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Senior Technical Claims Director

  • Location:

    Tampa

  • Sector:

    Underwriting & Claims

  • Job type:

    Permanent

  • Salary:

    Up to US$200000 per annum

  • Contact:

    Connor Wallace-Sims

  • Contact email:

    Connor.Wallace-Sims@oliverjames.com

  • Job ref:

    JOB-062024-249626_1717704828

  • Published:

    16 giorni fa

  • Expiry date:

    2024-07-06

  • Startdate:

    ASAP

Claims Director

Reports to: Vice President, Chief Claims Officer

Basic Function:

The Claims Director is a front-line Manager responsible for assisting in the delivery of team objectives by developing, managing, and motivating engaged, high-performance claims professionals and a paralegal. This person combines excellent technical claims handling, people management, and leadership skills. The Claims Director provides managerial support, guidance, and mentorship to his/her team. This person also:

General Duties and Responsibilities:

  • Drives employee engagement, adjuster/claims attorney/paralegal development, and team performance and growth.
  • Drives Key Performance Indicators and adherence to EIM's Best Practices through managerial diary and file audits.
  • Reviews coverage analyses drafted by team.
  • Drives litigation management behaviors.
  • Identifies and provides solutions for key issues and trends to senior claims management.
  • Allocates new incoming claims, reopened claims, and claims that may need to transfer due to severity.
  • Assists VP in preparing and presenting reserve analyses and claims trends.
  • Takes an active role in the Claims/Underwriting/Actuarial feedback loop.
  • Plays an active role in recruitment and on-boarding.
  • Coordinates with Finance to ensure efficient management of cash flow needs for claim payments.
  • Regularly reports to and updates reinsurers on claim Supervises reinsurers' audits.
  • Participates in refinement of claims operations, including development of methods that will assist in analytics.
  • Oversees First Notice of Loss processes.
  • Brings ideas to improve efficiencies and develop methods to improve
  • Participates in yearly review of panel counsel performance and works with support staff to establish any billing or compliance issues that need to be addressed during annual reviews.
  • Adjusts expense and indemnity reserves when
  • Prepares appropriate documentation of claim
  • Collaborates to update guidelines
  • Assists with quarterly reports to Claims Committee / Board.
  • Participates in presentations to, and one-on-one meetings with,
  • Prepares monthly, quarterly, and annual reports for claims

Education, Knowledge, Skills, and Experience:

  • 10+ years of Claims handling experience.
  • A JD from an ABA accredited law school.
  • 5+ years of Claims Management experience.
  • Leadership and people management skills.
  • Expert knowledge of Claims handling practices to include: coverage analysis, litigation management and negotiation.
  • Excellent analytical, critical thinking, verbal, and written communication skills.
  • Strong rapport-building and relationship effectiveness skills.

Additional Factors Considered:

  • Subject matter expertise.
  • Demonstrated efforts to advance product innovation, improve Claims processes and/or develop a greater understanding of other aspects of the business by training, interactions with external/internal shareholders or other relevant projects.
  • Technical leader with ability to respond to challenges that may arise when asked by direct reports or others inside and outside of the organization.

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