Claims Director

2 weeks ago

Fort Lauderdale, Florida, United States Moss Full time
Job Summary

Moss is seeking a highly skilled and experienced Claims Director to oversee and direct the operations of insurance claims to meet operational, financial, and service requirements. This position will work closely with internal departments, adjusters, and internal and external counsel to assist with all claims, including worker's compensation, general liability, and property claims.

Key Responsibilities
  • Claims Management: Oversee and manage all property and liability claims for the company's lines of coverage, including general liability, excess liability, contractor's equipment, pollution, professional, property, employment practices, directors and officers, crime, automobile, builders' risk, and each of these coverages as may be in any wrap-up program.
  • Team Leadership: Manage and guide the Risk Management Claims team– Claims for handling certain types of liability claims and provide leadership and development support for the person in that role.
  • Incident Reporting: Review incident reports and determine action plans, engaging others as needed.
  • Investigations: Initiate preliminary investigations with project teams on all reported losses and personally inspect losses as needed.
  • Broker and Adjuster Management: Manage and coordinate any insurance brokers' or insurance adjuster claims services and report status to the department head and others as needed.
  • Claims Information Management: Manage, coordinate, and distribute all claims information, documentation, and communication to all responsible parties regularly and with a consistent cadence.
  • Coverage Disputes: Immediately attempt to clarify any potential or actual coverage disputes with direct contact with the insurer, broker, and coverage/defense counsel intervention.
  • Travel and Meetings: Travel as needed for claims meetings/investigations, mediations, claim reviews with division personnel and claim meetings with clients.
  • Loss Tenders: Ensure losses are tendered to insurers and third parties whenever possible, including active management and pursuit of subrogation on paid losses.
  • Reporting: Monthly/quarterly reporting of claims to management and other internal groups as directed.
  • Claims File Management: Review and follow up on all claims files and ensure current and accurate claim information is entered into the internal database/RMIS.
  • Legislative Updates: Update management and division personnel on new and pertinent legislation or case law.
  • Procedure Development: Recommend and draft internal claim procedure changes and provide regular claims management training to division and department teams.
  • Technical Resource: Serve as a technical resource (both internal and external) with respect any claim activities for clients.
  • Special Account Instructions: Develop Special Account Instructions to be used in the handling of claims with carrier/TPA partners.
  • Emergency Response: Provide Emergency Claims Response on an as-needed basis.
  • Relationship Building: Develop and maintain strong working relationships with carriers, claims adjusters and attorneys.
  • Claims Goals and Initiatives: Participate as requested in developing and executing claims goals and initiatives.
Requirements
  • Education: Bachelor's Degree, 10 plus years direct experience preferred.
  • Experience: 5 – 10 years of Property and Casualty claims experience.
  • Construction Defect Experience: Construction defect experience required.
  • Policy Language and Coverage: Strong working knowledge of policy language and coverage (multiple lines of coverage a plus).
  • Organizational Skills: Strong organizational skills.
  • Management Experience: Management experience.
  • Independence and Multitasking: Ability to work independently and handle multiple tasks simultaneously.
  • Communication Skills: Excellent verbal and written communication skills.
  • Computer Systems: Strong working knowledge of various computer systems including MS Office and its various applications as well as familiarity with various claims and RMIS systems.

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