The Premium Auditor is primarily responsible for performing premium audits, reviewing disputes from agents or insureds, and determines/communicates directly with insureds and their representatives.
- Completes and finalizes internal mail audits by obtaining needed information directly from the insureds by mail and phone.
- Creates audit spreadsheets detailing correct exposures for all classifications by reviewing federal and state payroll reports, financial statements, and other payroll and sales reporting documents to assist in meeting unit production goals. Requests for additional documentation to insureds when necessary.
- Reviews dispute information received from general agents, insureds or producers who are contesting an audit after it has been sent out for billing. Decides if dispute information is valid to warrant a revision.
- Communicates directly with insureds and their representatives to resolve audit disputes and premium due the Company.
- Process and review audits in Direct Collections
- Communicates with all Underwriting and external customers regarding exposures, classification changes or general auditing procedure questions and audit results.
- Acts as back up to associate auditors to include completing vendor and estimated audits as needed.
- Interacts with team-members to encourage and foster a positive work environment.
- Participate with team on workflow efficiencies
- Completes special projects assigned by management and perform other duties as may be assigned.
- Assists Audit Manager with Legal Litigation audits in Collections
#LI-Remote
#LI-Hybrid
The Senior Litigation Specialist’s job function includes efficiently and effectively handling advanced-level, primarily litigated, commercial first-party property and/or third-party general liability losses in a “paperless” environment. An ability to communicate both verbally and in written form in a prompt, courteous and professional manner is essential.
• Reviews and sets up new loss assignments in a timely manner in compliance with Department guidelines and best practices.
• Establishes appropriate initial loss and expense reserves and continue to regularly evaluate the file for adequacy, accuracy and adherence to reserving guidelines.
• Analyzes and interpret policy language in conjunction with specific loss facts to reach appropriate coverage decisions.
• Drafts frequent and complex coverage correspondence, including reservation of rights and coverage disclaimers in compliance with various state statutes and regulations.
• Composes a variety of other detailed correspondence to insureds, claimants, attorneys, agents and Regulatory agencies.
• Proactively manages primarily litigated claim files from inception to closure, including identification and investigation of coverage, liability and damage issues, determination and efficient execution of an appropriate plan of action, and prompt, economical file resolution, in compliance with Department guidelines and best practices.
• Appropriately and clearly documents all claim file activity, including current strategy, plan of action and exit plan in file notes.
• Consistently demonstrates comprehensive coverage analysis, investigation, evaluation and negotiation skills at an advanced level.
• Directs and control the activities and costs of numerous outside vendors including defense counsel and coverage counsel, experts and independent adjusters.
• Effectively presents and discusses loss facts and issues in roundtable discussions to peers and members of management at all levels.
• Composes and transmits in a regular and timely basis frequent Large Loss Reports and other detailed reporting documents as appropriate.
• Manages and monitors file caseload through the use of various resources.
• Obtains all required state adjuster licenses and maintain them as required via compliance with mandatory continuing education requirements.
• Other duties may be assigned.
• Serves as a technical resource within the Department through mentoring and knowledge-sharing, whether one-on-one, in small groups, or presentations to larger groups.
• Meets with intern personnel and others as needed to provide job function overview and/or specific subject-matter training.
• Occasional participation in projects and initiatives lead by other departments and/or W. R. Berkley companies, including audits, workshops, focus groups, task forces, etc.
• Initiates appropriate communication with members of management and other Departments.
• Attends internal and external seminars and other training events and provides feedback to peers and/or members of management.
#LI-RS1 #LI-Remote
The Receptionist will use the phone console to answer incoming calls and direct callers to the appropriate team members. This position will use designated resources, tools and applications to provide proper call distribution for the in-office team members and work groups respective to the callers’ customer service inquiry level. Related tasks common to the Receptionist role will include front desk coverage to assist in supporting a consistent best first impression of services and facility for the end customer. The Receptionist will greet visitors and support their contact to appropriate team members. Additionally, the Receptionist will support Operations in data entry, filing and processing of policy and claim documents as well as assisting in organizing and distributing mail among departments.
- Answers incoming telephone calls, determines purpose of callers, and forwards calls to appropriate personnel or department.
- Takes and delivers messages or transfers calls to voice mail when appropriate personnel are unavailable.
- Answers questions about organization and provides callers with address, directions, and other information.
- Welcomes on-site visitors, determines nature of business, and announces visitors to appropriate personnel.
- Retrieves messages from voice mail and forwards to appropriate personnel.
- Provides overhead paging for Company announcements and employee emergency calls.
- Creates night and early close greetings as needed.
- Updates visitor information and provides a professional first impression to visitors.
- Participates in key roles during Fire Drill training practice with FMOS Team members. Maintains readiness of materials in the event of an emergency with current occupant listing and procedures to engage.
- Sorts incoming requests from support request, received through mail, fax and email for processing into the appropriate systems.
- Performs workflow functions which include, but are not limited to, printing, assembly, data entry, delivery, filing and purging.
- Participates in the Office Service daily workflow types as assigned which compliment Team efforts, support in mass mailings and other correspondence needs.
- Collects, sorts and delivers mail by department and/or employee as needed to ensure timely distribution.
- Operates mail machines as needed, including the postage meter, photocopying machine, and mail folding and inserting machine.
- Maintains records of receipt, mailing dates, and other required information as needed.
- Replenishes postage on the postage meter as needed.
- Stocks supplies needed for the mailroom.
- Performs other related duties as assigned.
This role contributes to driving company results with a strong focus on agency relationships. Apply sound decision-making to underwrite business that contributes to a profitable Excess Casualty portfolio. Effective underwriting in the middle market binding space with working knowledge of General Liability, Commercial Automobile, Employer’s Liability, light Professional Liability.
- Underwrite and analyze risk acceptability on light to moderately complex business by applying sound underwriting judgment and adhering to NIC company policies within established authority.
- Determine profitable rate/price and capacity offerings based on individual risk exposure.
- Handle an existing portfolio of Excess Casualty business ensuring profitability while maintaining the integrity of the product line.
- Reviews new and renewal accounts to verify issuance is in compliance with NIC underwriting guidelines, addresses discrepancies as needed, and enters information into appropriate systems.
- Use multiple resources to gather and analyze information and use logic to underwrite complex risks.
- Creates, analyzes and interprets data from various systems and underwriting resources.
- Keep abreast of industry market trends, competition philosophy, products and distributions systems.
- Maintain and foster positive agency relationships.
- Negotiate skillfully in tough situations with both internal and external groups to settle differences in a professional manner.
- Collaborates with underwriting team as well as other departments on underwriting philosophy.
- Effectively communicates (written/verbal) information to both internal and external customers to ensure our standards of excellence are maintained.
- Maintains confidentiality with discretion and integrity with both internal and external information.
- Maintains familiarity with state laws and filing requirements within assigned territory to properly transact business within a state.
- Monitors the amount of insurance in force on a single risk or group of closely related risks. Evaluates possibility of catastrophe losses and takes necessary action, as needed.
- Occasionally requested to assist with the development of special programs, underwriting procedures, and educational seminars.
- Composes reports and business correspondence such as travel summaries, agendas, and meeting minutes.
- Provides guidance and support to less experienced team members within the department.
#LI-Remote
The Underwriting Assistant provides support to the underwriting process, compiles data, performs routine tasks, and processes accounts.
- Provides administrative support by preparing and compiling information as part of submission clearance to ensure all aspects of the underwriting process are contemplated.
- Processes newly bound business including verifying receipt of any pending subjectivities, confirming insured information is correct, providing a copy of the binder to the agent of record, and issuing the final policy.
- Order and manage the receipt of all inspections including follow up for recommendation compliance.
- Process all notices of non-renewal, conditional non-renewal, and cancellations in a timely and efficient manner ensuring all mailing and notice requirements set forth by various departments of insurance are complied with.
- Administer the issuance of all non-money endorsements including documentation of the file and ensuring compliance with underwriting guidelines.
- Assist in the solicitation of renewal business.
- Consults directly with agency staff to obtain additional information and/or address concerns on existing accounts.
- Creates, analyzes and interprets data from various systems and underwriting resources.
- Promotes consistency amongst Underwriting Team by contributing knowledge and soliciting feedback relative to underwriting philosophy and company goals. May also collaborate cross-departmentally, as requested.
- Effectively communicates (written/verbal) information to both internal and external customers to ensure our standards of excellence are maintained.
- Help develop new processes and procedures within newly developed light brokerage division to streamline work and increase efficiency.
- Completes preparatory work on new business accounts as assigned by the underwriter.
- Maintains confidentiality with discretion and integrity with both internal and external information.
- Provides guidance and support to less experienced team members within the department.
- Performs other duties as assigned
#LI-RS1 #LI-Hybrid
To manage and provide leadership to the claims unit and to provide efficient and effective administration of claims handled on behalf of client companies. Foster company relations and promote the company’s presence in the marketplace.
Specific Duties
- Interview, hire and train staff
- Manage and guide the performance and professional development of staff through coaching and mentoring, including performance evaluations and salary reviews
- Collaborate with underwriting on current and proposed policy language and new product development
- Identify and communicate industry trends and/or portfolio claim developments that may impact company results, appetite or pricing
- Proactively attends marketing, sales and account meetings to establish relationships with our agent partners and maximize the competitive advantage derived from the “Aspire Claim Experience” and our direct to retail business model
- Oversee and participate in claim reviews or other value-added claim services applicable to individual accounts where those services are appropriate
- Identify and implements strategies to reduce total claim cost and optimize company profitability
- Consult with the underwriting team on an individual risk basis to assist with risk selection and the application of appropriate terms/conditions to ensure portfolio profitability
- Identify claims with significant exposure and take a more active role coordinating a strategy for an appropriate resolution
- Understands and utilizes existing technology resources and data to measure and monitor financial and performance trends
- Facilitates the improvement of all systems applications utilized in the Department for successful and efficient claims handling and related workflow processes
- Responsible for managing projects related to achieving department goals (i.e., cost management, quality assurance, SIU, training and development, etc.)
- Review and approve coverage letters and responses to regulatory agency inquiries.
- Review and approve Large Loss Reports.
- Occasional responsibility for handling claims that are very complex and/or involve sensitive or confidential information.
May perform other functions as assigned.
The Claims Trainee role is a developmental opportunity to evolve into a Claims Examiner. A Claims Examiner’s primary job function includes efficiently and effectively handling primarily basic, commercial first-party property and/or third-party general liability losses. An ability to communicate both verbally and in written form in a prompt, courteous and professional manner is essential.
- Reviews and sets up new loss assignments in a timely manner in compliance with Department guidelines and best practices.
- Establishes appropriate initial loss and expense reserves and continues to regularly evaluate the file for adequacy, accuracy and adherence to reserving guidelines.
- Analyzes and interprets policy language in conjunction with specific loss facts to reach appropriate coverage decisions.
- Drafts frequent coverage correspondence, including reservation of rights and coverage disclaimers in compliance with various state statutes and regulations.
- Composes a variety of other detailed correspondence to insureds, claimants, attorneys, agents and Regulatory agencies.
- Proactively manages claim files from inception to closure, including identification and investigation of coverage, liability and damage issues, determination and efficient execution of an appropriate plan of action, and prompt, economical file resolution, in compliance with Department guidelines and best practices.
- Appropriately and clearly documents all claim file activity, including current strategy, plan of action and exit plan in file notes.
- Consistently demonstrates coverage analysis, investigation, evaluation and negotiation skills at a basic and frequently higher level.
- Directs and controls the activities and costs of numerous outside vendors including independent adjusters, defense counsel and coverage counsel.
- Effectively presents and discusses loss facts and issues in roundtable discussions to peers and members of management.
- Composes and transmits in a regular and timely basis Large Loss Reports and other detailed reporting documents as appropriate.
- Manages and monitors file caseload through the use of various resources.
- Obtains all required state adjuster licenses and maintain them as required via compliance with mandatory continuing education requirements.
- Demonstrated experience working with business users.
- Other duties may be assigned.
- Occasional participation in projects and initiatives lead by other departments and/or W. R. Berkley companies, including audits, workshops, focus groups, task forces, etc.
- Initiates appropriate communication with members of management and other Departments.
- Attends internal and external seminars and other training events and provide feedback to peers and/or members of management.
The Senior Litigation Specialist’s job function includes efficiently and effectively handling advanced-level, primarily litigated, commercial first-party property and/or third-party general liability losses in a “paperless” environment. An ability to communicate both verbally and in written form in a prompt, courteous and professional manner is essential.
• Reviews and sets up new loss assignments in a timely manner in compliance with Department guidelines and best practices.
• Establishes appropriate initial loss and expense reserves and continue to regularly evaluate the file for adequacy, accuracy and adherence to reserving guidelines.
• Analyzes and interpret policy language in conjunction with specific loss facts to reach appropriate coverage decisions.
• Drafts frequent and complex coverage correspondence, including reservation of rights and coverage disclaimers in compliance with various state statutes and regulations.
• Composes a variety of other detailed correspondence to insureds, claimants, attorneys, agents and Regulatory agencies.
• Proactively manages primarily litigated claim files from inception to closure, including identification and investigation of coverage, liability and damage issues, determination and efficient execution of an appropriate plan of action, and prompt, economical file resolution, in compliance with Department guidelines and best practices.
• Appropriately and clearly documents all claim file activity, including current strategy, plan of action and exit plan in file notes.
• Consistently demonstrates comprehensive coverage analysis, investigation, evaluation and negotiation skills at an advanced level.
• Directs and control the activities and costs of numerous outside vendors including defense counsel and coverage counsel, experts and independent adjusters.
• Effectively presents and discusses loss facts and issues in roundtable discussions to peers and members of management at all levels.
• Composes and transmits in a regular and timely basis frequent Large Loss Reports and other detailed reporting documents as appropriate.
• Manages and monitors file caseload through the use of various resources.
• Obtains all required state adjuster licenses and maintain them as required via compliance with mandatory continuing education requirements.
• Other duties may be assigned.
• Serves as a technical resource within the Department through mentoring and knowledge-sharing, whether one-on-one, in small groups, or presentations to larger groups.
• Meets with intern personnel and others as needed to provide job function overview and/or specific subject-matter training.
• Occasional participation in projects and initiatives lead by other departments and/or W. R. Berkley companies, including audits, workshops, focus groups, task forces, etc.
• Initiates appropriate communication with members of management and other Departments.
• Attends internal and external seminars and other training events and provides feedback to peers and/or members of management.
#LI-RS1 #LI-Remote
Nautilus Insurance is searching for Premium Recovery Coordinator to join our team. The right person will be passionate about working for a company that is dedicated to providing exceptional customer experiences and creating a culture that develops and rewards high performing team members that embraces change and seek to continuously better themselves and the organization. We are looking for someone who is highly motivated, organized, and has a positive outlook, along with a natural drive to learn, grow and problem solve.
A successful candidate will have a strong customer service background, excellent written and verbal communication skills, proficiency with computer programs in a Windows based environment and able to handle multiple assignments within a professional working environment. This is a great opportunity for someone looking to grow your career within the organization as you will have exposure to several other departments. You will interact and communicates with underwriting, agents, vendors and insureds. We are looking for someone who will provide administrative support and general accounting duties.
This a hybrid role requiring three days per week in the Scottsdale office.
JOB RESPONSIBILITIES
What we will count on you to do:
- Support the overall management of the Premium Audit and Deductible billing inventory, including customer set up, cash application, update system records as needed and track third party vendor activities in our systems.
- Prepare and send all letters to insured for Deductible and Audit balances
- Record daily cash transactions to ensure all insureds funds are posted accurately and reconcile back to the bank deposit
- Prepare, assign and reconcile deductible and audit files turned over to an outside collection agency
- Manage the various email boxes by responding to internal and external customers, noting files or forward to correct party for handling
- Researches and analyzes the policy files and internet on letters returned with an invalid address and updates internal systems with appropriate contact information.
- Provide outstanding customer service with each customer contact point
- Answer questions via the telephone or in writing to insureds, agents, vendors or attorneys
- Interacts with team-members to encourage and foster a positive work environment
What you can Expect:
- Culture of innovation, teamwork, supportive team members and leaders willing to invest in you
- Visibility to senior leaders and partnership with cross functional teams
- Benefits – competitive salary, paid time off, comprehensive wellness benefits and programs, profit sharing and tuition assistance
#LI-Hybrid
The Senior Claims Examiner’s primary job function includes efficiently and effectively handling intermediate-level, commercial first-party property and/or third-party general liability losses in a “paperless” environment. An ability to communicate both verbally and in written form in a prompt, courteous and professional manner is essential.
• Reviews and sets up new loss assignments in a timely manner in compliance with Department guidelines and best practices.
• Establishes appropriate initial loss and expense reserves and continue to regularly evaluate the file for adequacy, accuracy and adherence to reserving guidelines.
• Analyzes and interprets policy language in conjunction with specific loss facts to reach appropriate coverage decisions.
• Drafts frequent and complex coverage correspondence, including reservation of rights and coverage disclaimers in compliance with various state statutes and regulations.
• Composes a variety of other detailed correspondence to insureds, claimants, attorneys, agents and Regulatory agencies.
• Proactively manages claim files from inception to closure, including identification and investigation of coverage, liability and damage issues, determination and efficient execution of an appropriate plan of action, and prompt, economical file resolution, in compliance with Department guidelines and best practices.
• Appropriately and clearly documents all claim file activity, including current strategy, plan of action and exit plan in file notes.
• Consistently demonstrates coverage analysis, investigation, evaluation and negotiation skills at an intermediate level.
• Directs and controls the activities and costs of numerous outside vendors including independent adjusters, defense counsel and coverage counsel.
• Effectively presents and discusses loss facts and issues in roundtable discussions to peers and members of management.
• Composes and transmits Large Loss Reports and other detailed reporting documents as appropriate in a regular and timely basis.
• Manages and monitors file caseload through the use of various resources.
• Obtains all required state adjuster licenses and maintains them as required via compliance with mandatory continuing education requirements.
• Serves as a technical resource within the Department through mentoring and knowledge-sharing, whether one-on-one, in small groups, or presentations to larger groups.
• Meets with intern personnel and others as needed to provide job function overview and/or specific subject-matter training.
• Occasionally participates in projects and initiatives lead by other departments and/or W. R. Berkley companies, including audits, workshops, focus groups, task forces, etc.
• Initiates appropriate communication with members of management and other Departments.
• Attends internal and external seminars and other training events and provides feedback to peers and/or members of management.
• Other duties may be assigned.
#LI-Remote
The Claims Examiner II’s primary job function includes efficiently and effectively handling primarily basic, commercial first-party property and/or third-party general liability losses in a “paperless” environment. The assigned caseload may include up to one-half intermediate-level losses. An ability to communicate both verbally and in written form in a prompt, courteous and professional manner is essential.
- Reviews and sets up new loss assignments in a timely manner in compliance with Department guidelines and best practices.
- Establishes appropriate initial loss and expense reserves and continues to regularly evaluate the file for adequacy, accuracy and adherence to reserving guidelines.
- Analyzes and interprets policy language in conjunction with specific loss facts to reach appropriate coverage decisions.
- Drafts frequent coverage correspondence, including reservation of rights and coverage disclaimers in compliance with various state statutes and regulations.
- Composes a variety of other detailed correspondence to insureds, claimants, attorneys, agents and Regulatory agencies.
- Proactively manages claim files from inception to closure, including identification and investigation of coverage, liability and damage issues, determination and efficient execution of an appropriate plan of action, and prompt, economical file resolution, in compliance with Department guidelines and best practices.
- Appropriately and clearly documents all claim file activity, including current strategy, plan of action and exit plan in file notes.
- Consistently demonstrates coverage analysis, investigation, evaluation and negotiation skills at a basic and frequently higher level.
- Directs and controls the activities and costs of numerous outside vendors including independent adjusters, defense counsel and coverage counsel.
- Effectively presents and discusses loss facts and issues in roundtable discussions to peers and members of management.
- Composes and transmits in a regular and timely basis Large Loss Reports and other detailed reporting documents as appropriate.
- Manages and monitors file caseload through the use of various resources.
- Obtains all required state adjuster licenses and maintain them as required via compliance with mandatory continuing education requirements.
- Demonstrated experience working with business users.
- Other duties may be assigned.
- Occasional participation in projects and initiatives lead by other departments and/or W. R. Berkley companies, including audits, workshops, focus groups, task forces, etc.
- Initiates appropriate communication with members of management and other Departments.
- Attends internal and external seminars and other training events and provide feedback to peers and/or members of management.
The Litigation Specialist’s job function includes efficiently and effectively handling advanced-level, primarily litigated, commercial first-property and/or third-party general liability losses in a “paperless” environment. An ability to communicate both verbally and in written form in a prompt, courteous and professional manner is essential.
- Review and set up new loss assignments in a timely manner in compliance with department guidelines and best practices.
- Establish appropriate initial loss and expense reserves and continue to regularly evaluate the file for adequacy, accuracy and adherence to reserving guidelines.
- Analyze and interpret policy language in conjunction with specific loss facts to reach appropriate coverage decisions.
- Draft frequent and complex coverage correspondence, including reservation of rights and coverage disclaimers in compliance with various state statutes and regulations.
- Compose a variety of other detailed correspondence to insureds, claimants, attorneys, agents and Regulatory agencies.
- Proactively manage primarily litigated claim files from inception to closure, including identification and investigation of coverage, liability and damage issues, determination and efficient execution of an appropriate plan of action, and prompt, economical file resolution, in compliance with department guidelines and best practices.
- Appropriately and clearly document all claim file activity, including current strategy, plan of action and exit plan in file notes.
- Consistently demonstrate comprehensive coverage analysis, investigation, evaluation and negotiation skills at an advanced level.
- Direct and control the activities and costs of numerous outside vendors including defense counsel and coverage counsel, experts and independent adjusters.
- Effectively present and discuss loss facts and issues in roundtable discussions to peers and members of management at all levels.
- Compose and transmit in a regular and timely basis frequent Large Loss Reports and other detailed reporting documents as appropriate.
- Manage and monitor file caseload through the use of various resources.
- Obtain all required state adjuster licenses and maintain them as required via compliance with mandatory continuing education requirements.
- Serve as a technical resource within the department through mentoring and knowledge-sharing, whether one-on-one, in small groups, or presentations to larger groups.
- Meet with intern personnel and others as needed to provide job function overview and/or specific subject-matter training.
- Occasional participation in projects and initiatives lead by other departments and/or W. R. Berkley companies, including audits, workshops, focus groups, task forces, etc.
- Initiate appropriate communication with members of management and other department.
- Attend internal and external seminars and other training events and provide feedback to peers and/or members of management.
#LI-Remote #LI-Hybrid
The Claims Examiner I/II’s primary job function includes efficiently and effectively handling primarily basic, commercial first-party property and/or third-party general liability losses in a “paperless” environment. The assigned caseload may include up to one-half intermediate-level losses. An ability to communicate both verbally and in written form in a prompt, courteous and professional manner is essential.
- Reviews and sets up new loss assignments in a timely manner in compliance with Department guidelines and best practices.
- Establishes appropriate initial loss and expense reserves and continues to regularly evaluate the file for adequacy, accuracy and adherence to reserving guidelines.
- Analyzes and interprets policy language in conjunction with specific loss facts to reach appropriate coverage decisions.
- Drafts frequent coverage correspondence, including reservation of rights and coverage disclaimers in compliance with various state statutes and regulations.
- Composes a variety of other detailed correspondence to insureds, claimants, attorneys, agents and Regulatory agencies.
- Proactively manages claim files from inception to closure, including identification and investigation of coverage, liability and damage issues, determination and efficient execution of an appropriate plan of action, and prompt, economical file resolution, in compliance with Department guidelines and best practices.
- Appropriately and clearly documents all claim file activity, including current strategy, plan of action and exit plan in file notes.
- Consistently demonstrates coverage analysis, investigation, evaluation and negotiation skills at a basic and frequently higher level.
- Directs and controls the activities and costs of numerous outside vendors including independent adjusters, defense counsel and coverage counsel.
- Effectively presents and discusses loss facts and issues in roundtable discussions to peers and members of management.
- Composes and transmits in a regular and timely basis Large Loss Reports and other detailed reporting documents as appropriate.
- Manages and monitors file caseload through the use of various resources.
- Obtains all required state adjuster licenses and maintain them as required via compliance with mandatory continuing education requirements.
- Demonstrated experience working with business users.
- Other duties may be assigned.
- Occasional participation in projects and initiatives lead by other departments and/or W. R. Berkley companies, including audits, workshops, focus groups, task forces, etc.
- Initiates appropriate communication with members of management and other Departments.
- Attends internal and external seminars and other training events and provide feedback to peers and/or members of management.
This position assists in the day-to-day functions of the Underwriting Audit team with the primary area of responsibility dealing with the completion of individual underwriting file audits, analysis of results and communication of findings and trends to underwriting management.
- Completes audits on new business, renewals and quotes to assess the quality of the risk and quality of the file handling from an underwriting, pricing and policy construction standpoint, as well as adherence to established underwriting procedures and authorities
- Creates and completes “special request” audits from underwriting management on specific individuals, classes of business or programs
- Summarizes audit results by individual and team, analyzes trends and communicates findings to underwriting management. Responsible for reporting.
- Conducts quality control of file reviews completed by other members of the audit team
- Updates requirements for the automated tools used to collect and track audit results and works with IT and BTS to implement and test changes
- Identifies training needed by the underwriting staff based on audit results and works with the Underwriting Training Coordinators to develop the appropriate training vehicle and objectives.
- Initiates requests to create or update underwriting philosophies, guidelines or procedures based on audit results
- Represents the department, as requested by the VP or Manager, in inter-departmental meetings and maintains professional relationships with internal departments, external vendors and customers.
- Other duties and projects as assigned
#LI-Remote
#LI-Remote
In this role you will manage the assigned Underwriting territories’ day-to-day operations to maximize production and underwriting results and ensures effective management of assigned territory. The Underwriting Manager:
- Directly manages assigned underwriting staff and territory
- Carries out responsibilities in accordance with the organization's policies and applicable laws
- Interviewing, hiring and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems in accordance with company policies, goals and applicable laws
- Responsible for production, profitability and relationships with agents within that territory
- Develops and executes strategic initiatives that support profit, growth, retention and customer service objectives
- Provides leadership, direction and management in the risk selection process beyond the capacity of underwriting staff
- Assesses agency performance and recommends the appointment, rehabilitation, or cancellation of agents within the territory
- Tracks and assesses impact of large losses including making recommendations to modify underwriting guidelines/profile as needed
- Provides assistance in underwriting of difficult, complex accounts and resolves issues beyond the authority level of underwriting staff
- Reviews and monitors underwriting policies and submissions to ensure underwriting standards and performance objectives are met. Takes corrective action when issues are discovered.
- Allocates underwriting authority for staff, establishing their ability to accept risks, determine pricing and coverages, and place reinsurance
- Creates, analyzes and interprets data from various reports
- Plans regular agency contact and visits to agents
- Works with other departments to develop and maintain state specific forms, rules and rates
- Coordinates review of agency operational reviews and conducts the necessary follow up to assure timeliness of responses and monitor progress of opportunities identified
- Represents the department, as requested by the Senior Leaders, in internal or external meeting or events
- Assists with the development, marketing and communication plan for agents in an assigned territory
- Assists other departments with customer complaints and develop recommendations as needed
- Other duties and projects as assigned
The Senior Litigation Specialist’s job function includes efficiently and effectively handling advanced-level, primarily litigated, commercial first-party property and/or third-party general liability losses in a “paperless” environment. An ability to communicate both verbally and in written form in a prompt, courteous and professional manner is essential.
• Reviews and sets up new loss assignments in a timely manner in compliance with Department guidelines and best practices.
• Establishes appropriate initial loss and expense reserves and continue to regularly evaluate the file for adequacy, accuracy and adherence to reserving guidelines.
• Analyzes and interpret policy language in conjunction with specific loss facts to reach appropriate coverage decisions.
• Drafts frequent and complex coverage correspondence, including reservation of rights and coverage disclaimers in compliance with various state statutes and regulations.
• Composes a variety of other detailed correspondence to insureds, claimants, attorneys, agents and Regulatory agencies.
• Proactively manages primarily litigated claim files from inception to closure, including identification and investigation of coverage, liability and damage issues, determination and efficient execution of an appropriate plan of action, and prompt, economical file resolution, in compliance with Department guidelines and best practices.
• Appropriately and clearly documents all claim file activity, including current strategy, plan of action and exit plan in file notes.
• Consistently demonstrates comprehensive coverage analysis, investigation, evaluation and negotiation skills at an advanced level.
• Directs and control the activities and costs of numerous outside vendors including defense counsel and coverage counsel, experts and independent adjusters.
• Effectively presents and discusses loss facts and issues in roundtable discussions to peers and members of management at all levels.
• Composes and transmits in a regular and timely basis frequent Large Loss Reports and other detailed reporting documents as appropriate.
• Manages and monitors file caseload through the use of various resources.
• Obtains all required state adjuster licenses and maintain them as required via compliance with mandatory continuing education requirements.
• Other duties may be assigned.
• Serves as a technical resource within the Department through mentoring and knowledge-sharing, whether one-on-one, in small groups, or presentations to larger groups.
• Meets with intern personnel and others as needed to provide job function overview and/or specific subject-matter training.
• Occasional participation in projects and initiatives lead by other departments and/or W. R. Berkley companies, including audits, workshops, focus groups, task forces, etc.
• Initiates appropriate communication with members of management and other Departments.
• Attends internal and external seminars and other training events and provides feedback to peers and/or members of management.
This position assists in the day-to-day functions of the Underwriting Audit team with the primary area of responsibility dealing with the completion of individual underwriting file audits, analysis of results and communication of findings and trends to underwriting management.
• Completes audits on new business, renewals and quotes to assess the quality of the risk and quality of the file handling from an underwriting, pricing and policy construction standpoint, as well as adherence to established underwriting procedures and authorities.
• Creates and completes “special request” audits from underwriting management on specific individuals, classes of business or programs.
• Assists in the development and updating requirements for the automated tools used to collect and track audit results and works with IT and BTS to implement and test changes.
• Initiates requests to create or update underwriting philosophies, guidelines or procedures based on audit results.
• Represents the department, as requested by the VP or Manager, in inter-departmental meetings and maintains professional relationships with internal departments, external vendors and customers.
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Responsible for planning, directing and overseeing the Underwriting Audit department, including managing and supervising the Underwriting Audit Coordinators. Sets and achieves department goals to support the company’s key strategic objectives. Oversees the completion of individual files audits, conducts quality control on completed audits, analysis of results and trends, scheduling and provides communication of findings to underwriting management. Develops new audits based on company goals and provides agency consulting services as needed.
- Manages the work and production of the Audit Coordinators.
- Provides oversight of the completion of audits on new business, renewals and quotes to assess the quality of the risk and quality of the file handling from an underwriting, pricing and policy construction standpoints, as well as adherence to established underwriting procedures and authorities.
- Works with Coordinators to provide feedback to Underwriting Management (based upon review findings) to identify strengths in Underwriting talents and to identify opportunities to improve various underwriting criteria and/or requirements as relates to Company underwriting standards.
- Develops new underwriting audits to reflect changes in underwriting philosophies and strategies.
- Shares high-level trends with management.
- Creates, analyzes and interprets data from various reports.
- Works as direct contact with Regulatory for SOX compliance testing.
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