-
Casualty Claims Director
1 week ago
Plymouth Rock Assurance Boston, United StatesReporting directly to the Vice President of Claims of the Independent Agent Channel, the Director will oversee our MA and NH casualty and medical claim operations. The Director will have oversight of four casualty and two medical teams and will ensure that claims are handled in a ...
-
Casualty Claims Director
2 weeks ago
Plymouth Rock Assurance Boston, United StatesReporting directly to the Vice President of Claims of the Independent Agent Channel, the Director will oversee our MA and NH casualty and medical claim operations. The Director will have oversight of four casualty and two medical teams and will ensure that claims are handled in a ...
-
Casualty Claims Director
3 weeks ago
Plymouth Rock Assurance Boston, United StatesOverview: · Reporting directly to the Vice President of Claims of the Independent Agent Channel, the Director will oversee our MA and NH casualty and medical claim operations. The Director will have oversight of four casualty and two medical teams and will ensure that claims are ...
-
Complex Claims Director
1 week ago
Berkshire Hathaway Travel Protection Boston, United StatesWho are we? · A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers around the world. Part of Berkshire ...
-
Complex Claims Director
1 week ago
Berkshire Hathaway Specialty Insurance Boston, United StatesWho are we? · A strong, trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI) provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers around the globe. Part of Berkshire Hathaway's insurance ...
-
AIG - American International Group, Inc. Boston, United StatesMake your mark in Claims. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Throug Director, Claims, Liability, ...
-
Complex Claims Director, General Liability
1 week ago
American International Group Boston, United StatesComplex Claims Director, General Liability · Join us as a Complex Claims Director to grow your experience in Claims. · Make your mark in Claims · Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing ou ...
-
Plymouth Rock Assurance Boston, United StatesThe Plymouth Rock Home team is an innovative Insurtech start-up within a successful, well-established insurance organization. We tripled topline revenue over the past 4 years by revolutionizing the way homeowners insurance is priced, marketed, bought, and sold. Our customers obta ...
-
BERKSHIRE HATHAWAY SPEC INS Boston, United StatesAtlanta, GA/Boston, MA/Chicago, IL/Dallas, TX/Houston, TX/Los Angeles, CA/New York, NY/Plymouth Meeting, PA/San Francisco, CA/San Ramon, CA/Seattle, WA/Stevens Point, WI · Who are we? · A strong, trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI) provides a ...
-
Insurance Administrative Specialist
3 weeks ago
Lendbuzz Boston, United StatesAt Lendbuzz, we believe financial opportunity should be more personalized and fair. We develop innovative technologies that provide underserved and overlooked borrowers with better access to credit. From our employees to our dealers, partners, and borrowers, we've built a company ...
-
Orthopedic Surgery Worker Compensation
2 weeks ago
Boston Medical Center Boston, United States Full timePOSITION SUMMARY: · Under direct supervision of the Operations Supervisor, the WCS provides clerical and administrative support to the orthopedic patients with musculoskeletal work-related injuries covered by "worker's compensation" insurance. The WCS processes data, generates r ...
-
Financial Analyst
2 weeks ago
Mass General Brigham Boston, United StatesCOMPLIANCE 1. Be involved in all internal and external 340 B audits for the BBDC. 2. Supports program adherence to 340 B program regulations and guidelines. 3. Monitors and audits state Medicaid claims to ensure compliance to prevent potential duplic Financial Analyst, Operations ...
-
General Counsel
14 hours ago
Massachusetts Property Insurance Underwriting Association Boston, United StatesMassachusetts Property Insurance Underwriting Association is seeking a General Counsel to join our Legal Department. · This position is accountable to the CEO for providing legal guidance and services that ensure the MPIUA's and RIJRA's (together "Associations") compliance with, ...
-
Director of Risk Management
5 days ago
Scott & Crosby Staffing, Inc. Boston, United StatesJob Description · Position: Director of Risk Management · Department: Risk Management · Schedule: Full Time · The Director of Risk Management oversees the operation of the Risk Management and Patient Safety programs and provides guidance to clinical staff. The Director will de ...
-
Director of Risk Management
1 week ago
Scott & Crosby Staffing, Inc. Boston, United StatesJob Description · Position: Director of Risk Management · Department: Risk Management · Schedule: Full Time · The Director of Risk Management oversees the operation of the Risk Management and Patient Safety programs and provides guidance to clinical staff. The Director will ...
-
Director of Revenue Cycle
2 weeks ago
Stride Consulting LLC Boston, United StatesAbout the Role · InStride Health seeking a highly skilled and motivated Director of Revenue Cycle to join our team. The Director of Revenue Cycle will play a pivotal role in overseeing both front end and back end revenue cycle operations, ensuring efficient billing processes and ...
-
Director of Risk Management
3 weeks ago
Boston Medical Center Boston, United StatesPOSITION SUMMARY: · The Director of Risk Management oversees the operation of the Boston Medical Center's (BMC) Risk Management and Patient Safety programs and provides guidance to clinical staff. The Director will develop and maintain systems within BMC to detect, monitor, prev ...
-
Director, Price Intelligence
1 week ago
Zelis Healthcare Boston, United StatesZelis Data Intelligence · Director, Price Intelligence · The Director, Price Intelligence is part of the ZDI Data Intelligence and Innovation team. As the Director of Price Intelligence, this role will be accountable for defining, driving, and executing the ZDI data strategy as ...
-
Senior Director, Medical Affairs
1 week ago
Vertex Pharmaceuticals, Inc Boston, United StatesJob Description · General/Position Summary · The Senior Medical Affairs Director, Hematology will be a recognized expert in the field, providing medical and scientific leadership in the Medical Affairs function for our Hematology therapeutic area. This role will report to the Exe ...
-
Claims Specialist
5 days ago
Suffolk Construction Boston, United StatesAbout Suffolk · Suffolk is a national enterprise that builds, innovates, and invests. Suffolk is an end-to-end business that provides value throughout the entire project lifecycle by leveraging its core construction management services with vertical service lines that include rea ...
Casualty Claims Director - Boston, United States - Plymouth Rock Assurance
Description
Reporting directly to the Vice President of Claims of the Independent Agent Channel, the Director will oversee our MA and NH casualty and medical claim operations.
The Director will have oversight of four casualty and two medical teams and will ensure that claims are handled in a timely and efficient manner.
You will be expected to manage litigation activities, 93A process and stay current with changes in the industry that effect our claims operation.
The Casualty Claims Director is a key part of the executive team at Plymouth Rock.In this role, you will brief top executives (CCO and CEO) on emerging claims activity, industry trends and large losses.
Your input will directly affect not only day-to-day operations, but also the strategic planning for the claims department and Plymouth Rock Auto operations.
Our organizational structure and lack of red tape allows the Director to be highly influential and impactful. You will drive the direction and will be a key contributor to the results of our entire operation.We expect this Director to lead creative initiatives and an energized group of employees that provides us a sustainable advantage over our competition.
The ideal candidate will be highly organized and detail-oriented with excellent communication and interpersonal skills.You will have a strong understanding of insurance laws and regulations and will develop and implement new claims training, strategies, and procedures that drive best in class operational performance.
Strategy :
Develop and implement new claims strategies that improve the efficiency and effectiveness of the claims process. This includes identifying areas for improvement, developing new technology, tools resources, and managing the implementation of new initiatives.
Innovation :
Identify and implement innovative solutions to claims challenges. This includes using new technologies, developing new training programs, and creating new ways to approach our goals and objectives
Resource Management :
Effectively manage the resources of the claims team, including budget, personnel, and technology.
This includes developing and managing budgets, hiring and training staff, claim distribution, and ensuring that the team has the resources they need to be successful.
Coaching & Development :
Provide one to one coaching to ensure managers are equipped to lead and develop their teams. Identify high potential talent, mentor, to create bench strength and a strong succession plan.
Key responsibilities of the role include:
Leads, directs and has full management accountability for staff in area of responsibility with an emphasis on talent management and succession planning in accordance with corporate strategic direction.
Collaborates with senior leadership as well as with other members of the organization in the development and implementation of claim policies, business strategies and goals, regularly evaluating performance against goals; and holding self and team accountable for achieving desired results.
Manages expenses and adequately controls resources to ensure successful operations within established budget, productivity and efficiency standards. Leverages systems capabilities, data and metrics/reports to analyze trends and improve organizational and process performance.Remains current of state/territory regulations and issues, industry activities and trends. May represent company in industry trade groups.
Works, in partnership with our training and development team, to develop focused, individualized development plans for all subordinate leadership positions and plays a significant role in effectively driving talent development and succession planning within the casualty and medical units.
Demonstrates technical acumen to ensure that coverage is determined properly and that claims are properly investigated, evaluated and reserved timely.
In addition, to managing litigation, medical claims handling, adherence to our decision point and medical bill adjudication process.Compliance with our quality assurance program; claim file calibration, monthly results meeting with managers and claim associates. Complete target reviews when necessary.
Qualifications and Education:
A bachelor's degree (B.A.) from an accredited four year college or university.
8-10+ years of related casualty, litigation and medical claims handling and management experience.
Experience managing a team of 25-30 claim associates (Managers, Supervisors and Claims professionals).
Excellent oral and written communication skills required.
Demonstrated ability in developing and executing strategy, and in delivering operational excellence. Strong performance improvement mindset and proven ability to leverage data & analytics to drive decision making and process improvement.
Proven ability to motivate and inspire your teams, and to maintain excellent colleague engagement across all areas of claim department.
Knowledge of Microsoft Office Suite (Teams, OneNote, Power Point and Excel) and other business-related software (i.e. Tableau or other date reporting tools)About the Company
The Plymouth Rock Company and its affiliated group of companies write and manage over $1.8 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service.
We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry.
The Plymouth Rock group of companies employs more than 2,000 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of "A-/Excellent".#J-18808-Ljbffr
