What are the responsibilities and job description for the Director, Claims position at Berkley?
Company Details
Responsibilities
Provides technical and strategic Claims leadership to the various claims handling units, including shared responsibility for the identification and execution of industry best practices for claims handling and related programs. Assures claims performance is sound technically and financially, including both internal staff and external vendor quality assurance. Leads innovation exploration, identification, development and execution efforts for the department. Serves as the highest level of technical authority in the department other than the Chief Claim Officer. Leads knowledge sharing and interactions with other departments related to technical claims matters.
1. Serves as second level technical supervisor on select cases of high exposure or complexity in any line of business as assigned by the Chief Claims Officer. 2. Responsible for the good faith coordination of claim handling and claim file outcomes involving matters spanning more than one unit or line of business. 3. Executes an effective Claims Review program for:a. Claim unit manager QA calibrationb. Claim vendor performance, including a formal law firm audit program.c. Special reviews for Actuarial, Underwriting, Finance, Reinsurance, and other internal or external stakeholders4. Responsible for identification and implementation of best practices for technical claims handling, including the efficiency and effectiveness of claims handling and related processes.5. In coordination with the LOB managers’ daily leadership of Claims vendors, provides additional strategic leadership of all Claims vendor management.
6. Leads litigation management including internal practices and panel counsel management (selection, guidelines, audits, visits).7. Identifies and implements effective innovations in claims handling. Selects and manages related vendor service levels and performance.8. Serves as manager responsible for programs and initiatives with other WRBC operating units, such as BMMS, MECC, RSS Subro, RSS (other), and others. In partnership with the LOB managers, participates in all Regional/AMP LOB governance teams. Acts as a liaison with other departments and affiliated companies, especially in projects and other collaborative work efforts.9. Monitors emerging industry issues with claims handling; attends industry meetings and conferences as necessary and appropriate; develops department training strategies, and personally delivers or arranges for delivery of training as appropriate for all staff.10. In coordination with the AVP, Claim Operations, leads the technical aspects of regulatory and legal compliance such as Medicare, state reporting, and other similar matters.11. Serves as SIU leader and program manager.12. May also directly substitute/cover as unit leader during certain temporary manager absences or vacancies.13. Perform other duties and projects as assigned.
Qualifications
• Minimum of ten years of advanced multiline commercial claims experience.• Previous management experience of claims staff handling one or more commercial claims lines of business.• Collaborative professional who can lead the technical function while modeling company culture and values.• 4-year college degree with concentration in business, law, public administration, or insurance. Advanced industry designations such as AIC, CCP or CPCU preferred.• Excellent communication and presentation skills.• Computer proficiency, working knowledge of Microsoft Office products.
Additional Company Details
The Company is an equal employment opportunity employer.Additional Requirements
Must be fully vaccinated and remain fully vaccinated against COVID-19. *, unless prohibited by law.
