Senior Director, Senior Care Claims

Company Details

Do you want to be part of a dynamic and growing organization that encourages creativity, collaboration, innovation and individual expression?

Are you an insurance professional who wants to think outside the box in creating products, underwriting and servicing customers?

BHFL) is a dynamic, start-up company that encourages a pioneering mindset with the financial backing of , a Fortune 500 company.

Berkley Healthcare provides comprehensive primary, excess and reinsurance solutions for medical professional liability, general liability and financial lines on both an admitted and surplus lines basis to the spectrum of healthcare providers.

At BHFL, everyone’s voice counts and we expect to hear from everyone. If you want to work in a unique insurance company like no other, come explore career options with us.

This role would ideally be based in our West Hartford, CT or Chesterfield, MO offices where we offer a hybrid work schedule with 4 days in the office;

and 1 day remote where it makes sense to do so. We'd also consider fully remote for a highly qualified professional.

The Company is an equal employment opportunity employer. #LI-AV1 #LI-remote

Responsibilities

As a Senior Director of Senior Care Claims, you 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.

You 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.

We'll count on you to :

• 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

What you need to have :

• Bachelors’ degree required
• Minimum of 10 years’ claim handling or other relevant work experience
• Adjusters’ licenses will be required (or ability to garner) for the successful candidate
• 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
• Demonstrated ability to meet deadlines, determine priorities and adapt to changing priorities as needed

What make you stand out :

• JD degree preferred
• Experience managing senior care claims
• Self-motivated, independent and decisiveExcellent 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
• Desire for new and varied job responsibilities beyond claims handling

Additional Company Details

We 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.

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 Details

Sponsorship not Offered for this Role