Berkley Healthcare (a Berkley Company) · 4 days ago
VP, Claims
Chicago, IL
Full-time
Onsite
Director/Executive
$131K/yr - $243K/yr
15+ years expBerkley Healthcare is a dynamic organization that encourages creativity and innovation in the insurance sector. They are seeking a highly accomplished claims professional to manage complex healthcare professional liability claims and deliver superior results through best practices and strong business relationships.
Financial ServicesHealth CareInsuranceRisk Management
No H1B
Responsibilities
Investigate assigned claims through application of defined best practices. Actively develop information on reported claims, including specific facts of case, nature and extent of injury, standard of care and causation defenses, venue specific factors and other characteristics that impact claim severity
Evaluate information obtained through claim investigations and estimate damage ranges for purposes of prompt identification of claims with potential excess exposure; apply ongoing triage rules to determine proper severity and assignment levels
Directly manage and actively intervene on the most technically complex and highest severity claims within company inventory
Timely recognize and evaluate claim exposures to establish accurate case reserves
Execute effective claim adjudication strategies/tactics to help achieve optimal outcomes on exposures within and in excess of account retentions
Cultivate strong business relationships with key personnel within current accounts, brokerage community, TPAs, and law firms within assigned territory
Take lead claims role for on-site review process and support all account management needs of the company
Aid in the development and modification of claim management practices, policies and procedures in furtherance of continuous process improvement culture
Assist Underwriting and Actuarial in risk selection and pricing accuracy through claim due diligence for new and renewal business
Utilize customer service skills with client contacts to advance business opportunities:
Identify service needs for claim, risk management and data mining strategy
Understand renewal strategy
Extend discussion with client beyond claim transaction and toward potential needs not immediately recognized by the decision maker
Communicate effectively with team members
Develop, or assist with development, of claims marketing content and utilization of content for marketing purposes
Qualification
Required
Bachelor's degree from four-year college or university; J.D. strongly preferred
15 years of related experience handling healthcare professional liability claims with extensive experience in Chicago/Cook County and surrounding venues
Advanced knowledge of medical and legal terminology and concepts
In-depth understanding of industry best practices for adjudicating casualty claims
Proficiency with insurance contract interpretation and coverage issues
Proficiency with Microsoft Office applications
Willingness to travel up to 30% of the time
Occasional evening and weekend work is required
Preferred
Experience servicing large healthcare accounts is strongly preferred
Experience managing casualty claims in an excess environment is desirable
Benefits
Health
Dental
Vision
Life
Disability
Wellness
Paid Time Off
401(k)
Profit-Sharing plans
Company
Berkley Healthcare (a Berkley Company)
Berkley Healthcare helps protect healthcare organizations and their executives against the professional, financial and reputational risks they face in today’s complex and changing environment.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Brian Rohrer
Chief Technology Officer / Vice President
Kelly Daly
SVP, Chief Legal Officer at Berkley Healthcare (a Berkley Company)
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