索赔总监 - 专业责任
Claims Director - Professional Liability
职位描述如下。如需申请，请点击页面顶部或底部的申请按钮。您需要创建账户或登录现有账户。
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常规或临时：常规
语言能力：英语（必需）
工作班次：第一班次（美国）
请阅读以下职位描述：
该职位负责对未决索赔和/或事故报告保持积极监督，推动与保险公司理赔部门和理赔员的定期沟通，并确保重大理赔进展及时传达给Negley管理层和承保人员。该职位需要深入研究未决案件，在适当的时候质疑理赔处理，识别需要升级的问题，并持续关注理赔状态、诉讼策略、准备金、和解活动、保险范围问题以及新兴损失趋势。同时，该职位是Negley与保险公司合作伙伴、经纪人、被保险人、辩护律师和其他利益相关方的主要理赔联络人。该职位确保理赔信息被持续转化为更优质的承保决策、改进的账户管理、更好的服务以及增强的长期投资组合表现。
主要职责：
以下为该职位的核心职能摘要。可能还会执行其他未在此列出的重大或次要职责。具体活动可能会随时间而变化。
• 制定并实施理赔运营的战略计划和政策，以确保合规性和效率。
• 为理赔经理和团队提供领导和指导，培养高绩效和持续改进的文化。
• 监督复杂理赔案件，确保解决符合公司标准和监管要求。
• 监控理赔指标，识别趋势，评估绩效，并推荐流程改进。
• 与承保和风险管理团队合作，使理赔处理与组织目标保持一致。
• 管理部门预算、资源和人员配置，以优化运营效率。
• 确保符合规范理赔行为的州和联邦法规。
• 建立并维护与关键利益相关方的关系，包括再保险人等。
查看英文原文
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Regular or Temporary:
RegularLanguage Fluency: English (Required)
Work Shift:
1st Shift (United States of America)Please review the following job description:
The position is responsible for maintaining active oversight of open claims and/or incident reports, driving regular communication with carrier claims departments and adjusters, and ensuring significant claim developments are promptly communicated to Negley management and underwriting personnel. The position is expected to dig into open files, challenge claim handling when appropriate, identify issues requiring escalation, and maintain continuous visibility into claim status, litigation strategy, reserves, settlement activity, coverage concerns, and emerging loss trends. Also serves as Negley's primary claims liaison with carrier partners, brokers, insureds, defense counsel, and other stakeholders. The role ensures claims intelligence is consistently translated into stronger underwriting decisions, improved account management, better service, and enhanced long-term portfolio performance.KEY RESPONSIBILITIES:
Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
• Develop and implement strategic plans and policies for claims operations to ensure compliance and efficiency.
• Provide leadership and guidance to claims managers and teams, fostering a culture of high performance and continuous improvement.
• Oversee complex claims cases and ensure resolution aligns with company standards and regulatory requirements.
• Monitor claims metrics to identify trends, assess performance, and recommend process improvements.
• Collaborate with underwriting and risk management teams to align claims handling with organizational objectives.
• Manage department budgets, resources, and staffing to optimize operational effectiveness.
• Ensure compliance with state and federal regulations governing claims practices.
• Build and maintain relationships with key stakeholders, including reinsurers, legal teams, and external vendors.
EDUCATION AND EXPERIENCE
The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
• Bachelor's degree in Business, Insurance, or related field.
• Demonstrated experience with professional liability, general liability, or other specialty liability claims.
- 5+ years of leadership experience in a claims management capacity.
- Proven track record of implementing strategic initiatives and process improvements in claims operations.
PREFERRED QUALIFICATIONS
- Experience with behavioral healthcare, healthcare liability, human services, or other specialty casualty risks.
- Knowledge of professional liability, general liability, directors and officers liability, sexual misconduct liability, and related specialty coverages.
FUNCTIONAL SKILLS
- Strong understanding of insurance coverage, litigation management, reserving, settlement strategy, defense counsel oversight, and claims operations.
- Experience working with insurance carrier claims departments, adjusters, brokers, insureds, and senior management.
• Proven ability to analyze claim information, identify material issues, drive follow-up, and communicate implications to underwriting and executive leadership.
- Strong leadership, judgment, negotiation, analytical, organizational, and written and verbal communication skills.
- Strategic thinking with a focus on operational efficiency and risk management.
The annual base salary for this position is $140,000 - $200,000.
Additional incentive pay is available for this position.
General Description of Available Benefits for Eligible Employees of CRC Group: At CRC Group, we're committed to supporting every aspect of teammates' well-being – physical, emotional, financial, social, and professional. Our best-in-class benefits program is designed to care for the whole you, offering a wide range of coverage and support. Eligible full-time teammates enjoy access to medical, dental, vision, life, disability, and AD&D insurance; tax-advantaged savings accounts; and a 401(k) plan with company match. CRC Group also offers generous paid time off programs, including company holidays, vacation and sick days, new parent leave, and more. Eligible positions may also qualify for restricted stock units and/or a deferred compensation plan.
CRC Group supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. CRC Group is a Drug Free Workplace.
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Originally posted on Himalayas