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Claims Director

2 months ago

Fort Lauderdale, United States Moss Full time

POSITION SCOPE AND ORGANIZATIONAL IMPACT

Moss' Claims Director oversees and directs the operations of insurance claims to meet operation, financial, and service requirements. This position will work directly with internal departments, adjusters, and internal and external counsel to assist with all claims, including worker’s compensation, general liability, and property claims. This position will assist with various Risk Management needs, such as claims program development and training.

ESSENTIAL JOB DUTIES AND RESPONSIBILITIES

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

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

Review incident reports and determines action plan, engaging others as needed

Initiate preliminary investigations with project teams on all reported losses and personally inspect losses as needed

Manage and coordinate any 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 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

EDUCATION AND WORK EXPERIENCE

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