About the role
About Get Covered LLC
We provide cost-effective coverage with just a few clicks — satisfying residents, property managers, agencies, and distribution partners with a process that is as simple and touchless as possible.
About the role
- As the Director of Claims, you will play a pivotal role in overseeing and directing the claims management process for our Master Policy TLL and Contents Claims. You will be responsible for leading a team of claims adjusters, ensuring compliance with regulations, and handling complex claims and disputes. This position requires a blend of leadership skills, extensive claims adjustment experience, and a deep understanding of claims regulations and processes.
What you'll do
- Leadership and Team Management:
- - Lead, mentor, and manage a team of claims adjusters handling Master Policy TLL and Contents Claims. - Foster a collaborative and high-performance work environment. - Provide ongoing training and development opportunities to team members.
- Claims Management:
- - Oversee the adjustment, processing, and resolution of complex claims. - Ensure all claims are handled in accordance with regulatory requirements and company policies. - Review and approve claims decisions and settlements.
- Regulatory Compliance:
- - Maintain a strong understanding of claims regulations, including notices, payments, and processing. - Ensure compliance with state and federal regulations and guidelines. - Stay updated on changes in regulations and implement necessary adjustments to procedures.
- Dispute Resolution:
- - Handle complex claim disputes and escalate issues as necessary. - Manage DOI complaints, ensuring timely and effective resolution. - Represent the company in depositions and other legal proceedings as required.
- Department Development:
- - Develop and implement strategies to improve departmental efficiency and effectiveness. - Build and maintain strong relationships with external partners and stakeholders. - Analyze and report on claims trends, performance metrics, and opportunities for improvement.
Qualifications
- Bachelor’s degree in Business Administration, Insurance, Risk Management, or a related field; advanced degree or professional certifications (e.g., CPCU, AIC) preferred. - Minimum of 7-10 years of experience in claims adjustment, with at least 3-5 years in a managerial role. Experience may be substituted for education requirements. - Demonstrated experience managing a team of claims adjusters. - Strong understanding of claims regulations, notices, payments, and processing. - Proven track record in handling claim disputes, DOI complaints, and legal depositions. - Excellent leadership, communication, and interpersonal skills.
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