Senior Manager, Major Claims

ICW Group

full-time

Posted on: 8/28/2025

Origin: • 🇺🇸 United States • California, Illinois, Pennsylvania

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💰 $119,749 - $201,948 per year

Senior

Tableau

About the role

Lead a team of specialized complex claims professionals focused on catastrophic, high-dollar workers’ compensation injury claims
Drive claims closure initiatives, ensure regulatory compliance, and optimize financial outcomes through oversight and resolution strategies
Manage all aspects of high exposure claims including coverage determinations, investigations, risk transfer, negotiations and complex litigation management
Identify emerging exposures and claims trends and develop strategic plans to accelerate claim closures
Collaborate with legal, medical, and financial experts and leverage predictive analytics and severity modeling tools
Present high exposure claim strategies, trends, and outcomes to executive leadership and enterprise risk stakeholders
Oversee reserve accuracy, quality assurance, audits, and utilize data analytics to drive decision-making
Coach, mentor, and build capabilities of MCU claims examiners; establish work cadence and high-performing culture
Supervise hiring, training, performance management, staffing forecasting, and enforce department policies and procedures

Bachelor’s degree (or equivalent required) preferably in Business, Risk Management, or related
Master’s degree preferred
Minimum 8-10 years of claim experience (Workers’ Compensation preferred)
Minimum 3-5 years in a leadership role overseeing high exposure/loss sensitive accounts
Minimum 3-5 years of experience managing claims professionals
Certification in Workers’ Compensation preferred (e.g., CPCU, CWCP, WCCA/WCCP)
Experience working with claims analytics tools and dashboards (e.g., Tableau, PBI)
Experience presenting to executive leadership, including financial and strategic claim outcomes
Proven track record of mentoring others
Proficiency in claims management systems and data reporting tools
Expertise in workers’ compensation coverage interpretation within complex and high exposure claim scenarios
Excellent verbal and written communication skills with the ability to influence cross functional teams and senior leadership
Strategic thinker with a proven track record of proactive problem solving
Strong knowledge of jurisdictional regulations, reserve practices and claim life cycle management
Exceptional analytical, negotiation, and critical thinking skills
Good working knowledge and familiarity with multi-jurisdictional claims management
Ability to positively affect highest severity claims outcomes through investigation, negotiation and effectively leading litigation
Ability to thrive in a fast-paced, dynamic environment