Claims Manager, Insurance & Risk Management

Description

Key duties involve comprehensive claims management and investigation, including timely coverage analysis, gathering statements from staff, contractors, claimants, witnesses, brokers, TPAs, medical providers, and technical experts, verifying proper claim coding, and applying severity protocols for referral. The manager maintains a diary system, updates claim files, evaluates liability and damages, and establishes indemnity, expense, and settlement reserves before negotiating resolutions within delegated authority.

In TPA and litigation management, the manager helps develop claims handling instructions, works with brokers, carriers, and adjusters, creates litigation plans, monitors legal expenses, and may attend depositions, mediations, arbitrations, and trials, acting as a technical resource while adhering to professional guidelines and state laws.

The role leverages the Risk Management Information System (RMIS) to track incidents, ensure accurate data coding, and produce dashboards, analytics, and reports that inform risk‑mitigation strategies. Coordination with internal stakeholders, the Office of Inspector General, safety and construction units, and the Labor Law Compliance Unit enhances fraud detection, contractor claim resolution, and workplace safety, while also providing training on procurement policies and procedures.

• Manage full claim lifecycle for General Liability, Workers Compensation, Builders' Risk, Environmental, Auto, Cyber, and Property Damage claims.
• Conduct timely coverage analysis and investigations with contractors, claimants, witnesses, brokers, TPAs, and medical experts.
• Maintain accurate claim coding, documentation, and diary system for efficient claim handling.
• Evaluate liability and damages, set appropriate indemnity, expense, and settlement reserves.
• Negotiate claim settlements within delegated authority and explore alternate resolution methods.
• Develop and enforce claims handling instructions to ensure consistency and compliance.
• Collaborate with brokers, carriers, and third‑party adjusters on panel counsel and litigation plans.
• Monitor and control legal expenses; attend depositions, mediations, arbitrations, and trials as needed.
• Utilize RMIS to track incidents, analyze trends, and generate dashboards and reports.
• Coordinate with internal units, Office of Inspector General, and Labor Law Compliance for fraud detection and risk mitigation.
• Provide training on procurement policies, procedures, and SCA practices to staff and stakeholders.

Requirements

Preferred qualifications include CPCU, ARM, CRIS, or similar designations, familiarity with the Northeast construction industry and New York State labor and construction laws, strong written and verbal communication, problem‑solving and negotiation skills, proficiency with Microsoft Office and insurance‑specific RMIS tools, and the ability to interpret contracts and insurance documents. Minimum qualifications are a bachelor’s degree in a related field and at least five years of experience in insurance or risk management focusing on complex construction claims, or an equivalent combination of education and experience.

• Hold CPCU, ARM, CRIS, or similar insurance designation (preferred).
• Possess at least five years of insurance or risk management experience with complex construction claims.
• Earn a bachelor’s degree in Insurance, Risk Management, Finance, Business Administration, or a related field.

Benefits

The position offers a salary range of $91,193 to $155,274, is classified under civil service pending jurisdictional classification, and includes the standard NYCSCA commitment to equal employment opportunity, reasonable accommodations, participation in the federal E‑Verify program, and a mission to design and construct safe, attractive, and environmentally sound public schools throughout New York City.

• Salary range: $91,193 – $155,274.

Training + Development

Interview process

Visa Sponsorship

Security clearance