Major Case Unit Manager
To see similar active jobs please follow this link: Remote Development jobs
Description
About Reserv
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike.
We have ambitious (but attainable!) goals and need adjusters who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can’t wait to meet you.
About the role
As the Major Case Unit Manager at Reserv you will be responsible for a team of high performing claims professionals handling Reserv's most complex and high exposure claims. We want your background and experience to deliver operational effectiveness, particularly in leveraging technology and analytics to drive better efficiencies and performance. You will serve a critical role with the team, the customers and the client. The high-performing team of Major Case Unit claim professionals you will manage will service a high profile client. You will maintain high quality standards and in compliance with regulatory, internal and external contractual SLAs while working with some of the newest litigation technology. This position requires exceptional leadership skills and deep experience of compliance with state handling practices and transportation claims.
Who you are
Highly motivated and growth-oriented
Subject matter expert. You have deep technical and subject matter experience in the world of commercial transportation claims, including coverage and litigation. Comfortable with reviewing and analyzing contracts.
Tech-oriented. You are excited by the prospect of building a tech-driven claims organization while delivering an excellent service and have proven results leveraging technology and analytics
Passionate claims professional who cares about their team, the customer, and their experience
Empathetic leader. You exercise empathy and patience towards everyone you interact with
Sense of urgency - at all times. That does not mean working at all hours
Creative. You challenge existing assumptions and find ways of leveraging technology and the talents of your team to address problems
Curious. You want to know the whole story so you can make the right decisions early and be decisive when it counts.
Problem solver. You have the ability to take a ‘deep dive’ into the details of the business while staying focused on the big picture
Anti-status quo. You don’t just wish things were done differently, you action on it
Communicative. You are comfortable with and understand the importance of phone communications throughout the claims process
And did we mention, a sense of humor. Claims are hard enough as it is.
What we need
We need you to do all the things typical to the role:
Manage complex and high exposure claims to completion, including but not limited to Commercial Transportation
Be consistently dependable in achieving or exceeding goals and overcoming obstacles
Implement and maintain best practices for claims handling, including: claim intake, investigation, evaluation, settlement, and recovery
Align team with client and customer expectations of the claims process
Execute on performance management; attract, hire, retain and provide high level of training
Foster a positive work environment, promote teamwork, and encourage professional growth and development
Responsible for accuracy and adequacy of all aspects of claim reserving
Serve as a resource for escalated claims; collaborate with internal teams to resolve complex or escalated claims-related issues
Develop and implement strategies to mitigate fraudulent claims and ensure compliance with legal and regulatory requirements
Serve as trusted advisor with client, leadership, legal, and other teams to offer guidance by interpreting and communicating claim strategies
Establish and maintain strong relationships with external stakeholders, including policyholders, agents, brokers, and legal representatives
Resolve any coverage or unusual inquiries within the assigned authority, conducting research as necessary
Assists in the preparation for trial proceedings and actively participates in pre-trial functions and trials as needed
Provide direction and control external legal counsel and other outside vendors when required
Prepare and present comprehensive claims reports, metrics, and analysis to clients and customers; advise clients on claims trends and loss mitigation
Requirements
Bachelor's degree in law, business administration, or a related field (a juris doctor (JD) degree is highly preferred)
15 years of prior claims adjusting experience focused on litigated files, with at least 7 in a leadership role for a team that had more than 60% litigated claims (prior experience in a legal setting is strongly desired)
Strong knowledge and understanding of claims law, legal procedures, and litigation claims handling best practices
Practice a philosophy and claim handling strategies of being on the offense and in control of the litigation process
Creative in identifying and executing resolution strategies
Proficiency in legal research, contract interpretation, and the ability to stay updated on changes in laws and regulations relevant to claims management; deep understanding of Risk Transfer
Experience managing a team and driving performance in a remote environment preferred
Benefits
Generous health-insurance package with nationwide coverage, vision, & dental
401(k) retirement plan with employer matching
Competitive PTO policy – we want our employees fresh, healthy, happy, and energized!
Generous family leave policy
Work from anywhere to facilitate your work life balance
Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!
Additionally, we will
Provide a manageable pending for you to deliver the service in a way you’ve always wanted and a dedicated account
Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster
Work toward reducing and eliminating all the administrative work from an adjuster role
Foster a culture of empathy, transparency, and empowerment in a remote-first environment
At Reserv, we value diversity and believe that a variety of perspectives leads to innovation and success. We are actively seeking candidates who will bring unique perspectives and experiences to our team. We welcome applicants from all backgrounds and encourage those from underrepresented groups to apply. If you believe you are a good fit for this role, we would love to hear from you!
About the job
Major Case Unit Manager
To see similar active jobs please follow this link: Remote Development jobs
Description
About Reserv
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike.
We have ambitious (but attainable!) goals and need adjusters who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can’t wait to meet you.
About the role
As the Major Case Unit Manager at Reserv you will be responsible for a team of high performing claims professionals handling Reserv's most complex and high exposure claims. We want your background and experience to deliver operational effectiveness, particularly in leveraging technology and analytics to drive better efficiencies and performance. You will serve a critical role with the team, the customers and the client. The high-performing team of Major Case Unit claim professionals you will manage will service a high profile client. You will maintain high quality standards and in compliance with regulatory, internal and external contractual SLAs while working with some of the newest litigation technology. This position requires exceptional leadership skills and deep experience of compliance with state handling practices and transportation claims.
Who you are
Highly motivated and growth-oriented
Subject matter expert. You have deep technical and subject matter experience in the world of commercial transportation claims, including coverage and litigation. Comfortable with reviewing and analyzing contracts.
Tech-oriented. You are excited by the prospect of building a tech-driven claims organization while delivering an excellent service and have proven results leveraging technology and analytics
Passionate claims professional who cares about their team, the customer, and their experience
Empathetic leader. You exercise empathy and patience towards everyone you interact with
Sense of urgency - at all times. That does not mean working at all hours
Creative. You challenge existing assumptions and find ways of leveraging technology and the talents of your team to address problems
Curious. You want to know the whole story so you can make the right decisions early and be decisive when it counts.
Problem solver. You have the ability to take a ‘deep dive’ into the details of the business while staying focused on the big picture
Anti-status quo. You don’t just wish things were done differently, you action on it
Communicative. You are comfortable with and understand the importance of phone communications throughout the claims process
And did we mention, a sense of humor. Claims are hard enough as it is.
What we need
We need you to do all the things typical to the role:
Manage complex and high exposure claims to completion, including but not limited to Commercial Transportation
Be consistently dependable in achieving or exceeding goals and overcoming obstacles
Implement and maintain best practices for claims handling, including: claim intake, investigation, evaluation, settlement, and recovery
Align team with client and customer expectations of the claims process
Execute on performance management; attract, hire, retain and provide high level of training
Foster a positive work environment, promote teamwork, and encourage professional growth and development
Responsible for accuracy and adequacy of all aspects of claim reserving
Serve as a resource for escalated claims; collaborate with internal teams to resolve complex or escalated claims-related issues
Develop and implement strategies to mitigate fraudulent claims and ensure compliance with legal and regulatory requirements
Serve as trusted advisor with client, leadership, legal, and other teams to offer guidance by interpreting and communicating claim strategies
Establish and maintain strong relationships with external stakeholders, including policyholders, agents, brokers, and legal representatives
Resolve any coverage or unusual inquiries within the assigned authority, conducting research as necessary
Assists in the preparation for trial proceedings and actively participates in pre-trial functions and trials as needed
Provide direction and control external legal counsel and other outside vendors when required
Prepare and present comprehensive claims reports, metrics, and analysis to clients and customers; advise clients on claims trends and loss mitigation
Requirements
Bachelor's degree in law, business administration, or a related field (a juris doctor (JD) degree is highly preferred)
15 years of prior claims adjusting experience focused on litigated files, with at least 7 in a leadership role for a team that had more than 60% litigated claims (prior experience in a legal setting is strongly desired)
Strong knowledge and understanding of claims law, legal procedures, and litigation claims handling best practices
Practice a philosophy and claim handling strategies of being on the offense and in control of the litigation process
Creative in identifying and executing resolution strategies
Proficiency in legal research, contract interpretation, and the ability to stay updated on changes in laws and regulations relevant to claims management; deep understanding of Risk Transfer
Experience managing a team and driving performance in a remote environment preferred
Benefits
Generous health-insurance package with nationwide coverage, vision, & dental
401(k) retirement plan with employer matching
Competitive PTO policy – we want our employees fresh, healthy, happy, and energized!
Generous family leave policy
Work from anywhere to facilitate your work life balance
Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!
Additionally, we will
Provide a manageable pending for you to deliver the service in a way you’ve always wanted and a dedicated account
Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster
Work toward reducing and eliminating all the administrative work from an adjuster role
Foster a culture of empathy, transparency, and empowerment in a remote-first environment
At Reserv, we value diversity and believe that a variety of perspectives leads to innovation and success. We are actively seeking candidates who will bring unique perspectives and experiences to our team. We welcome applicants from all backgrounds and encourage those from underrepresented groups to apply. If you believe you are a good fit for this role, we would love to hear from you!