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Director, Claims

Company: MEMIC
Location: Portland
Posted on: January 16, 2023

Job Description:

The Mission of The MEMIC Group is to make workers' comp work better with compassion, trusted partnerships, and relentless commitment to workforce safety. The secret to the success and longevity of great organizations is their shared vision and strong values. At MEMIC our values are to be conscientious, to be an expert, to be a partner, to be curious and to be transparent.Directs and oversees the operations of the regional claims department to meet operation, financial, and service requirements. Provides guidance and oversees the activities and development of Claim Team Managers. Duties include the formulation of budgets, expense management, representing Claim Department interests at interdepartmental meetings, oversight of reserves and large financial transactions on catastrophic losses within assigned authority levels, review and adjustment of staffing levels and participation in advisory councils and industry groups as needed. Finally, the director manages selected high-profile cases and those which represent extra-contractual or potential bad faith exposures against MEMIC.Principal Duties and Responsibilities:Manage a region of the Company's workers' compensation claims through a team of claims professionals to achieve fair and efficient resolution of all matters.Manage and develop a team of Claim Team Managers in your region.Responsibly utilize case reserving and settlement authority within established levels individually and for his/her team and ensure appropriate documentation of the same.Assure accountability among the team for approval of claims expenses and litigation fees.Assure accountability among the team for appropriate documentation within and maintenance of the electronic claims system files.Hire and supervise directly, and via the team, outside defense counsel and claim investigators within established guidelines.Effectively participate and counsel team members as appropriate, in settlement negotiations, mediations, arbitrations and trials as required for optimal outcomes.Identify appropriate cases and oversee preparation of those for presentation to the VP and Claims Round Table for reserve and settlement authority and to excess and reinsurers as needed.Enforce the department and company strategy and philosophy for effective claims management.Utilize monthly loss runs and/or auditing of claims assigned to team members to maintain performance accountability against established metrics.Ensure a regular diary process is maintained within the team.Maintain current knowledge of laws and rules affecting workers' compensation claims management decisions; educate and train staff.Develop and maintain effective, efficient and respectful working relationships with all departments within MEMIC.Build and maintain strategic alliances and collaborative partnerships with policy holders and agents that will mutually benefit the Claims Department and the organization.Serve as project leader and/or participate in committees or task forces as assigned.Integrate and counsel team members on newly developed processes and procedures affecting claims and overall company operations.Maintain current licensure needed to perform duties as required in territory assigned.Requirements:Bachelor's degree desired.Five plus years Property & Casualty Workers Compensation claim handling experience required; Seven years Property & Casualty Workers Compensation claim handling experience preferred.Five plus years Management/Supervisory experience desired.Demonstrated evidence of Leadership skills/competencies required.Must have high degree of working knowledge of all aspects of workers' compensation insurance, laws, and regulations as well a claim handling.Multi-jurisdictional experience a plus.Experience handling Longshore and/or Jones Act claims a plus.Must possess a current compensation adjuster license in state where position resides along.Excellent verbal, written and interpersonal communication skills a must.Excellent analytical and organizational skills with strong attention to detailProven ability to solve problems and make sound decision a must.Project Management skills a plus.Our comprehensive benefits package includes all traditional offerings such as:Health Insurance options, Dental Insurance options and Vision InsuranceEmployee Life Insurance/AD&D and Dependent Life Insurance optionsShort-term & Long-term DisabilityHealth Savings Account with potential employer matchFlexible Medical and Dependent Care AccountAccident InsuranceCritical Illness InsuranceEmployee Assistance ProgramLegal/Identify Theft Insurance optionsLong Term Care InsurancePet Insurance401 (k) Retirement Plan with match up to 5%, plus profit sharing & discretionary contributions (subject to vesting)5 weeks of Paid Time Off (PTO)7 paid holidaysWe also offer other benefits to help foster a healthy, balance lifestyle such as:Flextime schedulesPaid Parental LeaveStudent loan paydown and refinancing assistanceEducational assistance for job related courses, seminars, certifications or degreesOne paid day every year to volunteer for your non-profit of choiceOn-site fitness center (Maine & Virginia) or fitness reimbursementSubsidized parkingSit-Stand desks & daily stretch breaksMEMIC is committed to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religious creed, national origin, ancestry, age, disability, genetics, gender identity, veteran's status, sexual orientation, or any other characteristic protected by law. MEMIC is an equal opportunity employer encouraging diversity in the workplace.MEMIC's Job Applicant Privacy Notice

Keywords: MEMIC, Portland , Director, Claims, Executive , Portland, Maine

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