Complex Claims Manager - Construction Defect and Environmental

A Complex Claims Manager - Construction Defect and Environmental

Responsibilities

• Investigate, evaluate, and resolve insurance claims related to environmental damage, General Liability (GL), and Excess Liability.
• Conduct thorough investigations of environmental claims, GL and Excess Liability by gathering incident information, site assessments, potential pollutants, and impacted parties to determine scope of damage and liability.
• Review insurance policies to determine coverage applicability for environmental, general liability, and excess liability claims, including policy limits and exclusions.
• Evaluate potential liability based on investigation findings, legal precedents, and environmental regulations.
• Calculate and assign appropriate claim reserves based on potential damages and liability assessment to accurately reflect financial exposure.
• Negotiate settlements with claimants or their legal representatives to reach fair and cost‑effective resolutions.
• Coordinate with legal counsel to manage legal defense strategies, including assigning attorneys, reviewing legal documents, and monitoring litigation progress.
• Manage consultants and contractors, reviewing environmental work plans, remedial designs, and other technical aspects of environmental projects.
• Identify and implement cost‑saving measures during the claims process, such as utilizing preferred vendors or negotiating favorable settlement terms.
• Investigate potential fraudulent claims related to environmental and non‑environmental damages.
• Ensure adherence to all relevant environmental regulations and reporting requirements throughout the claims process.
• Maintain clear communication with policyholders, brokers, adjusters, legal counsel, and internal stakeholders regarding claim status and updates.
• Identify patterns and trends within environmental claims to inform risk management strategies and proactive measures.
• Oversee a portfolio of claims for the Environmental Division, prioritizing critical cases and monitoring overall claim performance.
• Provide underwriting teams with insights on environmental risks and participate in risk assessment meetings.
• Collaborate on marketing strategies and contribute real‑world examples for marketing materials.
• Analyze claims portfolio performance and recommend risk mitigation strategies.
• Share claims insights for new product development and refine policy language.
• Conduct training on claims handling and regulatory changes.
• Liaise between claims, underwriting, and other departments to ensure cohesive risk management.

Education and Experience

• Bachelor’s Degree required; Juris Doctorate preferred.
• Minimum of 5 years’ experience required.

Certifications, Licenses, and Registrations

• Property & Casualty adjuster licenses in states where required.

Functional Skills

• Extensive knowledge of environmental laws, regulations, and compliance standards.
• Knowledge of Construction Defect.
• Proven experience in managing complex insurance claims, including investigation, evaluation, and resolution.
• Ability to analyze complex data, assess environmental impacts, and make informed decisions.
• Strong negotiation skills to reach favorable settlements with claimants and legal counsel.
• Understanding of legal principles related to environmental liability and insurance coverage.
• Strong interpersonal skills to build and maintain relationships with internal and external stakeholders.
• Ability to represent the company in market‑facing activities, including client meetings, industry conferences, and networking events.

Benefits

• Medical, dental, vision, life, disability, and AD&D insurance for eligible full‑time teammates.
• Tax‑advantaged savings accounts and a 401(k) plan with company match.
• Generous paid time off including company holidays, vacation, sick days, new parent leave, and more.
• Restricted stock units and/or a deferred compensation plan for eligible positions.
• Company‑sponsored wellness and development resources.

Equal Employment Opportunity

CRC Group supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. CRC Group is a Drug Free Workplace. EEO is the Law Pay Transparency Nondiscrimination Provision E-Verify.