Claims Coverage Manager

Woodruff-Sawyer & Company Irvine , CA 92606

Posted 2 months ago

Claims Coverage Manager


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.


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.


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


  • 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

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Forensic & Integrity Services Senior Insurance And Federal Claims Services (Ifcs) Fema/Disaster Recovery

Ernst & Young LLP

Posted 6 days ago

VIEW JOBS 5/29/2020 12:00:00 AM 2020-08-27T00:00 The opportunity EY's Insurance Claims Services practice specializes in assisting policyholders to prepare, present, and resolve complex insurance claims resulting from events like fires, floods, hurricanes, tornadoes, data breaches and supply chain disruptions. The EY team offers a unique combination of accountants with prior claims experience, former insurance adjusters with engineering backgrounds, former FEMA professionals, and other claims professionals who combine to provide our clients with unparalleled expertise. We have the experience and flexibility to devise claim approaches to handle the simplest to the most complex claims. Your key responsibilities Because all clients have unique issues, it's no exaggeration to say you'll never be doing the same type of investigation for too long. As a senior, you'll be the key day-to-day contact for helping our clients work through complex issues and regulatory compliance. It's all about using your technical skills to creatively assess and resolve our clients' needs from the front lines. Skills and attributes for success - Take responsibility for high quality execution and delivery of specific parts of a Forensic & Integrity engagement Develop yourself and others through seeking and offering on-the-job coaching Oversee multiple projects ensuring the work meets the client's needs Use technology to continually learn and share your knowledge with other team members Nurture relationships with professionals in other service lines and seek opportunities to work together Maintain a strong focus on the client and be responsive to their requests To qualify for the role you must have - A bachelor's degree in Accounting, Law, Finance or related field, with approximately 2 year of related experience Achieved, or be working towards a professional designation, such as CPA, CFA, CFE Effective organization and time management skills and the ability to prioritize when working on multiple engagements Strong written and verbal communication skills Ideally, you'll also have - Relevant forensic insurance related experience, preferably with a professional services firm What we look for We're interested in passionate people that have the intellectual curiosity to actively pursue new knowledge in the rapidly changing world. Naturally you'll need a solid technical foundation, as well as the ability to translate complex information into meaningful, actionable insights. But we're not just looking for strong technical skills - we're interested in people that have the ability to nurture relationships, both internal and external, and are committed to intimately understanding our client's needs. If you're looking to become part of a community of advisors where you'll make a measurable difference across some of the most prestigious businesses around, this role is for you. What working at EY offers We offer a competitive compensation package where you'll be rewarded based on your performance and recognized for the value you bring to our business. In addition, our Total Rewards package includes medical and dental coverage, both pension and 401(k) plans, a minimum of 22 days of vacation plus ten observed holidays and three paid personal days, and a range of programs and benefits designed to support your physical, financial and social well-being. Plus, we offer: Support, coaching and feedback from some of the most engaging colleagues in the industry Opportunities to develop new skills and progress your career The freedom and flexibility to handle your role in a way that's right for you About EY As a global leader in assurance, tax, transaction and advisory services, we hire and develop the most passionate people in their field to help build a better working world. This starts with a culture that believes in giving you the training, opportunities and creative freedom to make things better. So that whenever you join, however long you stay, the exceptional EY experience lasts a lifetime. If you can confidently demonstrate that you meet the criteria above, please contact us as soon as possible. Join us in building a better working world. Apply now. EY provides equal employment opportunities to applicants and employees without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. Ernst & Young LLP Irvine CA

Claims Coverage Manager

Woodruff-Sawyer & Company