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Personal Jewelry Underwriter for the Berkley Asset Protection digital on-line program.This underwriter will promote profitable written premium growth and favorable loss ratios in accordance with BAPU Best Practices, Underwriting Guidelines, Line of Business risk appetite, and personal Underwriting Authority as it relates to the digital on-line program.
Overall Responsibilities:
- Position involves handling both inbound and outbound customer interactions. This comes in nature of direct calls from insureds and potential insureds as well as email correspondence.
- Evaluation, rating, and pricing of appraisals for New Business risks within company guidelines.
- Executing on policy changes within authority (endorsements).
- Development of sales techniques and processes that drive revenue.
- Processes payments for policyholders including credit card (in accordance with PCI standards) and ACH payment, including payments that fail.
- Preparation of Declination correspondence to insured (when required).
- Completion/updating of data entry fields in digital on-line program.
- Completion of Rating/Review Documents as required.
- Adherence to BAPU Best Practices, Underwriting Guidelines, Line of Business risk appetite, and personal Underwriting Authority.
- Communication with and solicitation of additional information from insureds and jewelers when needed.
- Development, maintenance, and management of assigned agency/jeweler relationships through regular customer contact.
- Communication of corporate goals, programs, and underwriting policies and procedures.
- Evaluation of the performance of assigned agency/jeweler relationships to ensure company and agency/jeweler goals are met.
- Awareness and maintenance of personal production, hit ratios, renewal retention ratios, spread of risk, and other production and quality measures.
- Coordination of Loss Control services as needed.
- Act as a liaison with finance/accounting as needed.
- Management of special projects or program business as needed.
- Availability to aid in additional workflow processes when needed and subject to supervisor direction.
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We currently have a Senior Underwriter opportunity available. The main responsibilities for this position are:
- Determines risk acceptability, pricing, coverage, terms and conditions with defined limits/authority and underwriting guidelines.
- Develops positive agency relationships within assigned territory while maintaining a good rapport through responsive levels of service.
- Establish types and limits of coverage to be provided.
- Create analyze and interpret data.
- Ensures production and loss ratio goals are achieved within assigned territory by reviewing, analyzing and evaluating information and taking appropriate action as necessary.
- Develops, grows and maintains a profitable, diversified book of business through effective underwriting decision making to align with Company goals.
- Reviews new and renewal accounts to verify issuance is in compliance with Company underwriting guidelines, addressing discrepancies as needed.
- Ability to identify and problem solve for agents including finding solutions and ensuring success to the end.
- Proficient at communicating (written/verbal) information to both internal and external customers ensuring our standards of excellence
are maintained.
- Be responsible for monitoring production, profitability, and maintaining agency relationships.
- Collaborate with underwriting team and other departments, contributing knowledge and soliciting feedback relative to underwriting philosophy and company goals
- Maintain familiarity with state laws and filing requirements to properly transact business.
- Identify and recommend changes to policy verbiage when standard text is not appropriate.
- Monitor amount of insurance in force on a single risk or group of closely related risks; evaluate possibility of catastrophe losses and take action, as appropriate.
- Ability to work well with others to achieve shared goals while demonstrating diplomacy and flexibility.
- Fosters the growth and development of less experienced staff while fostering an enthusiastic environment with internal and external customers.
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At Verus, we believe in focusing on your enthusiasm to ensure we are a dynamic and growing organization. We value the insight our adjusters bring to the organization and will give you the tools to make an impact on the future of the company. Our Claims Adjusters have a passion to resolve issues, discover win/win solutions, and keep up with the fast paced environment of Verus.
RESPONSIBILITIES
Job duties include:
- Ability to manage moderate and complex Commercial Casualty and Professional Liability claims with limited supervision. Specialty in Professional Liability is a must.
- Evaluate insurance coverage based on claim report, the insurance policy, applicable statutes and case law to determine if a claim can be accepted as within coverage.
- Able to attend mediations around the country
- Experience in completing reservation of rights and coverage disclaimer letters
- Ability to assign and supervise independent adjusters
- Willingness to handle their own inventory of claims
- Working with internal and external clients, as well as with attorneys and claimants, to resolve claims
- Willingness to process work into claims system and operate without a claims support staff
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Main Responsibilities:
- Open, sort, and distribute incoming mail
- Identify and distribute specialty mail on a priority basis daily
- Process incoming faxes received on Claims fax and provide additional assistance on labeling documents for the Medical Unit
- Serve as the main point of contact for outsourced administrative claim functions not limited to mail house functions
- Perform data entry to work diaries and create activity notes
- Complete assigned work via diaries and work queues in a timely manner
- Prepare and scan claim documents
- Provide interim support for E-Bill processing (indexing) and other claims related mail (index and image) including legal bill processing
- Provide back up support for reviewing, indexing, and assigning unidentified mail as received from Mail house vendor
- Perform other duties as assigned
Administrative Services Clerk may specialize in one area of the claims processing function, such as mail & claim processing, payment & accounting transactions, or financial compliance.
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The Director - Security Strategy, Architecture, and Consulting is a key member of the Global Information Security Management team. This individual is responsible for coordinating and consulting on the day to day management and execution of the Information Security program. Through effective governance routines, project and program execution tracking, this leader will support all Information Security verticals in their efforts to improve and mature the security posture of the firm.
As a Security Architect, this individual will also participate in the organization's evaluation of emerging technologies in Cyber Security space. More specifically, this role will require that the successful candidate evaluate the potential cyber security opportunity for an emerging technology, understand the applicability to our corporate and operating units, build compelling business cases, and communicate these concepts across leadership. The Security Strategist will be responsible for working with the team and our various partners to establish and communicate points of view, while working with the business leadership to evaluate investments, staffing, target markets, and ROI expectations for areas of emerging technology that are recommended for pursuit. The successful candidate should be accomplished in building business cases, including financial projections that clearly articulate the mission and anticipated goals of any particular investment strategy.
This leader will assist the CISO and the Head of Security Architecture in the continuous development and documentation of the Information Security program while keeping up to date on industry best practices, upcoming regulatory requirements, and emerging technologies to help ensure that WRBC can take a proactive approach to information security.
Core Responsibilities:
The Information Security Architecture (Consultants) will interact with all levels of personnel, including executives, business operational heads and technical staff, to bring them together to ensure the coordination to define, design and implement controls that reflect business and operational needs balanced with legal and regulatory requirements and risks.
This position is responsible for the overall Information Security Program implementation within the organization including all information security verticals as well as regulatory compliance. Responsibilities include coordinating, tracking and reporting on the implementation of program components and alignment to regulatory requirements. Additional duties include development of meeting materials for executive governance committee meetings, technology team meetings, security architecture and strategy in all corporate domains.
This person will lead the development of the requisite governance committees to run information security including technology governance as well as architecture governance.
The leader will work jointly across the enterprise with the Legal, Technology, Human Resources, Audit and others in the development and management of the Information Security Program through:
- Translating strategy into execution plans
- Tracking and status reporting at program level
- Interacting with other IT teams to coordinate project and program tasks
- Governance design, governance routines with executives, IT teams, regulatory project teams
- Assistance in developing operational models for the Security verticals
- Ensure the ongoing integration of information security with business strategies and requirements.
- Partner with other Information Security leadership team members to collectively build and drive the Information Security Program, Strategy, and Roadmap
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The VP, Head of IT Security Operations is responsible for developing and managing the Global Information Security Operations function enterprise wide. The SecOps team is responsible for providing security operations and engineering, vulnerability management and testing, security monitoring, incident response, security tools, and all other assigned InfoSec functions in a 24x7, large-scale global environment.
This leader will own and drive the global rollout of a more robust and formal approach to managing information security operations programs across all technology platforms and business environments. The structure of the program will be based on the goals, principles and strategy of the overall Global Information Security Enterprise Security Strategy at WRBC. At its core, the SecOps team will ensure appropriate information security operations while driving performance efficiencies based on the appropriate risk to technology and business environments. The SecOps head leader will optimize team processes to ensure efficient and effective delivery of services in a 24x7 ‘follow the sun’ operating model.
The Head of Security Operations program will interact with all levels of personnel, including executives, business operational heads and technical staff, to bring them together to implement controls that reflect business and operational needs balanced with legal and regulatory requirements and risks. This position is responsible for the Information Security Operations program that defines how information security technical controls are managed and measured. The responsibilities include developing programs such as vulnerability assessment and management, MSSP vendor management, security monitoring, security metrics and reporting and security incident response.
This team implements tools and controls to measure and articulate current risk levels and ensures that they are understood by stakeholders as appropriate. They design response programs to react to risks from cyber threat sources. The leader will work jointly across the enterprise with the Legal, Technology, human Resources, Audit and others in the development and management of the Information Security Program.
The leader will have a major responsibility in ensuring that a defined information security program is in place & monitoring of information technology security practices occurs to ensure information and technology infrastructure is:
- Secure from unauthorized access
- Protected from inappropriate alteration
- Confidential user and company data remains private
- The successful candidate will manage the effectiveness of the company’s information technology security program, including progress on remedial actions, and
Serve as an internal information security consultant and subject matter expert
- Manage information security risks by routine assessments and developing a risk management plan
- Produce scheduled reports of the status of IT’s compliance with WRBCs Information Security Program
- Participate in risk assessments and the development of risk management plans
- Ensure the ongoing integration of information security with business strategies and requirements
- Lead an incident response team to contain and investigate security events, and prevent future information security breaches with detailed root cause analysis.
- Develop remediation plans for process/policy related information security vulnerabilities
- Develop and maintain technology and operations roadmaps for security infrastructure components, including but not limited to intrusion prevention/detection, security firewalls, user monitoring, and security information & event management (SIEM)
- Partner with other Information Security leadership team members to collectively build and drive the Information Security Program, Strategy, and Roadmap
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Berkley One, a wholly owned subsidiary of W. R. Berkley Corporation, is hiring for the position of Senior Underwriter. The position location is Morristown, NJ with opportunity to work in our mid-town Manhattan office several days a week. The position reports to the AVP Underwriting Manager.
Berkley One exists to insure and protect the lifestyles of a modern generation of affluence. We seek clients that are sophisticated individuals and families who require world-class risk and claims management customized to their needs, a team of select expert independent agents and innovative digital tools to keep it simple and easy. We’ll blend our partners, products and capabilities with all that is Berkley, generating a modern solution for the customers we serve.
About the job
Our culture is one of innovation, creativity and teamwork. Our team is highly motivated, passionate about our business, and deeply experienced in developing and delivering product and service solutions in the personal insurance marketplace.
This role will be responsible for transactional underwriting and functions associated with underwriting risks on behalf of Berkley One.
What you will do
· Review and approve new business, endorsements and renewals that fall within underwriting authority and company guidelines. Refer risks that fall outside authority or guidelines.
· Review risk management reports to identify and recommend risk management solutions and requirements
· Provide pro-active quote coaching for agents on new business submissions; align and convert referred accounts to new business
· Recommend service and risk management solutions at new line and other points of the underwriting transaction with agent/broker
· Manage book of business as it grows ensuring high quality and profitability of business
· Anticipate insured and agent needs and find service solutions
· Collaborate with Distribution, Marketing and Customer Service colleagues to ensure alignment and a consistent customer experience
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Be a part of our Rating Team! Our Commercial Insurance Raters provide policy preparation/issuance and data processing functions in support of Commercial Lines Underwriting.
Your daily responsibilities will include:
- Rating and issuing various transactions including but not limited to new business, renewals, endorsements, and cancellations involving all Commercial Lines of Business for the licensed States within the Company, using available data processing equipment.
- Meeting established production goals while maintaining high levels of quality and managing work to meet established company service standards.
- Classifiying risks and rates according to current manual rules and related instructions.
- Contacting Agents, Bureaus, or Company Underwriting regarding rating matters and responding appropriately to agents' or underwriting requests for rating information.
- Participating in testing and on-line technical assistance to team members.
- Coordinating various job duties in an effective and efficient manner.
- Maintaining good working relationship with supervisor, associates, agents, and public and contributes to a cooperative work environment.
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Be a part of our Rating Team! Our Commercial Insurance Raters provide policy preparation/issuance and data processing functions in support of Commercial Lines Underwriting.
Your daily responsibilities will include:
- Rating and issuing various transactions including but not limited to new business, renewals, endorsements, and cancellations involving all Commercial Lines of Business for the licensed States within the Company, using available data processing equipment.
- Meeting established production goals while maintaining high levels of quality and managing work to meet established company service standards.
- Classifiying risks and rates according to current manual rules and related instructions.
- Contacting Agents, Bureaus, or Company Underwriting regarding rating matters and responding appropriately to agents' or underwriting requests for rating information.
- Participating in testing and on-line technical assistance to team members.
- Coordinating various job duties in an effective and efficient manner.
- Maintaining good working relationship with supervisor, associates, agents, and public and contributes to a cooperative work environment.
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Technical Assistants are a shared resource among all Berkley FinSecure, Berkley Crime, and Berkley Asset Protection Underwriting Managers Lines of Business (incl. Claims) and act in the capacity of support staff as noted.
Responsibilities include but are not limited to:
- Data entry/completion of all required fields and clearance of New Business Submission into Underwriting System and/or Clearance for all lines.
- Data entry of New Business into BPM Workflow Management System for all lines.
- Creation of Renewal Policy Folders in Underwriting System for all lines.
- Creation of Renewal Instances into BPM Workflow Management System for all lines.
- Generation of Loss Runs for all Renewal Accounts.
- Creation and documentation of Fine Art Risk Meters for all New Business and Renewal accounts.
- Data entry/completion of all required fields for new claims received into Claims Workstation.
- Creation and distribution of Claims Acknowledgement Letter (to Broker).
- Availability to aid in additional workflow processes when needed and subject to supervisor direction.
- Other duties as assigned.
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Join us as a Territory Underwriting Manager who will develop regional and local Business Strategic, Tactical and Operational plans. Execute Action Plans, develop deep agency relationships, and represents the Company locally, regionally and on a national basis. Partner with Sr. Management of the Company and Regional Companies to drive both growth and profitability. Place your mark in the development of Marine and Property strategic and tactical plans based on company plans, technological advances, and corporate plans and work within limits of authority requiring the highest degree of technical complexity and coordination. Our focus will be on complex property, marine risks and programs that will drive profitable growth.
Making an impact includes:
- Building superior distribution partnerships with agents and brokers. Developing and implements sales plans to leverage profitable business growth.
- Analyzing applications, determining acceptability of risk in accordance with Company guidelines and practices in order to make the appropriate underwriting decisions. Applying underwriting guidelines and appetite to risk selection and pricing.
- Keeping current on state/territory issues and regulations, industry activity and trends and freely shares information with others. Negotiating with agents to reach positive and profitable outcomes.
- Developing a diverse book of business consisting of varied inland marine and property classes of business, risk size and complexity. Analyzing quality, quantity, and profitability of risks underwritten and preparing reports for management review.
- Assisting in the management of the Inland Marine and Property business to achieve the goals and objectives established. Ensuring continued profitable growth.
- You may provide guidance and assistance to other underwriters and to other functional areas, particularly when related to cross-sell opportunities and providing assistance to underwriters requiring referrals due to the authority levels.
- Collaborating with management on risks exceeding authority level or requiring special handling. Evaluating underwriting performance based on financial analysis including rate, reserve adequacy, operational execution, planning and product reviews.
- Collaborating with Regional Companies in developing regional inland marine and property business plans.
- Assisting with product development in creation of innovative products and service to introduce to the market.
- Collaborating with business partners in Risk Control, Actuarial, Finance and Claims to driver profitable results and developing program opportunities.
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Join us as a Territory Underwriting Manager who will develop regional and local Business Strategic, Tactical and Operational plans. Execute Action Plans, develop deep agency relationships, and represents the Company locally, regionally and on a national basis. Partner with Sr. Management of the Company and Regional Companies to drive both growth and profitability. Place your mark in the development of Marine and Property strategic and tactical plans based on company plans, technological advances, and corporate plans and work within limits of authority requiring the highest degree of technical complexity and coordination. Our focus will be on complex property, marine risks and programs that will drive profitable growth.
Making an impact includes:
- Building superior distribution partnerships with agents and brokers. Developing and implements sales plans to leverage profitable business growth.
- Analyzing applications, determining acceptability of risk in accordance with Company guidelines and practices in order to make the appropriate underwriting decisions. Applying underwriting guidelines and appetite to risk selection and pricing.
- Keeping current on state/territory issues and regulations, industry activity and trends and freely shares information with others. Negotiating with agents to reach positive and profitable outcomes.
- Developing a diverse book of business consisting of varied inland marine and property classes of business, risk size and complexity. Analyzing quality, quantity, and profitability of risks underwritten and preparing reports for management review.
- Assisting in the management of the Inland Marine and Property business to achieve the goals and objectives established. Ensuring continued profitable growth.
- You may provide guidance and assistance to other underwriters and to other functional areas, particularly when related to cross-sell opportunities and providing assistance to underwriters requiring referrals due to the authority levels.
- Collaborating with management on risks exceeding authority level or requiring special handling. Evaluating underwriting performance based on financial analysis including rate, reserve adequacy, operational execution, planning and product reviews.
- Collaborating with Regional Companies in developing regional inland marine and property business plans.
- Assisting with product development in creation of innovative products and service to introduce to the market.
- Collaborating with business partners in Risk Control, Actuarial, Finance and Claims to driver profitable results and developing program opportunities.
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This position will be providing overall requirements gathering, design, development and support of build, test, and automated deployments jobs for application teams within BTS. Moving towards true continual integration with DevOps framework.
Key Accountabilities
- Demonstrates a robust understanding of all functional and technical aspects of a system
- Can produce significant new system functionality or defect resolution with minimal direction
- Creates design specifications that demonstrate an understanding of most interfacing systems and supported business processes. (can understanding business processes go to the developer/analyst)
- Routinely proposes improvements to a system to improve supportability or usability
- Can perform adequate peer review on any changes in the system
- Can be consulted to provide recommendations to solve business issues based on experience and knowledge of current technology
- Demonstrates solid development processes including code review, documentation, and unit testing
- May provide rotating on-call support of production systems
- Ensure high-performing and scalable solutions by proactively monitoring and assessing various performance metrics both pre and post-implementation
- Provide end user mentoring and training in 1-1 and small group settings
- Partner with the various subsidiaries to create a vision for future advancement of our applications
- Enforce current Change Management and SOX Policies
- Travel for this position is approximately 5-10%
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Lead and direct sales for Berkley Fire & Marine Underwriters by using creative strategic thinking and your drive to bring opportunities to fruition! We are looking for an entrepreneurial spirited Vice President to build a strong sales culture and participate with senior leadership to develop and execute strategic plans to grow our business.
Your responsibilities will include:
- Developing and implementing company sales strategies and initiatives that support long term profitable growth.
- Development of alternative distribution resources
- Direct to the buyer strategy and implementation
- Leading strategic planning sessions with the field at Key Distributors.
- Partnering closely with the CUO, COO, CO and TUM's to develop strategies for territories, appetite, and agency management.
- Developing and managing key production/sales metrics that drive production, agency management and the sales culture.
- Overseeing daily sales activity and setting specific monthly, quarterly and annual sales goals.
- Anticipating and reacting to market trends and identifying opportunities for growth.
- Influencing and modeling behavior for Underwriting staff to work together with sales staff to achieve growth goals and support the execution of sales initiatives.
- Developing and leveraging analytics to identify and capitalize on opportunities for efficiencies and growth.
- Participating in industry associations and events representing the company.
- Developing and overseeing a sales training program for existing and new employees.
- Leading in-house seminars and workshops to help improve the effectiveness of the company sales effort.
- Continually improving the sales organization by enhancing discipline, accountability, productivity, effectiveness and customer satisfaction.
- Managing expense budgets to maximum effectiveness.
- Monitoring customer, market and competitor activity to give feedback to the leadership team and company departments.
- Managing and developing key customer relationships.
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Join us as a Territory Underwriting Manager who will develop regional and local Business Strategic, Tactical and Operational plans. Execute Action Plans, develop deep agency relationships, and represents the Company locally, regionally and on a national basis. Partner with Sr. Management of the Company and Regional Companies to drive both growth and profitability. Place your mark in the development of Marine and Property strategic and tactical plans based on company plans, technological advances, and corporate plans and work within limits of authority requiring the highest degree of technical complexity and coordination. Our focus will be on complex property, marine risks and programs that will drive profitable growth.
Making an impact includes:
- Building superior distribution partnerships with agents and brokers. Developing and implements sales plans to leverage profitable business growth.
- Analyzing applications, determining acceptability of risk in accordance with Company guidelines and practices in order to make the appropriate underwriting decisions. Applying underwriting guidelines and appetite to risk selection and pricing.
- Keeping current on state/territory issues and regulations, industry activity and trends and freely shares information with others. Negotiating with agents to reach positive and profitable outcomes.
- Developing a diverse book of business consisting of varied inland marine and property classes of business, risk size and complexity. Analyzing quality, quantity, and profitability of risks underwritten and preparing reports for management review.
- Assisting in the management of the Inland Marine and Property business to achieve the goals and objectives established. Ensuring continued profitable growth.
- You may provide guidance and assistance to other underwriters and to other functional areas, particularly when related to cross-sell opportunities and providing assistance to underwriters requiring referrals due to the authority levels.
- Collaborating with management on risks exceeding authority level or requiring special handling. Evaluating underwriting performance based on financial analysis including rate, reserve adequacy, operational execution, planning and product reviews.
- Collaborating with Regional Companies in developing regional inland marine and property business plans.
- Assisting with product development in creation of innovative products and service to introduce to the market.
- Collaborating with business partners in Risk Control, Actuarial, Finance and Claims to driver profitable results and developing program opportunities.
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Our ideal candidate is someone who has a passion for pushing the limits of their actuary knowledge. This role offers more variety and exposure to the business than a typical actuarial role. An individual with the drive to lead projects, which provide meaningful insights into the business impact of changes in actuarial analyses, processes, and/or analytical methods, will thrive at MEC.
What you will do:
Project Management
- Lead project teams to provide accurate and timely analysis and communication to MEC business partners.
- Provide recommendations on actuarial projects that are well-thought-out and based on data that has been verified.
- Determine the project approach, staffing, responsibilities, and schedule.
- Measure, monitor, and communicate progress of project(s) at clearly defined points in the process to ensure that the project(s) is delivered on time, and it meets or exceeds expectations.
- Maintain focus on key objectives and manages unit work flow to accomplish completion of complex actuarial projects, removing obstacles as necessary.
- Deliver several projects concurrently and adjust to changing priorities.
Teamwork
- Employ delegation skills to ensure all team members are making meaningful contributions and advancing in assuming responsibilities.
- Direct and/or assist team to provide and interpret ongoing as well as ad-hoc requests that are pertinent to evaluating the quality of our business.
- Establish clear expectations for team members and keep them accountable to those expectations.
- Promote optimal performance and desired behaviors for team through direct observation and immediate feedback.
Business Acumen
- Utilize advanced knowledge in actuarial ratemaking methodologies.
- Develop appreciation of the organization’s goals and objectives.
- Gain knowledge of MEC’s insurance products, services, and terminology.
- Master core software applications, including actuarial systems, and Microsoft Office Suite.
- Work with relational databases (Access, SQL Server) and programming languages (VBA and R).
- Demonstrate understanding of predictive analytic techniques.
Company Perks:
- Tuition/training reimbursement.
- Flextime with core hours.
- Bonus structure.
- 401(k) savings plan with profit sharing.
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Are you ready to lead a high-performance team of Premium Auditors? If so, we want you to join our award-winning workers’ compensation insurance company in sunny San Diego, California.
This position is responsible for the supervision of daily work in our Premium Audit Department including: quality control, productivity, and managing internal and external auditors. This role is primarily focused on motivating, encouraging and coaching team members to be the best they can be at providing quality service to our customers. The job also involves delivering and facilitating employee training and development and, ensuring that processes, procedures and workflows are as customer-friendly and employee-friendly as possible.
Preferred Employers Insurance is a member company of the W. R. Berkley Corporation, a Fortune 500 company rated A+ (Superior) by A.M. Best Company. Take your career to the next level and join us! Find out why we are the preferred workers’ compensation insurance solution for California employers.
We offer:
- Professional career growth opportunities
- Benefits that include 401K and profit sharing
- A friendly, energetic and family-oriented workplace
- One of “The Best Places to Work” in San Diego per the SD Business Journal
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Preferred Employers Insurance is a member of the W. R. Berkley Corporation, a Fortune 500 company, and voted one of the Best Places to Work by San Diego Business Journal four years in a row!
Our premium audit team has a history of success, achieving high marks in the industry. Do you have some experience in premium audit and want to work with a great team focused on customer service and continuous improvement? Come join our premium audit team and take your career to the next level! No field audit experience required.
The Audit Analyst is responsible for accurately reviewing final audits. The primary role of the Audit Analyst will be to maintain and improve the audit department by performing the following duties: applying company audit guidelines as well as those of the California Workers’ Compensation Uniform Statistical Reporting Plan, answering audit specific questions for policyholders, providing customer service support, analyzing final audits, resolving final audit disputes, assigning policies to be field audited, performing and reviewing physical audits, new business QC, communicating with the independent auditors as needed and any other general duties or projects as assigned and deemed necessary.
Responsibilities include:
- Apply company audit guidelines as well as those of the California Workers’ Compensation Uniform Statistical Reporting Plan.
- Analyze final audits to ensure the appropriate premiums are being charged to the policyholders.
- Perform/Review physical audits as necessary.
- Notify Underwriting of any potential issues discovered at final audit.
- Resolve final audit disputes
- Answer customer service calls including specific, detailed audit related questions.
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Overview
Curious negotiators who always go for the win-win.
Work on a team that provides world-class claim management and managed care solutions.
You will utilize intelligent technology to deliver interactive risk management solutions.
As a Claims Representative, you will deliver BerkleyNet’s fast and easy customer experience, while investigating claims and negotiating the best outcome for both sides.
As a member of the Claims team, you will have a strong impact on our bottom line. Success in your role means success for the company.
Who we are…
BerkleyNet is an innovative and leading provider of workers compensation insurance and services. We were started in 2006 with the goal of delivering an easier solution for customers - driven by speed and simplicity. Since that time, we've developed a national presence and are recognized for our "Ridiculously Fast, Amazingly Easy" approach to workers compensation. If you are looking to join a fast-paced, energetic and passionate team with room for professional growth and development - BerkleyNet may be a great fit for you.
The BerkleyNet Way is…
- Fearlessly explores new paths
- Generates solutions and positive energy
- Be a community builder
- Be an original
- Embrace ownership and adaptability
- Responsiveness is our reputation
- Communicate openly and share knowledge
- Integrity is non-negotiable
Responsibilities
- Research learn and apply worker's compensation statutes
- Investigate claims as reported and determine eligibility for benefits and administer benefits as warranted
- Address client issues and respond to inquiries promptly
- Manage the progression of the claims process through collaboration with physicians, nurses, attorneys and other parties as needed
- Analyze and process claims with the ability to have ownership of policy and claim transactions
- Translate data and understand department processes, functionality and requirements
- Maintain compliance with federal and state regulations
- Must be able to work independently and within a team environment
- Performs other related duties as required and assigned