Analyze claims data to identify trends, manage risk exposure, and recommend strategic initiatives. 
• Conduct performance evaluations and contribute to workforce planning, including hiring, training, and succession management.​ 

EDUCATION AND EXPERIENCE 

The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. 

​​• Bachelor’s degree in insurance, business administration, or a related field, or equivalent work experience. 
• 5 or more years of claims handling experience with at least 2 years in a supervisory or team lead role. 
• Proven track record managing complex and high-severity claims across multiple lines of business.​ 

CERTIFICATIONS / LICENSES / REGISTRATIONS 

​​• State adjuster license where required or ability to obtain within specified timeframe . 
• Professional insurance certification (e.g., CPCU, AIC) preferred.​ 

FUNCTIONAL SKILLS 

​​• Claims investigation and analysis 
• Regulatory compliance knowledge 
• Leadership and people management 
• Conflict resolution and decision-making 
• Communication and negotiation proficiency 
• Data analysis and reporting 
• Process improvement and workflow management 
• Customer service orientation​