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BCS Financial Corporation · 1 day ago

Professional Liability Claims Lead

Oakbrook Terrace, IL

Full-time

Onsite

Senior Level, Lead/Staff

$107K/yr - $134K/yr

10+ years exp

BCS Financial Corporation is seeking an experienced claims leader to oversee Specialty Risk Solutions claim operations and strategy. This role is responsible for managing day-to-day claims functions, driving process improvement, and collaborating across departments to ensure optimal claim outcomes and compliance.

Financial ServicesHealth InsuranceInsurance

Hiring Manager

Brittany Thomas

Responsibilities

Adjudicate claims from end to end including assessing coverage, establishing reserves, communicating with Insureds, TPAs, coverage counsel and reinsurers, establishing reserves and negotiating settlements

Establish and maintain early warning system to track and monitor Open claims (high-dollar, high risk exposure situations)

Facilitate Claims Committee, consisting of cross-functional areas with shared responsibility for positive claim outcomes and accurate financial reporting

Establish and report on key metrics (KPI and SLA performance management)

Analyze and report significant claim trends across programs (insourced and outsourced programs)

Coordinate and lead interdepartmental workflows and resources related to continuous process improvement efforts

Collaborate with underwriters to support policy construction and drafting, reporting claim trends, data analysis, and risk assessments

Participate and/or facilitate TPA audits, identify risks and work closely with Enterprise Risk Management and other internal teams to mitigate risks

Monitor reserves

Ensure great customer service experience for our Insureds

Perform similar work-related duties as assigned

Qualification

Claims handlingAgent E&O claimsCommercial Cyber claimsClaims management systemsData analyticsProcess improvementAnalytical skillsOrganizational skillsCommunication skillsCollaborative mindset

Required

Bachelor's degree required

10+ years of claims handling experience, with a focus on Agent E&O and Commercial Cyber claims

Strong analytical, organizational, and process improvement skills

Excellent verbal and written communication; able to present to senior management and in group settings

Experience with claims management systems (e.g., Guidewire, ClaimCenter), data analytics, and reporting tools

Knowledge of insurance industry claims process, legal/regulatory environment, and litigation/arbitration/trial processes

Collaborative mindset and ability to influence others

Preferred

advanced degree or industry certifications (AIC, CPCU, RPLU)

Company

BCS Financial Corporation

BCS Financial Corporation has more than 75 years of experience providing a wide range of insurance and financial solutions for Blue Cross and Blue Shield organizations and commercial partners nationwide.

Founded in 1953

Oak Brook, Illinois, USA

51-200 employees