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Claims Director

2 months 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. This position will work closely with internal departments, adjusters, and external counsel to manage all claims, including worker's compensation, general liability, and property claims.

Key Responsibilities

  • Manage and oversee all property and liability claims for Moss' lines of coverage, including general liability, excess liability, contractor's equipment, pollution, professional, property, employment practices, directors and officers, crime, automobile, builders' risk, and wrap-up programs.
  • Lead and guide the Risk Management Claims team in handling certain types of liability claims and provide leadership and development support for team members.
  • Review incident reports and determine action plans, engaging others as needed.
  • Initiate preliminary investigations with project teams on all reported losses and personally inspect losses as needed.
  • Manage and coordinate insurance brokers' or insurance adjuster claims services and report status to the department head and others as needed.
  • Manage, coordinate, and distribute all claims information, documentation, and communication to all responsible parties regularly and with a consistent cadence.
  • Immediately attempt to clarify any potential or actual coverage disputes with direct contact with the insurer, broker, and coverage/defense counsel intervention.
  • Travel as needed for claims meetings/investigations, mediations, claim reviews with division personnel and claim meetings with clients.
  • Ensure losses are tendered to insurers and third parties whenever possible, including active management and pursuit of subrogation on paid losses.
  • Monthly/quarterly reporting of claims to management and other internal groups as directed.
  • Review and follow up on all claims files and ensure current and accurate claim information is entered into the internal database/RMIS.
  • Update management and division personnel on new and pertinent legislation or case law.
  • Recommend and draft internal claim procedure changes and provide regular claims management training to division and department teams.
  • Serve as a technical resource (both internal and external) with respect to any claim activities for clients.
  • Develop Special Account Instructions to be used in the handling of claims with carrier/TPA partners.
  • Provide Emergency Claims Response on an as-needed basis.
  • Develop and maintain strong working relationships with carriers, claims adjusters, and attorneys.
  • Participate as requested in developing and executing claims goals and initiatives.
  • Perform other duties as assigned.

Requirements

  • Bachelor's Degree, 10 plus years direct experience preferred.
  • 5 – 10 years of Property and Casualty claims experience.
  • Construction defect experience required.
  • Strong working knowledge of policy language and coverage (multiple lines of coverage a plus).
  • Strong organizational skills.
  • Management experience.
  • Ability to work independently and handle multiple tasks simultaneously.
  • Excellent verbal and written communication skills.
  • Strong working knowledge of various computer systems including MS Office and its various applications as well as familiarity with various claims and RMIS systems.