Director of Claims in New York, New York at Get Covered LLC
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Job Description
About Get Covered LLC
About the role
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.
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.