Summary
Join a highly skilled Commercial/Complex Claims Division where you will lead a team of Consultants and Senior Consultants, ensuring excellence in claim investigation, development, and settlement. In this leadership role, you will provide expert technical direction, cultivate a high-performing team, and drive outstanding customer service across complex, multi-line, and multi-jurisdictional claims.
You'll partner closely with defense counsel, agents, and Underwriting, playing a critical role in identifying exposures, ensuring regulatory compliance, and delivering exceptional claims outcomes.
Key Areas of Responsibility
Customer Service Excellence
- Lead a team in the investigation, development, and settlement of complex and commercial claims while ensuring top-tier customer service.
- Review and monitor claim files to ensure compliance with service standards, policies, and procedures.
- Address and resolve customer and claimant concerns professionally and efficiently.
- Ensure Division of Insurance inquiries and any potential bad-faith complaints are managed accurately and promptly.
- Evaluate oral and written communications - including voicemail - to ensure clarity, empathy, and conciseness.
- Promote a strong culture of teamwork within the unit and across Claims and the broader organization.
- Ensure all company policies, procedures, and standards are consistently applied.
Quality & Productivity Leadership - Guide the unit to achieve key customer service and productivity goals.
- Continuously assess claim volumes and ensure adherence to established service standards.
- Monitor opening/closing counts and allocate workloads based on complexity and adjuster capability.
- Analyze claim quality reports and productivity metrics to identify trends, evaluate performance, and maximize team output.
- Conduct periodic trending reviews to reinforce quality expectations.
- Maintain active diary oversight to ensure timely reserving, proactive evaluations, and efficient claim progression.
- Recommend independent adjusting firms or specialty vendors (accident reconstruction, arson, etc.) as appropriate and monitor their performance to control expenses and ensure quality.
- Provide oversight of litigated claims to ensure effective defense counsel management.
Technical Expertise - Utilize increased settlement authorization to review and approve claim settlements.
- Approve coverage and liability denials.
- Deliver ongoing technical coaching and direction to staff.
- Effectively communicate and roll out new processes and procedures.
- Collaborate with management to enhance interdepartmental efficiency.
- Identify, recommend, and implement process improvements to increase unit productivity and effectiveness.
- Participate in departmental initiatives, long-range planning, and the Large Loss Committee.
- Stay current on case law and industry developments, sharing knowledge with staff.
- Mentor and support the development of new supervisors.
- Partner closely with the Examining Division and ensure accurate reserve calculations aligned with company philosophy.
Leadership & Talent Development - Lead interviewing and hiring efforts for prospective team members.
- Inspire, coach, and guide staff to achieve performance expectations while fostering morale and teamwork.
- Provide regular training and development opportunities tailored to team goals and capability growth.
- Deliver fair, objective performance evaluations using data-driven insights and trending reviews.
- Set clear objectives aligned with departmental and organizational goals.
- Lead departmental focus groups and contribute recommendations to leadership.
- Represent the department on interdepartmental committees and project teams.
- Maintain close oversight of high-exposure cases.
Qualifications- Bachelor's Degree or equivalent professional-level knowledge preferred; equivalent related experience will be considered.
- 7-9 years claims technical experience required (or Associate's Degree + 9-11 years).
- Prior supervisory experience in a claims environment strongly preferred.
- Experience with environmental claims, multi-line field adjusting, and claims auditing is desirable.
- Exposure to both personal and commercial auto and OTA claims is a plus.
- Multi-state claim handling experience is preferred.
- Proven ability to innovate, implement workflow improvements, and operate in a fast-paced, multi-task environment.
Why Mapfre? As a global insurance leader with a strong local presence, we offer more than a job - we provide a purpose-driven career where your growth, well-being, and impact truly matter.
Purpose & Culture: Join a company built on trust, collaboration, and inclusion. Our values guide everything we do, creating a workplace where people feel respected and empowered.
Comprehensive Benefits: Enjoy competitive health coverage, retirement plans, paid time off, flexible work options, and lifestyle perks like employee discounts.
Career Growth: Advance your skills through tuition reimbursement, leadership programs, and internal mobility opportunities. Your development is our priority.
Social Responsibility: Contribute to meaningful initiatives through Fundación Mapfre, supporting communities and sustainability worldwide.
Pay Philosophy: The typical starting salary range for this role is determined by several factors including skills, experience, education, certifications, and location. Some roles at Mapfre are eligible for commission and/or bonus earnings, in addition to salary, calculated based upon factors set forth in the compensation plan for the role.
Salary Range $87,700 - $120,700
If you require an accommodation for a disability so that you may participate in the selection process, you are encouraged to contact the Mapfre Insurance Talent Acquisition team at ...@mapfreusa.com.
We are proud to be an equal opportunity employer.