Berkley

  • Operations Coordinator

    Location Name AZ, Scottsdale - 7233 E Butherus Drive
    ID
    2018-1840
    Date Posted
    3 weeks ago(3 weeks ago)
    Company
    Nautilus Insurance Group
    Primary Location
    US-AZ-Scottsdale
    Category
    Claims
  • Company Details

    Nautilus Insurance Group

    We have specialized in providing solutions for Excess and Surplus Lines Commercial Property and Casualty insurance coverage for more than 30 years.

    We have more flexible policy terms and premium rates on a non-admitted basis. Our focus is small to medium Property and Casualty risks on both an admitted and a non-admitted basis.

    Our offerings are distributed through partnerships with appointed wholesale surplus lines producers. Our relationships are defined by mutual success, speed to market, customer-centric focus and an expanded appetite. 

    Coverage placed by Nautilus Insurance Group is provided by Nautilus Insurance Company and Great Divide Insurance Company, both W. R. Berkley Corporation members with A.M. Best (Superior) A+ XV ratings.

     



    Nautilus Insurance Company

    Nautilus Insurance Company was formed in 1985 and operates as an eligible Surplus Lines insurer in all states except Arizona, where the company is domiciled and serves policyholders as a licensed, admitted insurance carrier. NAIC #17370.

    Great Divide Insurance Company

    Great Divide Insurance Company is domiciled in North Dakota and licensed as an admitted insurer in 49 states and the District of Columbia. In Arizona, Great Divide operates as an eligible Surplus Lines insurer. NAIC #25224.

    Excess and Surplus Market

    The Excess and Surplus Lines industry provides a market for insurance covering hard-to-place, unusual and high risks not typically written by the standard markets.

    Responsibilities

    SUMMARY

    The Claims Operations Coordinator has overall responsibility for the Claims Department’s systems and workflows.  The primary focus of this position will be to establish consistent procedures and standards across individual units and to continuously drive the Claims Department toward greater efficiencies.  This position does not include (at this time) individual employee development, salary administration or claims file handling.

     

    ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. These are functions that a person must be able to perform in the job, either unaided or with the assistance of a “reasonable accommodation”. The essential function should be related to the overall job purpose, done with great frequency, cause severe consequences if omitted and cause difficulty if reassigned . The job would be fundamentally altered if the essential duty were removed.

     

    • Works primarily in conjunction with the Claims Processing Manager but also closely with and through the other Claims management team members, the Claims Technical Coordinator and business analysts in the Business Operations Audit and Analysis Department.  Frequent communication with all of these individuals is essential.

     

    • Analyzes systems (including but not limited to CWS, VA3i, Hyperion, Policy Star, Claims Central, Data Oasis, NA.com, ISONet, etc.) utilization across the Claims Department and makes  and/or assimilates recommendations for modifications and improvements toward achieving maximum efficiency and consistency.

     

    • Analyzes workflow procedures (including but not limited to administrative functions, subrogation/recovery, SIU, vendor management, etc.) across the Claims Department and makes and/or assimilates recommendations for modifications toward achieving maximum efficiency and consistency.

     

    • Facilitates the overall administration of CWS, including internal and external communications and coordination with Claims Processing Manager, Company and BTS personnel to trouble-shoot and resolve problems, drives improvements and enhancement requests and properly completes user acceptance testing as needed (e.g., new releases, enhancements, migrations).

     

    • Facilitates the overall administration of Claims utilization of defined reporting tools (e.g., Hyperion, Data Oasis, Lotus Notes exports, etc) for new report development, including user acceptance testing, ad hoc reports.

     

    • Provides assistance to Claims Technical Coordinator and Management Staff in identifying and addressing systems and procedures training needs for both new and existing employees.  Administers training as appropriate, designs training modules and instructional methods, develops testing and evaluation procedures and monitors subsequent progress.

     

    • Oversees the management and implementation of  systems and workflow-related projects within the Claims Department as appropriate.

     

    • Communicates in conjuction with Claims Processing Manager the status and changes regarding systems, procedures and related projects to Claims staff and other internal and external customers as appropriate.

     

    • Acts as the Claims Department liaison for inter-departmental meetings, projects and initiatives.

     

    • Maintains the Claims Best Practices and modifies as appropriate when other operational changes are made.

     

    • Oversees the reliability and correctness of Claims Department data as used to measure efficiencies, including Performance Metrics, Quality Reviews, Monthly Goal attainment, etc.

     

    • Manages data for the Claims Department, including data related to Sarbanes-Oxley, attorney billing and audits, adjuster licensing, SIU state reporting, regulatory matters, etc.

     

    • Develops and maintains instructional and reference materials regarding systems utilization and workflow procedures.

    Qualifications

    QUALIFICATIONS

    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

     

    EDUCATION and/or EXPERIENCE

    Bachelor’s degree (B.A.) from four-year college or university; or eight to ten years operations and/or process management experience and/or training, preferably including work with an insurance carrier; or equivalent combination of education and experience

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