Director of Claims Property & Casualty Location: Wellesley MA Deland Gibson Insurance Agency is seeking a visionary Director of Claims to build lead and elevate our enterprise-wide claims strategy across personal and commercial lines. The Director of Claims is a senior leadership role responsible for claims advocacy loss outcome improvement and insurance-focused risk transfer strategy across the agencys personal and commercial client base. This role owns the agencys claims philosophy and reserving advocacy standards while integrating claims intelligence risk management and contractual risk review into proactive client strategy and renewal outcomes. Acting as the agencys senior claims and risk authority the Director strengthens client protection carrier confidence and long-term account profitability. This position does not function as a claims adjuster or legal counsel. Its value is delivered through strategy advocacy documentation and influence. If you thrive in complexity influence outcomes through strategy (not volume) and want to build something lasting inside a high-performing agency this role offers rare scope authority and impact. This role focuses on: - High-severity and complex claims
- Repeat loss patterns and deteriorating loss ratios
- Accounts where claims materially impact renewal pricing or retention
- Contractual risk provisions that affect insurance response
This role does NOT: - Function as a claims adjuster
- Replace carrier adjusters legal counsel or contract drafters
- Manage routine claims except by strategic exception
Key Responsibilities: Claims Leadership & Advocacy - Own the agencys claims advocacy standards and documentation requirements
- Serve as final internal escalation point for complex disputed or high-severity claims
- Lead structured claims strategy discussions for large-loss and long-duration claims
- Ensure claims reporting quality supports timely response defensible coverage positions and effective reserving
- Partner with service teams and producers to ensure claims strategy aligns with retention and renewal objectives
Reserving Advocacy & Carrier Partnership - Serve as primary liaison with carrier claims leadership
- Initiate and lead formal reserve reviews supported by documented evidence
- Support accurate and defensible reserving through timely high-quality information flow
- Represent the agency in carrier stewardship meetings related to claims performance and loss trends
- Reinforce the agencys reputation as a disciplined transparent and outcome-focused partner
Risk Management & Loss Outcome Strategy - Own the agencys claims-driven risk management strategy
- Analyze claims data to identify severity drivers frequency trends and systemic issues
- Deliver post-loss reviews and pre-renewal risk recommendations on managed accounts
- Coordinate carrier and third-party loss control resources
- Ensure risk insights directly inform renewal strategy and client decision-making
Contractual Risk Review - Review client contracts solely for insurance indemnification and risk transfer implications
- Identify contractual provisions that may create:
- Coverage disputes
- Defense and tender challenges
- Uninsured or underinsured exposure
- Provide risk-based insurance alignment recommendations not legal advice
- Support claims strategy and tender positioning where contract language affects insurance response or recovery
- Collaborate with client legal counsel and carriers to flag insurance-related issues impacting claims outcomes
- Boundary: This role does not provide legal opinions draft contracts or negotiate non-insurance commercial terms
Producer & Client Enablement - Equip producers and account teams with claims and risk insights that support GRIP-driven sales and stewardship
- Participate selectively in high-impact prospect and renewal meetings where claims performance is strategic
- Translate claims data into business risk narratives clients can act on
- Educate internal teams on claims trends coverage implications and risk transfer best practices
Team Leadership & Operational Excellence - Lead mentor and evaluate claims staff
- Establish service standards workflows and accountability metrics
- Ensure consistent training in claims advocacy coverage interpretation and documentation
- Foster a culture of professionalism discipline and continuous improvement
Data Reporting & E&O Risk Management - Own claims and risk reporting dashboards and performance metrics
- Monitor severity frequency reserve variance litigation rates and escalation trends
- Use insights to improve underwriting outcomes and renewal positioning
- Support agency E&O risk mitigation through documentation standards and audit readiness
- Champion process and technology improvements tied to claims quality and efficiency
Decision Authority - Final internal authority on claims escalation strategy
- Authority to initiate reserve reviews and claims strategy meetings
- Authority to define agency claims service standards and workflows
- Input authority on carrier stewardship and claims-related carrier strategy
- Authority to require post-loss reviews and risk action plans on managed accounts
QUALIFICATIONS: - 8 years of insurance experience with significant claims exposure
- 35 years in a leadership or senior advisory role
- Demonstrated experience across personal and commercial lines
- Deep understanding of coverage interpretation claims reserving and risk transfer
- Independent agency experience strongly preferred
- CPCU ARM CRM AIC or similar designations a plus
- JD preferred
SUPERVISORY RESPONSIBILITY: This position has supervisory responsibilities. WORK ENVIRONMENT: This position operates in a professional office environment. This role routinely uses standard office equipment such as computers tablets phones multi-function printers and fax machines. PHYSICAL DEMANDS: While performing the duties of this job the employee is regularly required to talk and/or listen; frequently stand; walk; sit for extended periods of time; frequently use hands/fingers to handle/feel when operating a computer and other office equipment; reach with hands and arms.
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