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Direct Claims Jobs in Alabama (NOW HIRING)

Berkley

Director of Claims

Homewood, AL · On-site

Also responsible for overseeing all catastrophic Workers' Compensation claims throughout the department. * Actively Manages assigned Resolution Specialists workloads and performance. * Evaluates team ...

Kemper

SVP, Chief Claims Officer

Birmingham, AL

$250K - $350K/yr

Oversees all aspects of claims handling for the specialty auto business, including liability, physical damage, litigation, SIU (Special Investigations Unit), and vendor management, with a strong ...

First American

$129K - $172K/yr

The Senior Claims Counsel position with First American Title Insurance Company provides an ... Direct outside counsel on litigation strategy through the course of claim administration and ...

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Direct Claims information

What are direct claims?

Direct claims refer to insurance claims that are filed directly by the policyholder with their own insurance company, rather than going through a third party or the at-fault party's insurer. This process is common in situations like auto accidents, where the policyholder seeks compensation for damages or losses under their own policy. Direct claims help streamline the process, reduce delays, and ensure the policyholder receives prompt assistance and settlements. They are often associated with 'first-party' insurance coverage, such as collision, comprehensive, or health insurance claims.

What are some common challenges faced by professionals in Direct Claims roles, and how can they effectively manage these challenges?

Professionals in Direct Claims often face the challenge of balancing a high volume of claims with the need for thorough investigation and timely resolution. Managing customer expectations and handling sensitive situations, such as denied claims or complex cases, can also be demanding. Effective communication, strong organizational skills, and staying updated on policy guidelines are crucial for success. Building collaborative relationships with adjusters, underwriters, and other departments helps ensure accurate and efficient claims processing.

What are the key skills and qualifications needed to thrive as a Direct Claims Specialist, and why are they important?

To thrive as a Direct Claims Specialist, you need a solid understanding of insurance policies, claims processes, and relevant legal regulations, often supported by a degree in business, finance, or a related field. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes industry certifications like AIC or CPCU is typical. Exceptional attention to detail, problem-solving abilities, and strong communication skills set top performers apart in this role. These skills and qualifications ensure claims are processed accurately and efficiently, leading to customer satisfaction and minimized risk for the insurer.

What is the difference between Direct Claims vs Claims Adjuster?

AspectDirect ClaimsClaims Adjuster
CredentialsInsurance license, knowledge of policiesInsurance license, sometimes certifications like AIC or CPCU
Work EnvironmentCustomer service, office or remoteFieldwork, office, or remote
Employer & IndustryInsurance companies, agenciesInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding direct claims handlingEvaluating claims adjustment roles

Direct Claims professionals primarily handle claims directly from policyholders, focusing on processing and resolving claims within the insurance company. Claims Adjusters evaluate, investigate, and settle claims, often working in the field or remotely. Both roles require insurance licensing, but Claims Adjusters may have additional certifications. While their work overlaps in claims processing, Direct Claims roles are more customer-facing, whereas Claims Adjusters focus on assessment and negotiation.

What are popular job titles related to Direct Claims jobs in Alabama? For Direct Claims jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Direct Claims jobs in Alabama look for? The top searched job categories for Direct Claims jobs in Alabama are:
What cities in Alabama are hiring for Direct Claims jobs? Cities in Alabama with the most Direct Claims job openings:
Direct Claims jobs near you

Director of Claims

Berkley

Homewood, AL • On-site

Other

Posted 8 days ago

Job description

Company Details

Berkley Industrial Comp (BIN) provides best-in-class workers compensation insurance solutions to high hazard industries.  BIN's mission is to provide an unparalleled client experience within the high hazard workers compensation market. BIN achieves its mission by focusing on the following core values:

  • Integrity - Do the right thing, always. Build trust through honesty, transparency, and consistency.
  • Exceeding Expectations - Go beyond "good enough." Deliver standout results and raise the bar every time.
  • Empowerment - Equip and trust people. Encourage initiative, decision-making, and growth.
  • Expertise - Stay sharp. Apply deep knowledge and continuous learning to deliver smart solutions.
  • Community - Connect with purpose. Foster belonging, respect, and shared success.

Company URL:      www.berkindcomp.com

Responsibilities

Responsible for managing 3 to 5 Senior Catastrophic Resolution Specialists and a Nurse Case Manager. Also responsible for overseeing all catastrophic Workers' Compensation claims throughout the department.

  • Actively Manages assigned Resolution Specialists workloads and performance.
  • Evaluates team performance, identifies and resolves problems, develops corrective action plans and defines team and individual goals.
  • Provide the office with the guidance and training on functional claims problems.
  • Maintain and demonstrate knowledge of the Workers Compensation Act and Rules and Regulations in jurisdictions assigned.
  • Consult with attorneys, assist in negotiation of settlement, mediations and trials (attend trials as necessary).
  • Keep office abreast of all legal changes in assigned jurisdictions.
  • Ensure regulatory issues within the assigned region are within compliance.
  • Attend and participate in training sessions to the accounts or account visits and claim reviews.
  • Identify unfavorable trends from employers and notify appropriate departments.
  • Ensure team's work is in accordance with guidelines established
Qualifications
  • Bachelor's degree
  • Ten (10) years' experience within workers compensation insurance.
  • Preferred three (3) years' of claims supervisory experience
  • Experience managing catastrophic Workers' Compensation claims.
  • Possess and maintain a professional adjusting license in jurisdictions assigned.
  • Demonstrate exemplary oral and written communications.
  • Possesses analytical and creative problem-solving skills.
  • Exhibit highly defined leadership and interpersonal skills.
  • Evidence of self-motivation and require minimal management direction.
  • Interdepartmental collaboration and innovation with underwriting, loss control, business development and marketing
Additional Company DetailsWe do not accept unsolicited resumes from third party recruiting agencies or firms. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.Sponsorship DetailsSponsorship not Offered for this RoleEmployment Type: OTHER

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