Claims Quality Audit Director jobs in Saint Charles, MO

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This opportunity is in the Claims Department.

Our Claims department oversees both high-exposure workers’ compensation and liability claims. As an unbundled carrier, we work actively with third-party administrators (TPAs) and self-administered accounts to assist in guiding claims to a successful resolution. As an excess and large deductible carrier, the high exposure claims we handle keep our group challenged, but the uniqueness provides plenty of growth opportunities.

Role Description:

In the role of Claims Director (internally known as “Director, Claims”), you will be responsible for handling assigned Excess Workers’ Compensation claims from initial assignment to closure as well as supervising Claims Managers and Analysts within region.

Your day-to-day responsibilities as Claims Director will include:

• Directly or indirectly negotiating claim settlements as well as establishing and updating of reserves within established authority level with direct reporting to VP on settlements over authority limits.
• Coordinating litigation efforts on claims to include selection of counsel and monitoring of counsel performance in accordance with department litigation guidelines.
• Communicating with Underwriters regarding problem accounts, large losses, and specific TPA problems.
• Direct or indirect involvement in the medical management of claims and utilizing Medical Management staff and vendor partners to mitigate medical exposure as needed.
• Coordinating litigation management efforts on claims to include selection of counsel when appropriate, and the monitoring of counsel performance in accordance with department litigation guidelines.
• Traveling on an “as needed” basis for claim audits including request for audits by Underwriting, problem accounts, TPAs, or claims with completion of report per department procedures.
• Monitoring the performance and completion of annual performance appraisals for direct reports, managing the hiring and onboarding/training of new Claims Analyst(s) and Claims Manager(s) as well as coordinating on-going training of direct reports.

If this role describes you, apply today!

Qualifications:

Education:

• Bachelor’s Degree for accredited college or university required.

Required Qualifications:

• Minimum 10 years’ experience in Workers’ Compensation claims adjusting with insurance carrier or Third Party Administrator required.
• Must have strong organizational and analytical skills, as well as excellent written and oral communication skills.
• Must be proficient with Excel, Work, and Microsoft Outlook applications.

Preferred Qualifications:

• Handling Excess Workers’ Compensation claims a plus.
• Experience adjusting claims in multiple jurisdictions a plus.

Protect the confidentiality, integrity and availability of information and technology assets against unauthorized disclosure, destruction and/or alteration, in accordance with Safety National policies, standards, and procedures.

Safety National is committed to fair, transparent pay and we strive to provide competitive, market-based compensation. In our vision to be First with Co-Workers, compensation is only one piece of the comprehensive total rewards package we offer. The target salary range for this position is $111,000 to $179,000. Compensation for the successful candidate will consider the candidate’s particular combination of knowledge, skills, competencies, experience, and geographic location.  

Safety National is a leading specialty insurance and reinsurance provider. Our culture is built upon relationships, which allow us to demonstrate our expertise gained through our rich 80-year history. As a wholly-owned subsidiary of Tokio Marine, Inc., we appreciate the benefits and support provided by our affiliation with one of the top 10 insurance companies in the world.

A Benefits Structure That Puts Employees First

Safety National’s approach to benefits reaches far beyond competitive fixed compensation. Instead, we construct a total rewards benefits package for each valued member of our team. Highlights include incentive award bonuses, an annual holiday bonus, and profit-sharing contributions. Other exceptional benefits include generous healthcare coverage, a 401(k) match, enhanced paid caregiver leave, and family-forming benefits for adoption, surrogacy, and fertility. We also promote balance by offering a hybrid working environment and several employee appreciation events throughout the year. Apply today to learn more about our total rewards approach.

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