Senior Claim Representative

Woodrow Cross•Boston, MA

1d•$90,000 - $100,000

About The Position

The Senior Claim Representative is a high-impact leadership role responsible for the end-to-end strategic execution of the agency’s claims handling process. This position serves as a critical client advocate, providing technical oversight for large and complex P&C claims (Property, Liability, Workers’ Comp, Automobile, and Professional Lines). You will be part of a dedicated two-person claim team to ensure prompt, fair resolutions while acting as the primary technical liaison between clients, account managers, and insurance carriers to minimize total cost of risk.

Requirements

Experience: 7–10+ years of P&C claims handling experience.
Technical Expertise: Mastery of P&C coverage lines, including General Liability, Workers’ Comp, Professional Liability, and Commercial Property.
Licensing: Active Property & Casualty Adjuster or Broker License is highly preferred.
Soft Skills: Advanced negotiation, analytical, and interpersonal skills; ability to navigate high-stakes conflict between clients and carriers.
Systems: Proficiency in Agency Management Systems (e.g., Applied Epic) and MS Office Suite.

Nice To Haves

Education: Bachelor’s degree in Business, Risk Management, or Finance preferred; industry designations (e.g., CPCU, AIC, or ARM) are a major plus.

Responsibilities

Strategic Advocacy & Settlement: Coordinate the settlement process for complex claims, advocating for clients on coverage denials, Reservation of Rights letters, and high-exposure settlements.
Operational Excellence: Execute daily department workflows, including claim reporting timeliness, diary systems, and claim closing targets to ensure high-efficiency standards.
Client Stewardship: Conduct proactive "claim review meetings" with key clients and account teams; provide actionable loss-run analysis to identify risk trends and recommend cost-containment strategies.
Reporting & Communication: Deliver weekly high-level briefings to department leadership on new activity, diary status, and severe losses.
Carrier & TPA Management: Establish qualifications for and monitor the performance of third-party administrators (TPAs) and carrier adjusters to ensure adherence to agreed service levels.
Financial Oversight: Anticipate and administer substantial financial changes in claims (reserves/settlements) and rigorously monitor coverage denials to protect client interests.