An Incident Claims Manager oversees the end-to-end processing of insurance claims, ensuring they are handled efficiently, accurately, and in compliance with legal standards. They lead teams to investigate, evaluate, and resolve claims, often focusing on high-risk areas like liability, property damage, or cyber incidents to mitigate financial exposure and ensure fair settlements.
Key Responsibilities
- Incident Investigation: Evaluating and documenting accidents, safety incidents, or security breaches.
- Claim Evaluation: Reviewing coverage, assessing damages, and determining liability for insurance claims.
- Team Leadership: Supervising claims staff, assigning tasks, and providing guidance.
- Litigation Support: Coordinating with legal counsel on high-exposure claims and potential lawsuits.
- Risk Mitigation: Analyzing claim trends to develop strategies that minimize future risk.
- Vendor Management: Managing relationships with third-party administrators (TPAs) and other service providers.
Qualifications & Skills
- Experience: Usually 5-10+ years in claims handling, specifically in general liability or bodily injury.
- Education: Some college, or a related field, often with professional certifications like AIC (Associate in Claims) or ARM (Associate in Risk Management).
- Skills: Strong negotiation, analytical, and communication skills are essential.
- Technical Knowledge: Familiarity with claims management software (HSI, Concentra, etc.)
Work Environment & Salary
- Roles: Corporate risk management department.
- Salary: 60k to 80k
Reports to Thomas Takada