Major Case Unit Manager

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!