Director, Senior Care Claims

As a member company of W. R. Berkley Corporation Berkley Healthcare has assembled a unique team of multi-disciplinary insurance professionals to take a fresh look at healthcare organization insurance. We pride ourselves on our deep expertise in underwriting claims and distribution in the healthcare industry insurance market. We understand that the healthcare industry is in a state of rapid evolution; shaped by emerging concepts in technology law public welfare and social economics all with attendant enterprise risk unique to healthcare organizations. We apply cutting-edge insurance concepts to traditional healthcare insurance products. Concepts that embrace the current complexity of the healthcare industry. Concepts that give ultimate flexibility in managing enterprise risk.

Company URL:

The company is an equal opportunity employer.

The Director will be part of a small team of claim professionals responsible for managing a full inventory of Senior Care Professional and General Liability claims with varying levels of exposure. The Director will be responsible for overseeing all aspects of claim handling including determining coverage investigating liability and damages evaluating and resolving claims and managing complex litigation.

Key functions include but are not limited to the following:

Manage a full inventory of Senior Care Professional and General Liability claims with varying levels of exposure.

Comply with Best Practices guidelines and other company claim handling requirements regarding communication investigation litigation management coverage evaluation exposure assessment and settlement/resolution.

Evaluate and verify coverage by reviewing and interpreting the claims asserted alongside applicable policy language.

Investigate liability and damages retain qualified counsel as necessary and set appropriate and timely reserves that are consistent with estimated exposures.

Develop and execute a claim resolution strategy taking into account the unique and individual characteristics of the claim communicating and collaborating with stakeholders as appropriate.

Present claims clearly and concisely to senior leadership as requested.

Travel as needed to mediations settlement conferences trials and other proceedings.

Contribute to a collaborative environment by raising new ideas demonstrating teamwork high motivation positive behavior and effort to achieve goals and objectives.

Build and maintain productive relationships with internal and external customers including clients underwriters and agents.

Engage in projects or other responsibilities/tasks outside of direct claim handling.

Actively self-educate as to line of business industry and insurance trends including exposures claims legal legislative healthcare current events self-improvement and innovation.

• Bachelors degree required. JD preferred.
• Minimum of 5-7 years claim handling or other relevant work experience
• Experience managing senior care claims preferred
• Adjusters licenses will be required for the successful candidate
• Self-motivated independent and decisive
• Excellent time management skills with ability to triage and prioritize
• Exceptional collaboration with internal and external teams and partners
• Willingness to learn/develop coverage concepts/issues in the required lines of business
• Strong oral and written communication skills with ability to articulate very complex facts analysis and recommendations in a concise manner to senior leadership insureds and external business partners
• Desire for new and varied job responsibilities beyond claims handling
• Demonstrated ability to meet deadlines determine priorities and adapt to changing priorities as needed

The Company is an equal employment opportunity employer.