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NEXT Insurance
Legal & HR 1h ago

Claims Leadership Team Lead

NEXT Insurance
United StatesUnited States
Full-time
$120,000–$140,000 USD
Senior-Level
VT

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Job Description

Key Skills Required

Master these to land this role

Vendor ManagementContract LawProfessional LiabilityClaims AdjudicationLitigation Management

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ERGO NEXT’s mission is to help entrepreneurs thrive. We’re doing that by building the only technology-led, full-stack provider of small business insurance in the industry, taking on the entire value chain and transforming the customer experience.

Simply put, wherever you find small businesses, you’ll find ERGO NEXT.

Since 2016, we’ve helped hundreds of thousands of small business customers across the United States get fast, customized and affordable coverage. We’re backed by industry leaders in insurance and tech, and we still have room to grow — that’s where you come in.

What You’ll Do

  • Work in tandem with the Claims Leadership Team to develop and lead through completion claims settlement strategy on a claim-by-claim basis
  • Manage and provide feedback to Claim Specialists on claim results and audit results
  • Provide file direction and oversight as needed with direct reports
  • Create procedural documents with data in support of recommendations to improve expenses, cycle time, and service
  • Work inter-departmentally to investigate insurance claims and facilitate claims handling activities
  • Prepare and present accurate, clear, thorough, and concise reports and letters to key company personnel, including reports on complex and/or highly detailed claims, providing conclusions and recommendations
  • Use experience and judgment to determine when additional in-house or outside expert assistance may be required
  • Manage vendor relationships as necessary
  • Leads an experienced team of Claim Specialists to adhere to Best Practices, Compliance, Reserving Guidelines, and Litigation Guidelines

What We Need:

  • Commercial General Liability Claims Experience, specifically Construction Defect, Professional Liability, EPLI, etc.
  • Minimum of 5 to 10+ years of management experience
  • Litigation management experience
  • Vendor management skills
  • Outstanding attention to detail, organization, multi-tasking, problem-solving, interpersonal, and customer service skills
  • Must have excellent written and verbal communication (e.g. roundtable presentation) skills
  • Ability to understand claims adjudication processes, claim law, and jurisdictional issues
  • Strong research and investigative abilities
  • Negotiation, conflict resolution, and persuasion abilities
  • Trustworthiness, integrity, and personal accountability
  • Adherence to standards of ethical behavior and professional conduct
  • Keen service orientation and ability to grasp and respond to sundry client needs
  • Achieved or working towards any of the following designations: CPCU, PCLS/PCLA, SPPA, AIC2, SCLA
  • Bachelor’s degree required, advanced degree preferred

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NEXT Insurance

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NEXT Insurance is a premier, enterprise-grade digital insurance powerhouse engineered to orchestrate massive-scale small-business protection ecosystems and intelligent, frictionless risk-management workflows. Operating as a tech-enabled "insurance-as-a-service" hub, the company eliminates the operational friction of traditional, legacy insurance models—which frequently suffer from fragmented underwriting-silos, opaque pricing-logic, and disconnected digital-claims processes—by seamlessly deploying advanced "AI-powered" telemetry, rigorous regulatory-compliance architectures, and cohesive cross-channel digital-engagement frameworks. Moving beyond rigid legacy brokerage paradigms, NEXT empowers small-to-medium enterprises (SMEs) to dynamically synchronize their liability, property, and workers compensation coverage pipelines with elite, scalable, and audit-ready execution. Under the hood, their sophisticated proprietary operational infrastructure—bolstered by a user-centric design philosophy—natively manages complex real-time underwriting data ingestion, instantaneous automated-quoting, and compliance-hardened claims-remittance workflows, providing the necessary operational foundation to support the modern, high-velocity small-business economy. What sets NEXT apart is its uncompromising dedication to frictionless risk-orchestration; by bridging the gap between highly technical, performance-intensive insurance demands and accessible, high-velocity consumer-mobile interfaces, the firm empowers modern commercial organizations to radically accelerate their business-protection velocity, eliminate systemic compliance-bottlenecks, and build an unassailable foundation for continuous commercial and institutional success in the modern, AI-transformed global-insurtech landscape.

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