Responsibilities
The Director will be part of a small team of claim professionals responsible for managing a full inventory of Senior Care Professional and General Liability claims with varying levels of exposure. The Director will be responsible for overseeing all aspects of claim handling, including determining coverage, investigating liability and damages, evaluating and resolving claims, and managing complex litigation.
**Hybrid Model**Mon-Thurs in office, Fri-work from home. If you are over 50 miles from one of our offices, the role can be **Remote** for the right qualified candidate.
Key functions include but are not limited to the following:
• Manage a full inventory of Senior Care Professional and General Liability claims with varying levels of exposure.
• Comply with Best Practices guidelines and other company claim handling requirements regarding communication, investigation, litigation management, coverage evaluation, exposure assessment, and settlement/resolution.• Evaluate and verify coverage by reviewing and interpreting the claims asserted alongside applicable policy language. • Investigate liability and damages, retain qualified counsel as necessary, and set appropriate and timely reserves that are consistent with estimated exposures.
• Develop and execute a claim resolution strategy, taking into account the unique and individual characteristics of the claim, communicating and collaborating with stakeholders as appropriate.• Present claims clearly and concisely to senior leadership as requested.• Travel as needed to mediations, settlement conferences, trials and other proceedings.• Contribute to a collaborative environment by raising new ideas, demonstrating teamwork, high motivation, positive behavior and effort to achieve goals and objectives.• Build and maintain productive relationships with internal and external customers, including clients, underwriters and agents.• Engage in projects or other responsibilities/tasks outside of direct claim handling.• Actively self-educate as to line of business, industry and insurance trends including exposures, claims, legal, legislative, healthcare, current events, self-improvement and innovation.
Qualifications
- Bachelors’ degree required. JD preferred.
- Minimum of 5-7 years’ claim handling or other relevant work experience
- Experience managing senior care claims preferred
- Adjusters’ licenses will be required for the successful candidate
- Self-motivated, independent and decisive
- Excellent time management skills with ability to triage and prioritize
- Exceptional collaboration with internal and external teams and partners
- Willingness to learn/develop coverage concepts/issues in the required lines of business
- Strong oral and written communication skills with ability to articulate very complex facts, analysis and recommendations in a concise manner to senior leadership, insureds, and external business partners
- Desire for new and varied job responsibilities beyond claims handling
- Demonstrated ability to meet deadlines, determine priorities and adapt to changing priorities as needed.
Additional Company DetailsWe do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: • Base Salary Range: $125,000 – $160,000 • Eligible to participate in annual discretionary bonus. • Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Sponsorship DetailsSponsorship not Offered for this Role
