Crum & Forster

Program Manager

• Set and execute the Occupational Risk claims program strategy, operating model, service standards, and annual priorities
• Build, coach, and retain a high-performing team of program managers and specialists
• Own financial, operational, customer, quality, compliance, and talent outcomes across the assigned portfolio
• Establish governance frameworks for TPAs, MGAs/MGUs, independent adjusters, and other service partners
• Lead operational assessments, implementation readiness, data mapping, staffing validation, control testing, catastrophe preparedness, and go-live governance
• Conduct annual or bi-annual audits of TPAs and MGAs/MGUs
• Provide direction on complex, high-severity, coverage-sensitive, and litigated claims
• Partner with Legal on counsel guidelines, litigation strategy, legal spending, panel performance, alternative dispute resolution, and vendor outcomes
• Maintain compliance with state unfair claims practices requirements, Texas Non-Subscriber and benefit-plan obligations, licensing standards, privacy expectations, market conduct, record retention, and internal policies
• Maintain a risk-based audit program covering coverage, investigation, reserving, payments, communications, litigation handling, subrogation, salvage, and compliance
• Develop dashboards and portfolio reviews using leading and lagging indicators
• Strengthen fraud referrals, subrogation, salvage, deductible, and aggregate tracking
• Promote timely, clear, empathetic, and brand-consistent customer and broker communication
• Partner cross-functionally with Underwriting, Actuarial, Legal, Compliance, Finance, Reinsurance, Distribution, and Technology

Director, Claims Program Management – Occupational Risk

• Set and execute the Occupational Risk claims program strategy, operating model, service standards, and annual priorities
• Build, coach, and retain a high-performing team of program managers and specialists
• Own financial, operational, customer, quality, compliance, and talent outcomes across the assigned portfolio
• Establish governance frameworks for TPAs, MGAs/MGUs, independent adjusters, and other service partners
• Lead operational assessments, implementation readiness, data mapping, staffing validation, control testing, catastrophe preparedness, and go-live governance
• Conduct annual/bi-annual audits and provide direction on complex, high-severity, coverage-sensitive, and litigated claims
• Partner with Legal on counsel guidelines, litigation strategy, legal spending, panel performance, alternative dispute resolution, and vendor outcomes
• Maintain regulatory, compliance, licensing, privacy, market conduct, record-retention, and internal-policy adherence
• Maintain a risk-based audit program covering coverage, investigation, reserving, payments, communications, litigation handling, subrogation, salvage, and compliance
• Develop dashboards and portfolio reviews using leading and lagging indicators; report trends, exposures, root causes, and recommended actions
• Strengthen fraud referrals, subrogation, salvage, deductible, and aggregate tracking
• Promote timely, clear, empathetic, and brand-consistent customer and broker communication
• Partner with Underwriting, Actuarial, Legal, Compliance, Finance, Reinsurance, Distribution, and Technology to support profitable growth

Director, Claims Program Management, Occupational Risk

• Set and execute the P&C claims program strategy, operating model, service standards, and annual priorities
• Build, coach, and retain a high-performing team of program managers and specialists
• Own financial, operational, customer, quality, compliance, and talent outcomes across the assigned portfolio
• Establish governance frameworks for TPAs, MGAs/MGUs, independent adjusters, and other partners
• Lead operational assessments, implementation readiness, data mapping, staffing validation, control testing, catastrophe preparedness, and go-live governance
• Conduct annual or bi-annual audits of TPAs and MGAs/MGUs
• Provide direction on complex, high-severity, coverage-sensitive, extra-contractual, catastrophe, litigated, and potentially systemic claims
• Partner with Legal on counsel guidelines, litigation strategy, legal spending, panel performance, alternative dispute resolution, and vendor outcomes
• Ensure adherence to unfair claims practices laws, licensing, data privacy, market conduct, sanctions, record retention, and internal controls
• Maintain a risk-based audit program covering coverage, investigation, reserving, payments, communications, litigation, subrogation, salvage, and compliance
• Develop dashboards and portfolio reviews using leading and lagging indicators
• Strengthen fraud referrals, subrogation, salvage, deductible, and aggregate tracking
• Promote timely, clear, empathetic, and brand-consistent customer and broker communications
• Partner with Underwriting, Actuarial, Legal, Compliance, Finance, Reinsurance, Distribution, and Technology

Director, Claims Program Management, Property & Casualty

Claims Specialist

• Receive claim assignments and verify and determine coverage applicability
• Interpret complex coverage issues
• Write reservation of rights and declination of coverage letters
• Determine the method and extent of investigation for each claim
• Review and manage claim files for adequate and timely investigation, evaluation, and reserves
• Maintain a timely diary for each claim
• Evaluate and adjust claims within authority level
• Report technical matters to supervisors or management
• Evaluate and manage litigated claims
• Determine future handling and disposition of claims
• Consult with managers, directors, or the Coverage unit on claims requiring assistance or exceeding authority
• Assess risk transfer potential and address tender issues
• Assess recovery potential and pursue recovery
• Manage assigned claims through prompt and equitable disposition according to company Best Practices
• Provide superior customer service to agents, insureds, and others

Senior Claims Specialist, Construction Defect

Underwriter

• Lead underwriting activity for the Standard Accounts Sharing Economy business unit
• Manage and develop a team of underwriters
• Underwrite and oversee complex auto liability-focused risks, along with related general liability and excess liability exposures
• Review new and renewal business, including pricing, structure, terms, conditions, and retentions
• Serve as a referral point for complex coverage, pricing, and underwriting decisions
• Read, analyze, and help develop manuscript forms and customized policy language
• Develop underwriting strategy to drive profitable growth
• Work with both retail and wholesale brokers on new and renewal opportunities
• Partner regularly with internal teams including claims, legal, actuarial, and product
• Help create consistency and clarity in an area where coverage and pricing are often nuanced and evolving

Director, Underwriting, Sharing Economy

Product Manager

• Turn strategy into a prioritized backlog of features and stories with clear systems-analysis insight
• Deliver high-value product increments that achieve measurable business outcomes
• Own story refinement, backlog management, sprint readiness, acceptance criteria, UAT coordination, and outcome-focused prioritization
• Lead sprint and program increment planning within the SDLC
• Validate stories and drive delivery through deployment
• Own delivery, acceptance, sign-off, and approval decisions, including final functionality approval
• Apply Scrum, Kanban, and SAFe frameworks
• Facilitate daily stand-ups, refinement, sprint planning, demos, and retrospectives
• Collaborate with RTE, business leaders, architecture, and engineering on program-level delivery
• Maintain documentation and reinforce processes
• Manage intake, prioritization, and refinement to ensure work is defined, sequenced, and delivery-ready
• Certify work products across the SDLC, including UAT, release readiness, and production deployment approval
• Align agile delivery, UX, QA, Compliance, and Engineering on readiness, completion, and release standards
• Resolve conflicts, cross-team dependencies, and delivery risks with business and technical stakeholders
• Partner with Engineering and the business on problem statements, feasibility validation, and outcome definition
• Deliver prioritized backlogs, defect management, user stories, acceptance criteria, release plans, UAT plans, and final approvals
• Drive continuous improvement through post-mortems
• Convert business needs into clear, technically feasible requirements where necessary
• Perform other duties as assigned

Product Owner

Data Engineer

• Learn applications to provide appropriate support and maintenance
• Receive business requirements and ensure understanding for coding
• Participate in Scrum, Kanban, and stand-up meetings
• Apply development standards when planning and executing coding tasks
• Provide input for project planning and target dates
• Manage time and workload to meet deadlines
• Review designs and code with team members before code promotion
• Work with the technical architect to create and update documentation
• Maintain communication, transparency, traceability, and best practices
• Collaborate with the team lead and Assistant Vice President of IT Financial Systems, communicating appropriately and escalating when needed
• Monitor production environment performance with experts and implement improvements, from small fixes to architectural changes
• Help manage non-production environments
• Ensure internal controls and change controls are followed, with evidence available
• Expand technical skills through internal and external training
• Assist with applications supported by IT Financial Systems and their interfaces

Senior Data Engineer, Financial Systems

Director

• Lead underwriting activity for the Standard Accounts Sharing Economy business unit
• Manage and develop a team of underwriters
• Underwrite and oversee complex auto liability-focused risks, along with related general liability and excess liability exposures
• Review new and renewal business, including pricing, structure, terms, conditions, and retentions
• Serve as a referral point for complex coverage, pricing, and underwriting decisions
• Read, analyze, and help develop manuscript forms and customized policy language
• Develop underwriting strategy to drive profitable growth
• Work with both retail and wholesale brokers on new and renewal opportunities
• Partner regularly with claims, legal, actuarial, and product teams
• Help create consistency and clarity in nuanced and evolving coverage and pricing areas

Director, Standard Accounts, Sharing Economy

• Manage an assigned inventory of claims arising primarily from Personal Lines Auto, Garage keepers Liability, and Commercial Auto Liability policies
• Receive claims assignments and verify and determine applicability of coverage
• Determine the method and extent of investigation for each claim according to company Best Practices
• Review and manage outstanding files for adequacy and timeliness of investigation, evaluation and reserve
• Maintain a timely diary for each case
• Evaluate and adjust claims within the adjuster's authority level
• Report technical matters directly to supervisor and management
• Evaluate and manage auto material damage claims, including total loss handling
• Determine future course of handling and proper method of disposition
• Consult with the claim manager on claims requiring assistance or exceeding assigned authority
• Assess recovery potential and develop information required to pursue recovery
• Participate in quarterly claim reviews
• Follow claim handling requirements for special handling accounts
• Equitably and promptly adjust and manage assigned claims through disposition in accordance with Best Practices
• Provide superior customer service to agents, insureds, and others during the claims handling process

Senior Claims Specialist, Auto Material Damage

Actuary

• Work on 2–3 projects related to actuarial or product services
• Develop, maintain, review, update, and enhance existing processes and tools
• Partner with tenured actuaries, data scientists, and product specialists
• Learn about the nuances of insurance
• Support initiatives that drive efficiency, accuracy, and innovation across Commercial Lines functions

Internship – Actuarial or Product Services – Commercial Lines

• Examine claims data and conduct investigations into routine and moderately complex workers compensation claims
• Determine coverage, compensability, subrogation and benefits
• Adjust and manage claims within assigned authority limits
• Receive lost time and complex medical-only assignments
• Verify and determine applicability of coverage
• Initiate 24-hour contact with employer and employee, and 48-hour contact with attending physician
• Handle catastrophic claims with supervisory oversight
• Conduct telephone investigations according to company claims handling procedures
• Consult with the Claim Manager when assistance is needed
• Assign claims to nurse case management and monitor billing and performance
• Set reserves for anticipated exposure within authority limits
• Complete mandatory Reserve Worksheets and establish reserves requiring complex analysis
• Coordinate return to work and set target dates
• Maintain diaries at intervals of no more than three months
• Document files in the claims system
• Review medical bills for causal relationship and appropriateness of charges, and approve payments
• Adhere to special account handling instructions
• Attend account meetings by telephone and in person
• Manage litigation on assigned files

Senior Claims Specialist, Workers Comp.

• Provide technical supervision and guidance for BI and PIP claims handled by Third-Party Administrators
• Ensure adherence to program standards and best practices
• Oversee rideshare claims, including coverage analysis and litigation management
• Control indemnity, expense, and litigation costs through timely reserving, trial preparation, and resolution strategies
• Conduct regular audits of TPA-managed claims for accuracy, timeliness, and compliance
• Review claims data, reserve adequacy, and performance metrics to identify trends
• Recommend process improvements
• Stay informed on evolving rideshare regulations, policy changes, and litigation developments
• Perform other related tasks as assigned

Executive Claims Specialist, Bodily Injury

• Provide senior-level technical oversight of PIP/no-fault claims administered by Third-Party Administrators
• Serve as a subject matter resource for PIP, including coverage, medical benefits, treatment disputes, medical necessities, peer reviews, IMEs, denials and regulatory requirements
• Provide technical guidance on complex, disputed, litigated and arbitrated PIP matters
• Evaluate coverage, benefit eligibility, priority of coverage and potential risk-transfer opportunities
• Review claim handling for accuracy, timeliness, documentation and statutory and regulatory compliance
• Partner with TPA claim professionals and leadership to address concerns and improve claim handling
• Conduct targeted claim audits and quality reviews
• Evaluate reserve adequacy and provide technical recommendations on complex exposures
• Identify trends involving providers, litigation, claim handling, leakage, compliance and emerging exposures
• Coordinate with Legal, SIU, medical review vendors, defense counsel and other partners
• Support enhancements to claim guidelines, workflows, reporting, training and quality controls
• Maintain awareness of legislative, regulatory and judicial developments affecting PIP/no-fault claims