
biBerk Business Insurance
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33 Jobs
• Conduct proactive outreach to dormant agencies • Identify and resolve production barriers • Execute activation and ramp strategies • Transition agencies into active production tiers • Onboard new agencies and establish engagement cadence • Drive early production benchmarks • Develop growth plans with agency partners • Maintain engagement cadence
• Directly handles business owner liability claims • Analyzes coverage issues under the Business owners coverage form, garagekeepers, hired non-owned auto, auto services and other standard industry forms • Analyzes, investigates, and evaluates new loss notices and claim tenders • Adjusts total auto losses as part of adjusting liability claims • Expeditiously analyzes and positions claim under applicable coverage • Collaborates on setting reserves at appropriate level for claims • Uses good judgment in managing ALAE in claims investigation • Appropriately documents claim files in accordance with established guidelines • Obtains and maintains adjuster licenses, as required
• Determine compensability and/or coverage issues for loss time workers' compensation claims • Effectively manage a caseload of loss time claims from numerous jurisdictions • Negotiate and direct settlements under management's review • Gather medical and factual evidence to determine compensability • Direct outside investigation and handle litigation files within given authority • Coordinate and maintain contact with claimants and/or their attorneys, outside investigators, and rehabilitation personnel as well as routine contact with insureds, account liaisons and medical providers
• Utilize THREE’s underwriting guidelines and tools to evaluate, select, and price complex risks – specifically in Hospitality, Habitational, Bar/Tavern, and LRO industries. • Handle both New Business and Renewal Referrals across THREE’s entire footprint. • Ensure agent compliance with Loss Control recommendations to improve risk quality and/or reduce hazards that would adversely impact THREE’s profitability. • Clearly and concisely communicate needs to agents including verification of information, requests for documentation, etc, with customer experience always top of mind. • Meet various performance requirements related to efficiency and underwriting quality.
• Determine compensability and/or coverage issues for loss time workers' compensation claims • Effectively manage a caseload of loss time claims from numerous jurisdictions • Negotiate and direct settlements under management's review • Gather medical and factual evidence to determine compensability • Direct outside investigation and handle litigation files within given authority • Coordinate and maintain contact with claimants and/or their attorneys, outside investigators, and rehabilitation personnel as well as routine contact with insureds, account liaisons and medical providers
• Be the designated claims representative for matters in coverage litigation and for claims where a separate coverage file is needed across multiple lines of insurance coverage offered by BHDIC • Draft detailed coverage position letters in those matters • At the direction of the Legal Department, serve as a point of contact and claim handler for Declaratory Judgment Actions • Document coverage claim files with litigation updates and accompanying legal filings and positional correspondence • Act as a fact witness for matters in coverage litigation • Address Florida Civil Remedy Notices and monitor the associated files • Assist with maintaining internal resources relevant to proper handling of coverage claims • Communicate and work directly with BHDIC’s Legal Department on a regular basis
• Oversee assigned TPA relationships and ensure consistent execution of oversight and control measures • Lead and develop a team of Workers’ Compensation TPA Liaisons, establishing priorities to ensure tasks and performance goals are met • Authorize reserve/settlement requests within authority and prepare requests that exceed authority for internal senior leadership roundtable • Provide technical expertise and oversight through regular file reviews, audits, and authority approvals to ensure TPAs follow best practices and internal standard • Oversee team resolving TPA data feed errors to ensure accurate financial reporting • Build and maintain strong relationships with cross-functional teams, TPAs, vendors, brokers, policyholders, and legal partners • Participate in internal and external meetings, including weekly TPA client meetings and quarterly claim reviews • Serve as an escalation point for issues impacting the customer experience and communicate expectations, procedures, and protocols to TPAs • Evaluate TPA performance through audits; drive remediation plans when performance does not meet key performance metrics and service-level agreements • Report account changes or vendor concerns to ensure service level agreements are met • Performs additional projects and duties as assigned
• Manage an active desk of litigated and non-litigated claims of varying complexity under miscellaneous professional liability coverages • Recognize exposures and ensure reserves are adequate and timely • Evaluate coverage issues and identify risk transfer opportunities • Manage litigation by proper expert selection, planning, budgeting and partnership with defense counsel • Strong negotiation skills • Effective communication both internally and externally • Proactively manage claim resolution, including formation and implementation of resolution strategy, settlement valuation and obtaining settlement authority • Actively participate in mediations as needed, within limit of settlement authority • Manage allocated loss adjustment expense through strategic handling and bill review/payment processing in coordination with the billing unit • Appropriately document claim files in accordance with established guidelines • Maintain adjuster licenses, as required. • This position may require occasional travel to attend mediations, trainings, trials and/or other related meetings.
• Manages an active desk of general liability bodily injury claims under business owner policies • Analyzes coverage issues under the Business owners coverage form, garagekeepers, hired non-owned auto, auto services and other standard industry forms • Analyzes, investigates, and evaluates new loss notices and claim tenders • Expeditiously analyzes and positions claim under applicable coverage • Collaborates on setting reserves at appropriate level for claims • Uses good judgment in managing ALAE in claims investigation • Appropriately documents claim files in accordance with established guidelines • Obtains and maintains adjuster licenses, as required
• The Property Claims Representative will be responsible for handling a desk of first-party commercial property claims. • Conduct investigations as they adjust 1st party property claims. • Investigating losses to determine coverage and the extent of indemnity owed under the policy. • Retaining and managing outside vendors and experts as part of a quality claims investigation. • Obtaining and reviewing evidence, reports, and records. • Establishing appropriate reserves, as warranted throughout the claims investigation. • Processing expense and indemnity payments, as appropriate. • Maintaining an organized and efficient workflow, including keeping an active diary on each open claim file. • Providing superb customer service in a fast-paced environment. • Drafting detailed correspondence, including coverage position letters and reservation of rights letters.
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