Claims Coverage Manager

Woodruff-Sawyer & Company Irvine , CA 92606

Posted 2 months ago

Claims Coverage Manager

ABOUT WOODRUFF SAWYER

Woodruff Sawyer is an insurance brokerage firm that serves a number of tech innovators, global businesses, and trailblazing clients. Just having celebrated our 100-year mark, we are a firm that sits on the cutting-edge of the industries we serve-and we happen to be a great place to work, with locations throughout the US.

At Woodruff Sawyer, we're passionate about serving clients in a way no one else in the insurance industry can match. We're unparalleled in customer satisfaction and retention rates. But we aren't just good to our clients; we live our values every day internally as well. From generous remote work and health insurance benefits to collaborating with a team of experienced and friendly sales and marketing professionals, we're a fun place to work. If you geek out on business strategy, cyber security, or risk in general, you'll find this world as fascinating as we do.

We are seeking a motivated individual to act as a Claims Coverage Manager that will be a part of the Claims Audit and Consulting Team and help with the identification and analysis of coverage for incoming claims.

THE JOB, IN SUMMARY:

This is a full-time position within the Claims Audit & Consulting department of Woodruff Sawyer and is responsible for reviewing all incoming claims (except designated non-complex files) received by Woodruff Sawyer (WS) to evaluate, on an enterprise basis, which clients' policies should be noticed. The CCM will create a summary for each matter to the Claims Team and the Account Team which shall include: a summary of the allegations, the policies reviewed, a recommendation on notice, and whether other clients may be implicated.

THE JOB, IN DETAIL:

Once in receipt of, or triggered to act on new claim information, the CCM is responsible for the following actions as part of the review:

  • Review and list all entities and individual persons named in the claim

  • Review all allegations included in the claim

  • Review all policies placed by WS for relevant clients

  • Create Summary Report capturing all information identified in 1-3

  • Provide Summary Report to Claims Consultant and Account Team with specific recommendation on which policies may trigger coverage and considered for notice

YOU MUST HAVE:

  • Minimum of seven years of claims management experience, law firm, TPA or brokerage environment preferred

  • Bachelor's degree required

  • D., CPCU, RPLU or ARM designation a bonus

  • Advanced knowledge of practical and technical aspects of core coverage area, claim procedures and terminology for Professional Liability and Property & Casualty lines

  • Proficiency with Microsoft Excel, Word, PowerPoint, and Outlook.

  • Exceptional verbal, written and interpersonal communication skills

  • Excellent analytical, negotiation and organizational skills; ability to multi-task and shift focus as priorities change

  • Fire & Casualty license required upon hire or within 3 months of obtaining position

  • Valid Driver's license and reliable transportation required

  • Ability to travel as required

  • Flexibility to learn new systems and patience to teach others as a trusted resource

  • Ability to work with senior subject matter experts in insurance; help them feel comfortable talking to you by building relationships and trust

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Claims Coverage Manager

Woodruff-Sawyer & Company