Director, Claims jobs in United States
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Coverys ยท 17 hours ago

Director, Claims

Coverys is a company that provides strategic and operational Claim leadership. The Director, Claims is responsible for overseeing claims management staff, ensuring compliance with departmental guidelines, and collaborating with the Vice President, Claims on departmental policies and operations.

AnalyticsInsuranceInsurTechMedicalRisk Management

Responsibilities

Direct and oversee claim management staff to ensure business functions within their respective units (ie: claim management, litigation management, administrative, reporting) operate within departmental guidelines and regulatory requirements
Carry out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems
Coordinate and collaborate with V.P. and claim management staff in creating and updating of departmental policies and procedures
Participate in the development and execution of departmental objectives and strategies
Communicate department objectives, policies, procedures and plans to staff to ensure efficient and effective operation
Participate in claim file audits to ensure claims handling and reserving standards are met by management staff
Assist in preparation and monitoring of departmental budget
Remain current in local, state, and federal changes that impact claims pertaining to Coverys lines of coverage and territories
Interact regularly with peers in key business units such as Risk Management, Business Development, and Underwriting to ensure overall business/strategy goals are met
Serve as member of the Reserve and Settlement committee which manages appropriate levels of reserving and settlement authority for cases
Guide, support, and mentor staff in their decisions impacting individual claim decisions
Overnight travel is required of this position - up to 50% travel may be expected

Qualification

Claims managementLitigation managementInsurance knowledgeAnalytical skillsCommunication skillsTeam leadershipRelationship building

Required

Bachelor's degree from a four year college or university
5-10 years management experience in medical professional liability claims and litigation management
General knowledge and experience in insurance, law and medicine is strongly desired
Strong communication skills and ability to successfully lead teams is required
Ability to build relationships with both internal and external business partners
Advanced analytical and decision-making skills
Must be able to travel as applicable

Company

Coverys

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Coverys provides medical professional liability insurance, data analytics, and risk management services.

Funding

Current Stage
Late Stage
Total Funding
unknown
2023-11-16Acquired

Leadership Team

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Joseph G Murphy
President & CEO
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Eric Crockett
Sr. Vice President, Information Technology
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Company data provided by crunchbase