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Ideal candidate will have 5+ years or more of commercial general liability claims experience, with significant experience in complex coverage and litigated claims. Specific knowledge and expertise in construction Defect related claims are critical to this role.
Candidates must be capable of working under limited supervision and working with a remote manager. In this role, the claims professional investigates, evaluates, negotiates, and resolves litigated and non-litigated bodily injury, property damage, personal and advertising injury, and claims of high exposure and complexity.
- Focus on specialized claims in the area of construction defect
- Demonstrated success in handling cases that involve Florida Construction Defect
- Analyze coverage, identify coverage issues, and prepare coverage letters for supervisor approval
- Investigate and evaluate liability
- Investigate and evaluate damages
- Manage litigation by assigning counsel from the approved panel where applicable, establish litigation plan and budget, coordinate with defense counsel, and continuously review the potential for resolution.
- Establish timely reserves within authority and re-evaluate throughout the life of the claim
- Maintain up-to-date, appropriate file documentation and written file notes
- Maintain an active diary and productive file inventory
- Timely completion of all required large loss reporting
- Negotiate settlements within authority limit granted, and attend mediations, Mandatory Settlement Conferences, and/or Alternative Dispute Resolutions
- Proactively control the work product and expense of outside vendors
- Develop and maintain positive customer relationships and provide superior customer service
- Timely identify all potential opportunities for co-insurance, transfer of risk and/or subrogation
- Ability to Work with designated assigned accounts
- Recognize and investigate fraud
- Comply with deductible/self-insured retention recovery protocol
- Meet all State licensing requirements
- Adhere to all statutory regulations, Unfair Claims Practices acts, and corporate Best Practices
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This position is responsible for assisting the Predictive Analytics Group by supporting our report infrastructure, developing new code, analyzing internal and external data, working with both internal and external customers, and participating in project execution.
Reporting responsibilities include the MEC web portal reports and any production reports developed by the Group. This responsibility requires executing the entire system development lifecycle including report requirements gathering, relevant data identification, prototyping, report creation, testing, code management, code promotion, and documentation. Responsibilities also include troubleshooting, documenting, and resolving identified issues with Predictive Analytics reports.
Further, this position will engage in data analysis and programming to support requests from both inside and outside the Predictive Analytics Group. Analysis and programming may include exploring new data visualization techniques, developing new data structures, exploring and documenting new data, data defect investigation, and other tasks as required. Responsibilities also include assisting with code promotion and assisting with project management for Predictive Analytics Group initiatives.
Primary Responsibilities:
- Data analysis, report development, report publication and data visualization.
- Servicing the data needs of both internal and external customers by providing reports and/or electronic files, as needed.
- Ensure that data and/or associated reports are accurate and securely delivered in a timely fashion.
- Utilize data to identify known and unknown business problems and formulate methods for utilizing data and technology to control for and positively impact the identified issues.
- Identification and reporting of data errors for correction.
- Act as a liaison between the Group and IT staff and Data Services staff (and other departments inside the MECC organization) as the business subject matter expert regarding data, data structures, applications and any systems utilized by the Predictive Analytics Group.
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Primary Responsibilities:
- Programming, data analysis, data visualization, report development, and report publication.
- Actively participating in Predictive Analytics Group initiatives by assisting with project management and project execution.
- Servicing the data needs of external customers by providing analysis, reports and/or electronic files, as needed.
- Ensuring that data and/or associated reports are accurate and securely delivered in a timely fashion.
- Answering inquiries about Predictive Analytics Group reports and provide feedback regarding findings.
- Analyzing internal and external data to explore various business problems and document findings.
- Identifying and documenting data errors for correction.
- Acting as a liaison between the Predictive Analytics Group and other departments inside the MEC organization.
Required Knowledge, Skills and Abilities:
- Take high-level project requirements and formulate timelines, milestones and tasks as part of project execution. Provide project status reports to management regarding project progress.
- Experience with reporting tools and analytics methods.
- Ability to communicate complex analytical subject matter clearly and concisely.
- Experience in building data structures to support analytical initiatives including predictive modeling.
- Proven ability to connect unrelated data sets from sources both inside and outside the organization and use the same to extract meaningful insights.
- History of working with very large databases for analytical purposes. This would include both transactional systems and data warehouse systems.
- Expert level understanding of Microsoft Office tools – especially Excel, Access and PowerPoint
- Understanding of SQL Databases and the SQL Programming Language – SQL Server / Oracle and including programming in T-SQL, PL/SQL or the like.
- Prior programming experience with R, Python, Java or another programming language.
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The Sr. Claims Service Representative will investigate and resolve high frequency, low severity auto claims in a prompt, equitable manner via telephone investigation. Determines coverage, liability, damages, reserves and concludes claim through negotiation or denial of claim. Evaluates, assigns, extracts or inputs data for new claims assignments. Performs support functions for higher level adjusting staff.
- Learns and becomes adept at examining policies, contracts and claim forms to determine coverage for routine matters. Investigates loss, evaluates exposures, and establishes accurate reserves on high frequency, low severity commercial claims within established authority level.
- Denies or negotiates and settles claim. Correctly enters claim data into claim and related systems for reporting purposes. Re-evaluates exposures and reserves during life of the claim.
- Reviews new losses received by Claims Department to determine type and level of loss. Makes initial contact with insureds and/or claimants to obtain additional information related to the claim if necessary. May assign claims to Claims staff based on analysis of exposure.
- Reviews data and creates Excel spreadsheets to assist management with expenses, portal and goal management.
- Answers calls received from the Customer Experience Center and assists caller or directs call to appropriate claims staff. May assists agents, policyholder and claimants with questions related to claims handled by others on the line-of-business team.
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POSITION SUMMARY:
The Underwriter (Medical Professional) will work in a team setting generating, underwriting and analyzing accounts for development of our Professional Lines business with a focus on developing our Medical Malpractice business.
RESPONSIBILITIES:
- Production and underwriting of new and renewal business.
- Strategic marketing of Admiral PL products.
- Compliance with underwriting rules and guidelines.
- Working creatively on complex accounts.
- Development of new and existing key broker/agent relationships.
- Maintain strong underwriting profit.
- National product focused projects as assigned.
- Representation at key industry specific events.
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The Claims Superintendent will be responsible for determining and discharging the company's contractual obligations under its various policy contracts involving coverage analysis, investigation, legal defense, and loss and expense reserving.
Responsibilities:
- Incorporate all claims into company records and review for applicability of coverage.
- Present facts of claims, with recommendations, to committee as necessary.
- Establish initial loss and expense reserves. Maintain valid loss and expense reserves based on current investigation and legal discovery.
- Supervise activities of Independent Adjusters, investigators and defense attorneys to ensure that all claims are appropriately handled.
- Attend and participate in mediations/trials as necessary.
- Adhere to company procedures and guidelines as well as case law and statutory
- requirements when coverage is in question, and/or when paying or denying claims.
- Comply with reporting requirements of treaty and facultative reinsurers.
- Maintain current understanding of various unfair claim practices statutes.
- Prepare large loss reports where applicable.
- Additional tasks as assigned.
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Within authority, the incumbent will manage assigned brokers to underwrite and process environmental and/or casualty lines for the Environmental Services Industry and/or Environmental lines for any industry segment.
Duties and Responsibilities:
- Work with assigned brokers to underwrite Pollution, Professional Liability, General Liability, Automobile, Worker Compensation and Excess lines focused on the Environmental industry.
- Visit existing and potential new brokers to discuss our products and procedures such as; underwriting appetite, premium collection policy, profitability issues, pricing and coverage issues.
- Possess the capability to handle all lines of business and all types of rating programs
- Capable of looking beyond individual account transactions; managing a book of business to achieve new business, renewal retention and ROE objectives in support of the Division.
- Handle all aspects of processing the Broker accounts.
- Perform financial analysis on the audited/reviewed financials or other financial information of insures using appropriate tools.
- Create and solicit renewal applications from the broker after reviewing the expiring policy and loss information.
- Underwrite endorsement requests from brokers and sign-off where required.
- May assist other underwriters in processing renewals, new business and endorsements.
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Underwriting Assistant employees will be responsible to assist and support underwriters with the administration of quoting, rating and issuance of new business, quotes, renewals and endorsements.
Duties and Responsibilities:
- Policy rating (all states, multi-line).
- Obtain necessary information from Underwriters to complete tasks as needed.
- Work within established guidelines for processing quotes and issuing policies in our policy issuance system.
- Misc admin duties such as scanning documents, pulling posting notices and Proof of Coverage (POC) entry.
- Responsible for the administration of policy issuance from quote through issuance.
- Ensure that endorsements and policies are processed accurately and remitted back to the broker timely.
- Clear accounts in Underwriting System.
- Ensure electronic files are organized and setup for reviewing.
- Solicit renewal applications from the broker.
- Respond to Bureau Crits as necessary.
- Pull from the system or from other sources Loss runs and MVR’s as necessary.
- Process Audits
- Other Underwriting Assistant duties as deemed by the Environmental Regional VP.
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The Claims Superintendent will be responsible for determining and discharging the company's contractual obligations under its various policy contracts involving coverage analysis, investigation, legal defense, and loss and expense reserving for the most complex commercial auto liability cases presented.
- Incorporate all claims into company records and review for applicability of coverage.
- Present facts of claims, with recommendations, to committee as necessary.
- Establish initial loss and expense reserves. Maintain valid loss and expense reserves based on current investigation and legal discovery.
- Supervise activities of Independent Adjusters, investigators and defense attorneys to ensure that all claims are appropriately handled.
- Attend and participate in mediations/trials as necessary.
- Adhere to company procedures and guidelines as well as case law and statutory
- requirements when coverage is in question, and/or when paying or denying claims.
- Comply with reporting requirements of treaty and facultative reinsurers.
- Maintain current understanding of various unfair claim practices statutes.
- Prepare large loss reports where applicable.
- Additional tasks as assigned.
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The Underwriter will work in a team setting generating, underwriting and analyzing accounts for development of new and renewal Casualty business
Responsibilities:
- Compliance with underwriting documentation rules and guidelines.
- Maintain an acceptable underwriting profit.
- Adherence to Admiral underwriting guidelines and referral compliance.
- Act as referral authority for Associate Underwriters.
- Development and maintenance of key broker/agent relationships.
- Management and development of new business and broker relationships.
- Coordinate strategic marketing calls to key brokers (up to 25%).
- Participates in all internal company training and continuing education.
- Remains current on product releases as it pertains to Casualty.
- Stay abreast and knowledgeable on market trends in terms of forms, coverage and appetite to maintain competitiveness.
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The Senior Underwriter will work in a team setting generating, underwriting and analyzing accounts for development of new and renewal commercial casualty business. This role would require relocation to Austin, TX
Responsibilities:
- Compliance with underwriting documentation rules and guidelines.
- Maintain an acceptable underwriting profit.
- Adherence to Admiral underwriting guidelines and referral compliance.
- Development and maintenance of key broker/agent relationships.
- Participates in all internal company training and continuing education.
- Remains current on product releases as it pertains to Commercial Casualty.
- Leads strategic marketing calls to key brokers (up to 25%).
- Management and development of business and broker relationships new to the organization.
- Stay abreast and knowledgeable on market trends in terms of forms, coverage and appetite to maintain competitiveness.
- Active mentorship and training of Associate Underwriters and Underwriters.
- Act as a referral authority for Associate Underwriters and Underwriters.
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The incumbent is responsible for providing support to the Berkley Global Product Recall (BGPR) Accounting function in creating accurate and timely financial records for the organization. This individual ensures that all support complies with established performance standards and priorities and that all related activities are delivered in a manner consistent with customer service focus, quality and timeliness.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Responsible for all accounts receivable activities including cash application and reconciliation, follow up with brokers to resolve open items, researching and resolving discrepancies
- Preparation and processing of accounts payable and claims related disbursements including preparing the vendor set-up documentation and payment requests, and coordinating with internal and external parties
- Assists in the monthly, quarterly and annual closing procedures including managing the monthly calendar, preparing and uploading journal entries and ensuring that all deadlines are met on a timely basis
- Prepare reinsurance settlement reports and distribute to the reinsurance brokers
- Reconciliation and analysis of balance sheet and income statement accounts inclusive of bank reconciliations
- Responsible for the validation of all insurance and reinsurance monthly activity, including reconciliations and coordination with other affiliated entities
- Prepare monthly expense analysis review
- Preparation of statutory schedules including Schedule F, Schedule P and state related reporting requests
- Work with the IT team to test and validate system changes related to the Accounting function
- Develop process documentation and implement process enhancements for efficiency
- Participate in the audit processes
- Participate in the annual corporate budgeting process
- Ad-hoc analysis and support for special projects as needed
- Establish and maintain effective working relationships both internally and externally
- Perform other duties and/or projects as assigned
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Surveys business operations and consults with policyholders and underwriting to determine the type and level of exposures and controls needed. Determines customers’ ability to control the exposures by gathering information through physical surveys, program audits, loss history analysis, comparison to industry standards and customer interviews. Provides training, mentoring, specialized technical advice and counsel to staff and customers. Assists Underwriters with risk selection and ongoing account management.
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Accepts, retains and prices moderate to high exposure commercial property and casualty insurance accounts in accordance with established underwriting guidelines and within delegated authority level. Manages assigned territory to achieve profitable growth objectives by properly classifying and pricing risks; building strong internal and external business relationships; analyzing competitive marketing data, identifying territory needs; and developing, implementing and monitoring action plans as appropriate. Serves as an underwriting resource by providing knowledge and insight to underwriting staff.
- Reviews renewal accounts by examining business operations, classification, contract forms and loss activity. Determines if account is an acceptable risk or if it will be non-renewed. Determines price in accordance with established underwriting guidelines and within delegated authority level. Reviews endorsement requests exceeding Underwriter and/or Underwriting Assistant’s authority level and takes appropriate procedural action.
- Assesses new commercial insurance risks and determines accurate classification of business, policy contract forms and pricing of risk. Works within broad limits and authority on commercial underwriting accounts of moderate to high exposure. Evaluates MVRs, financial reports, loss control reports, etc. Accepts and prices risk in accordance with established underwriting guidelines and within delegated authority level.
- Develops, expands and/or enhances agency relationships to promote profitability and growth of new business and the retention of existing business. Travels assigned territory and meets with agents to enhance business relationships. Educates agency staff on Company’s pricing and risk selection philosophy. Participates in the agency management process. Assesses the strengths and weaknesses of agencies and assists them in achieving the mutual goal of sustained profitable growth.
- Works in partnership with regional Business Development staff to identify new business opportunities from the agency force to assess, quote, inspect and accept. Collaborates to classify agencies within established marketing segments; analyze territory’s mix of business, production, and loss experience; establish agencies’ annual premium goals; and conduct quarterly and annual review of agencies’ profit and growth results.
- Effectively manages assigned territory to achieve established profitability, growth and retention goals. Analyzes agency results and competitive marketing data to identify trends and opportunities. Develops, implements and monitors action plans as appropriate. Monitors and reports on material changes within the territory’s legal environment. Reviews industry periodicals and journals, legislative actions and court decisions to develop a broader industry awareness and understanding of competition within the territory.
- Serves as underwriting resource to underwriting staff and agents regarding products, coverages and rating procedures. Provides professional development knowledge and guidance to Underwriter Trainees, Underwriters, Underwriting Assistants and other functional areas.
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The Premium Audit Representative provides support for the premium audit team by assigning and processing premium audits, and by responding to client, agent and underwriter questions and requests for information.
Principle Responsibilities
- Audit Processing/Billing
- Review completed audits to ensure accuracy of calculations
- Process/bill an average of 200 completed audits per month
- Per guidelines, refer completed audits for approval prior to processing
- Per guidelines, track all audits requiring payroll and/or class code endorsement
Audit Assignment & Tracking
- Assign all annual audits to appropriate auditor or vendor
- Upon request, initiate, assign and track all mid-term audits
- Track outstanding audits and follow up for completion
Client Support
- Respond to underwriter, insured and agency partner requests regarding premium audits
- Per Company guidelines, provide copies of audit billing and worksheets, ensuring confidentiality of shared audit data
- Answer general questions on audit billing and pay-as-you-go payments.
- Daily telephone and email communication with agency partners, insureds and internal team members.
- Track audit disputes received from agency partners and insureds; forward as appropriate to the auditor or audit manager for resolution; follow up for completion.
Department Support
- Advise Premium Audit Manager of trends identified in audits
- Participate in software testing, including current and future audit tracking platforms, policy systems, claims systems and related business intelligence software
- Cross-train to support and back-up related functions, including unit statistical/policy reporting functions.
Other Responsibilities
- Professional Development – Develop job skills through Company training and the pursuit of industry designations
- Professional Relationships – Develop and maintain strong working relationships with all stakeholders, including insureds, agency partners, NCCI/State Bureau personnel and Key Risk/WRB associates (underwriters, Regional Vice Presidents, auditors, information technology, claims and other WRB companies)
- Client Service Infusion – support CSI program by promoting and upholding 4 key behaviors
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Manages an assigned team within the Underwriting Department to support the company’s business plan goals of profitability, managed growth and enhanced competitive advantage and to ensure that professional and prompt underwriting service is provided to customers.
- Recruits, trains, challenges, motivates and mentors underwriting staff to assure excellence in customer service, quality, profitability and productivity. Leads and utilizes team meetings to share information and solicit input from staff. Serves as technical underwriting resource to team. Provides product development support and research, workflow efficiencies, and best practices for the Underwriting Department.
- Helps the underwriting team assess new and renewal middle-market food and commercial agribusiness insurance risks and determines accurate classification of business, policy contract forms and pricing of risk through referrals per Letters of Authority. Works within broad limits and authority on commercial underwriting accounts of significant size or high technical complexity.
- Monitors and analyzes underwriting production metrics including but not limited to loss experience, agency performance, identifying trends and analyzing competitive marketing data.
- Collaborates closely with other functional areas of Business Development, Risk Control, Claims and IT to accomplish goals and projects that will help build and maintain a profitable book of business.
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Join our team as a Commercial Lines Underwriter evaluating acceptability of individual risks and determining terms, conditions and pricing to achieve company profit and growth objectives. Work with agents/brokers to develop productive and profitable relationships and to ensure compliance with company underwriting guidelines.
Be a part of a high energy team with an entrepreneurial spirited company and have a meaningful impact in our organization!
Making an impact includes:
- Underwriting new business by reviewing the application for acceptability, requesting additional information, if necessary, and accepting or rejecting risks in conformance with company guidelines.
- Underwriting within authority set forth by Commercial Lines Vice President and within confines of company's reinsurance treaties and corresponds with agency to collect additional information.
- Underwriting renewal business by reviewing insured's file, producing agency's experience, nature and frequency of losses, loss control surveys, motor vehicle reports, and prior carrier loss experience.
- Assisting Commercial Lines Vice President in development of new products, pricing, or coverage's needed.
- Developing productive and profitable relationships with agents.
- Maintaining an established loss ratio.
- Meeting established production goals and delivers timely service.
- Serving as the staff liaison for the assigned line in disseminating line updates and developing staff.
- Traveling within the assigned territory to facilitate customer development and relationship through agency visitation and prospect calls.
- Pursuing a program of continuing education by participating in industry sponsored and company sponsored educational courses.
- Assisting in training of other personnel as directed.
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Surveys business operations and consults with policyholders and underwriting to determine the type and level of exposures and controls needed. Determines the customers; ability to control the exposures, by gathering information through physical surveys, program audits, loss history analysis, comparison to industry standards and customer interviews. Assists Underwriting with risk selection and ongoing account management.
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The Commercial Underwriting Manager is responsible for effectively managing an assigned commercial underwriting function and staff. Drives profitable underwriting results and managed growth through leadership, development and engagement. Leads the development and implementation of strategies for driving long term success in middle market property and casualty across all major lines of business. Position will be based in Des Moines Metro Area or remotely from Indiana, Illinois or Michigan.
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Develops a high performing team of Middle Market Underwriting professionals through leadership acumen and execution. Demonstrates genuine care and delivers coaching to staff and leaders in order to further develop their skills set and performance for current and future roles. Contributes to the organization’s success by developing business unit and individual performance goals and measuring results.
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Monitors the risk acceptability, pricing adequacy and classification accuracy of accounts to ensure profitability and managed growth of business. Consults with underwriters and Home Office Underwriting on risk acceptability, coverages, pricing, terms and conditions.
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Underwrites accounts exceeding authority level of underwriting staff and determines accurate classification of business, policy contract forms and pricing of risk.
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Engages agency partners through selective travel, involvement in distribution related events, and correspondence on key accounts. Contributes leadership and oversight of the selection and management of the distribution plant of independent agencies.
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The investment application team is responsible for overseeing all activities needed by the Corporate investment accounting team. Specific responsibilities of the team include development of and continuous enhancements to the investment data warehouse, maintain and upgrade investment application software and the hardware, develop bolt on applications when delivered functionality does not meet business needs, build reports as needed, vendor management and support for end users. The Team Lead role will be responsible for providing both directional leadership for the function, direct project and personnel leadership to this team as well as contributing to the ongoing development.
Key Accountabilities:
- Define and implement the Investment Accounting team’s vision to improve the speed and quality of investment solutions.
- Develop and maintain best practices to ensure maintainable, reusable, and valuable outcomes.
- Ensuring all production application releases are appropriately tested.
- Ensure the required audit artifacts are maintained to fulfill related compliance requirements.
- Develop and enhance the investment data warehouse,
- Ensure the tooling used for the supported functions is maintained and optimally utilized
- Work with developers, business analysts, customers, and technical services as part of multi-discipline teams to develop creative and innovative solutions.
- Develop, monitor, and optimize the annual budget for the team.
- Define and provide oversight (project management) for any projects lead by the team.
- Develop and mentor team members
- Generates regular reports demonstrating team activities to ensure CSFs, KPIs and organizational goals are maintained.
- Approximately 25% travel required.
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Carolina Casualty is looking for an enthusiastic individual to join our team. The successful candidate will be responsible for providing administrative claims support.
Duties and Responsibilities:
- Set up new claims, gather necessary information from policy systems, enter claim information into claim systems
- Support claim investigations, order police reports,
- Draft and distribute correspondence such as underwriting advisories and client contact letters
- Maintain data and reports and update Excel Worksheets
- Serve as first level of contact for external customer service inquiries
- Notify business partners by phone/email regarding messages, inquiries and claims issues
- Process expense/invoice payments