Complex Claims Director, CPPI PL Claims

2 weeks ago


Plymouth Meeting, United States Berkshire Hathaway Specialty Insurance Full time $125,000 - $150,000
Job DescriptionJob Description

Who are we?
A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers around the world. Part of Berkshire Hathaway’s insurance operations, we bring our solutions to market with our stellar brand name, top-rated balance sheet, and the expertise of our global team of professionals, who exude excellent capabilities and strong character.

We are a values-based organization where respect, integrity, excellence, collaboration, and passion define who we are and how we do business. We value diversity of backgrounds, experience, and perspectives and strive to foster an inclusive environment that enables all our team members to bring their best selves to work. We are one team committed to building a culture where every teammate has the opportunity to contribute and be recognized. Want to be part of the team building the finest property, casualty and specialty lines insurance company in the world?

Learn more about our unique culture and history.


Job Opportunity:

Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for a Complex Claims Director on our Contractor’s Professional Liability team. At BHSI, our claims professionals are an integral part of our business. Every claim is handled with the utmost skill by seasoned and dedicated claims professionals. We are seeking an experienced professional to join our growing team in the Boston, Chicago, New York, or Plymouth Meeting, Pennsylvania office. This position is a great opportunity for practicing lawyers looking to transition out of a law firm as well as claim professionals with professional liability claims experience.

In this role, the Complex Claims Director will have a unique opportunity to handle and adjust all facets of Contractor’s Professional Liability claims in a highly collaborative team environment, dedicated to best in class claims handling.


Duties & Responsibilities:

• Manage and adjust Contractor’s Professional Liability claims impacting primary and excess policies while ensuring the highest level of customer service and technical claim file quality.
• Proactively handle claims from first notice of loss through ultimate resolution, while advising internal partners and meeting with clients and brokers.
• Collaborate and partner with the insured and broker in the handling and adjudication of claims.
• Analyze and draft coverage letters as appropriate and communicate coverage positions effectively.
• Conduct, coordinate, and proactively handle the investigation process and ensure timely resolution of claims.
• Directly and closely monitor assignments to experts and defense counsel as necessary.
• Evaluate information related to coverage, liability, and damages to determine the extent of exposure to the insured and the company.
• Draft reports, set reserves within authority, and make claim recommendations concerning reserve changes.
• Travel to conferences, mediations, and trials as necessary.

Qualifications, Skills and Experience:

• College degree required. JD preferred.
• A minimum of 5 years’ experience handling professional liability claims and/or construction claims, or matching equivalency; and be able to demonstrate technical competence in the handling of specialized claims.
• Ability to work independently and assimilate learning materials on many different subjects from various sources.
• Excellent interpersonal, communication, investigative and negotiation skills.
• Ability and willingness to work effectively in a team environment and handle multiple tasks simultaneously.
• Demonstrated experience in handling and adjusting claims in multiple jurisdictions and must possess, or successfully obtain, the required adjuster licenses.

BHSI Offers:

• A competitive package and exciting growth opportunities for career-oriented teammates.
• A dynamic, action-oriented, and thoughtful environment centered on always doing the right thing for our customers, teammates and our other stakeholders.
• A purposely non-bureaucratic organization that embraces simplicity over complexity and emphasizes individual excellence in a team framework.

The base salary range for this position is from $125,000.00 to $150,000.00, along with annual bonus eligibility; a candidate’s salary is determined by their relevant skills and experience. We value our teammates – both their capabilities and character – as demonstrated by our amazing culture.

NOTE: Compensation will be commensurate with experience. This job description is not intended to be all-inclusive. Team Member may perform other related duties as negotiated to meet the ongoing needs of the organization.



  • Plymouth Meeting, Pennsylvania, United States Synergy Orthopedics Full time

    Job OverviewObjective:The Claims Processing Specialist is responsible for managing outstanding claims and ensuring accurate patient data. This role involves handling denials and appeals to optimize collections.Key Responsibilities:Manage claims and resolve claim denials to maximize reimbursement for services rendered through insurance systems and direct...


  • Plymouth Meeting, United States ProgenyHealth LLC Full time

    Job DescriptionJob DescriptionDescription:CompanyProgenyHealth is a leading provider of care management solutions for premature and medically complex newborns positively impacting maternal and infant health outcomes across America. Our program builds a network of support for an uninterrupted continuum of care from prenatal health, through any resultant NICU...

  • Claims Representative

    2 months ago


    Plymouth, United States JNR Adjustment Full time

    Job description JNR is seeking professionals to join our company and become part of the growing JNR family. In the role of Commercial Claims Specialist , you will analyze, negotiate, and settle a wide range of property damage claims in the telecommunications and public utility sectors. You will be responsible for recognizing subrogation potential,...


  • Plymouth, Michigan, United States Progressive Insurance Full time

    Join a Recognized Leader in Workplace Diversity As a medical claims processing associate, you will play a vital role in ensuring a smooth and supportive medical claims experience for our clients. Your focus will be on personal injury protection medical coverage, where you will evaluate accident circumstances, medical documentation, and terminology. You...


  • Plymouth, Michigan, United States Progressive Insurance Full time

    Join a Leading Employer Committed to Diversity As a medical claims support specialist, you will play a crucial role in ensuring the efficiency and effectiveness of the medical claims process for our clients. Your focus will be on personal injury protection medical coverage, where you will evaluate accident details, medical documentation, and relevant...


  • Plymouth Meeting, Pennsylvania, United States Allstate Insurance Agency - Rajesh Khullar Full time

    Job DescriptionThe Customer Service Manager at Allstate Insurance Agency - Rajesh Khullar is responsible for maintaining and maximizing profitable relationships with personal lines clients and for growing the book of business through new client sales.Key ResponsibilitiesClient Communication: Answer customer calls and correspondence regarding new or existing...


  • Plymouth Meeting, United States Synergy Orthopedics Full time

    Job DescriptionJob DescriptionObjective:The Reimbursement Specialist will be expected to follow up on open claims and maintain patient information. The individual will also process denials and appeals to assure collections.Key Functions:Work claims and claim denials to ensure maximum reimbursement for services provided via insurance portals and/or phone...


  • Plymouth Meeting, Pennsylvania, United States Specialist Office Full time

    Job OverviewPosition: Healthcare Billing SpecialistLocation: Specialist OfficeWe are seeking a skilled Healthcare Billing Specialist with a minimum of 2 years of experience in medical billing and accounts receivable management. The ideal candidate will possess a comprehensive understanding of billing processes across various insurance providers and...

  • URD Foreman

    2 weeks ago


    Plymouth Meeting, United States Danella Companies Full time

    Overview Danella Companies, Inc. is currently hiring for a URD Foreman located out of our Corporate Headquarters in Plymouth Meeting, PA. Travel will be involved within the Philadelphia region. Danella celebrated its 52nd Anniversary as a utility construction leader and is ranked by the Engineering News-Record (ENR) within the Top 20 of Utility Contractors...


  • Plymouth Meeting, United States Allstate Insurance Agency - Rajesh Khullar Full time

    Job DescriptionJob DescriptionBenefits/PerksCompetitive PayProfessional DevelopmentJob Stability in a growing industryJob DescriptionThe Personal Lines CSR at Allstate Insurance Agency - Rajesh Khullar is responsible for maintaining solid customer relationships by handling personal lines insurance coverage inquiries and concerns with speed and...


  • Plymouth Meeting, United States Everstory Partners Full time

    Job DescriptionJob DescriptionDescription:Why EverstoryAt Everstory Partners, our mission is to create supportive spaces where individuals and families can find solace, meaning, and hope in the midst of loss. At the heart of our mission is a deep understanding of the profound and complex nature of grief. Every person’s journey through loss is unique, and...


  • Plymouth Meeting, United States Allstate Insurance Agency - Rajesh Khullar Full time

    Job DescriptionJob DescriptionBenefits/Perks:Competitive PayProfessional DevelopmentJob Stability in a growing industry401 KPTOEarned Commissions & BonusesJob DescriptionThe Customer Service Manager at Allstate Insurance Agency - Rajesh Khullar is responsible for maintaining and maximizing profitable relationships with personal lines clients and for growing...


  • Plymouth Meeting, United States Allstate Insurance Agency - Rajesh Khullar Full time

    Job DescriptionJob DescriptionBenefits/Perks:Competitive PayProfessional DevelopmentJob Stability in a growing industry401 KPTOEarned Commissions & BonusesJob DescriptionThe Customer Service Manager at Allstate Insurance Agency - Rajesh Khullar is responsible for maintaining and maximizing profitable relationships with personal lines clients and for growing...


  • Plymouth Meeting, Pennsylvania, United States Allstate Insurance Agency - Rajesh Khullar Full time

    Job SummaryWe are seeking a highly skilled Insurance Account Manager to join our team at Allstate Insurance Agency - Rajesh Khullar. As an Insurance Account Manager, you will be responsible for maintaining solid customer relationships by handling personal lines insurance coverage inquiries and concerns with speed and professionalism.Key...


  • Plymouth Meeting, Pennsylvania, United States Danella Companies Full time

    About the RoleDanella Companies, Inc. is seeking a skilled and experienced Gas Laborer to join our team. As a Gas Laborer, you will be responsible for performing various tasks related to gas distribution construction and utility industry practices.Key ResponsibilitiesOperate machines, saws, hand tools, and equipment to perform dutiesEnsure compliance with...

  • Medical Director

    5 days ago


    Plymouth Meeting, Pennsylvania, United States Accolade, Inc. Full time

    About AccoladeAccolade, Inc. is a leading healthcare technology company that provides personalized healthcare solutions to millions of people and their families. Our mission is to help every person live their healthiest life by delivering exceptional healthcare experiences that are personal, data-driven, and value-based.Job OverviewThe Medical Director -...


  • Plymouth, Massachusetts, United States Northeast Healthcare Recruitment Full time

    Leadership Opportunity in Coastal HealthcareThe Medical Director will provide strategic leadership to the clinical staff, overseeing the development and implementation of clinical policies and procedures. This role will also involve maintaining a clinical practice of 24 hours weekly, with 16 hours dedicated to administrative tasks.Key...


  • Plymouth Meeting, United States Danella Companies Full time

    Overview: Danella Companies, Inc. is currently hiring for experienced Qualified Experienced Gas Laborers located out of our Corporate Headquarters in Plymouth Meeting, PA. Travel will be involved within the Philadelphia region. Danella celebrated its 52nd Anniversary as a utility construction leader and is ranked by Engineering News-Record (ENR) within the...


  • Plymouth Meeting, United States ProgenyHealth LLC Full time

    Job DescriptionJob DescriptionDescription:Job RoleProgenyHealth is seeking a Production Support Analyst - Interoperability. You will be responsible for monitoring, maintaining, and supporting the data integration and interoperability solutions that connect various healthcare systems. You will ensure the smooth operation of these systems, troubleshoot issues,...


  • Plymouth, United States Daikin Applied Full time

    Make your mark at the world's largest HVAC company Daikin Applied is seeking a Leave of Absence (LOA) Administrator for a contract position! As our primary LOA administrator, he or she will administer and maintain company LOA benefit programs. In addition, this individual will function as a liaison between our LOA vendors and employees and advises...