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Remote Insurance Claims Director Jobs in Kentucky

Berkley

Director, Senior Care Claims

Lexington, KY · On-site +1

$125K - $160K/yr

We apply cutting-edge insurance concepts to traditional healthcare insurance products that embrace ... Remote** for the right qualified candidate. Key functions include but are not limited to the ...

Berkley

Director, Senior Care Claims

Lexington, KY · On-site +1

$125K - $160K/yr

We apply cutting-edge insurance concepts to traditional healthcare insurance products that embrace ... Remote** for the right qualified candidate. Key functions include but are not limited to the ...

PharMerica

Claims Specialist Team Lead

Louisville, KY · On-site +1

Nights and Weekends Remote position Benefits and perks for You! * Medical, Dental, Vision insurance ... claims are billed to accurate financial plans timely * Completes billing transactions for non ...

PharMerica

Claims Specialist Team Lead

Louisville, KY · On-site +1

... Remote position Benefits and perks for You! * Medical, Dental, Vision insurance * Health Savings ... claims are billed to accurate financial plans timely * Completes billing transactions for non ...

PharMerica

Claims Specialist Team Lead

Louisville, KY · On-site +1

... Remote position Benefits and perks for You! * Medical, Dental, Vision insurance * Health Savings ... claims are billed to accurate financial plans timely * Completes billing transactions for non ...

PharMerica

Claims Specialist Team Lead

Louisville, KY · On-site +1

Nights and Weekends Remote position Benefits and perks for You! * Medical, Dental, Vision insurance ... claims are billed to accurate financial plans timely * Completes billing transactions for non ...

Amerita

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

... remote, giving you the freedom to work from anywhere! What You'll Do: As a dynamic Claims ... Company-Paid Disability Insurance * Tuition Assistance & Reimbursement * Employee Discount Program ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

... remote, giving you the freedom to work from anywhere! What You'll Do: As a dynamic Claims ... Company-Paid Disability Insurance * Tuition Assistance & Reimbursement * Employee Discount Program ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

... remote, giving you the freedom to work from anywhere! What You'll Do: As a dynamic Claims ... Company-Paid Disability Insurance * Tuition Assistance & Reimbursement * Employee Discount Program ...

BrightSpring

Pharmacy Claims Processor / Remote

Louisville, KY · Remote

$15.50 - $19.75/hr

... remote, giving you the freedom to work from anywhere! What You'll Do: As a dynamic Claims ... Company-Paid Disability Insurance * Tuition Assistance & Reimbursement * Employee Discount Program ...

BrightSpring

Pharmacy Claims Processor / Remote

Louisville, KY · Remote

$15.50 - $19.75/hr

... remote, giving you the freedom to work from anywhere! What You'll Do: As a dynamic Claims ... Company-Paid Disability Insurance * Tuition Assistance & Reimbursement * Employee Discount Program ...

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Remote Insurance Claims Director information

What is the difference between Remote Insurance Claims Director vs Remote Insurance Claims Adjuster?

AspectRemote Insurance Claims DirectorRemote Insurance Claims Adjuster
Required CredentialsLicenses, management experience, industry certificationsLicenses, claims handling certifications
Work EnvironmentOversees teams, strategic planning, high-level decision makingEvaluates claims, investigates, and processes claims
Employer & Industry UsageInsurance companies, large agenciesInsurance companies, third-party administrators
Common Search & ComparisonLeadership, management, strategic rolesClaims processing, evaluation, investigation

The main difference is that the Remote Insurance Claims Director focuses on managing teams and setting claims strategies, while the Remote Insurance Claims Adjuster handles the evaluation and investigation of individual claims. Both roles require industry licenses, but the director's role is more managerial and strategic, whereas the adjuster is more hands-on with claims processing.

What are the most commonly searched types of Remote Insurance Claims jobs in Kentucky?

The most popular types of Remote Insurance Claims jobs in Kentucky are:

What are popular job titles related to Remote Insurance Claims Director jobs in Kentucky?

For Remote Insurance Claims Director jobs in Kentucky, the most frequently searched job titles are:

What job categories do people searching Remote Insurance Claims Director jobs in Kentucky look for?

The top searched job categories for Remote Insurance Claims Director jobs in Kentucky are:

Remote Insurance Claims Director jobs near you

Director, Senior Care Claims

Berkley

Lexington, KY • On-site, Remote

$125K - $160K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 days ago

Job description

Company Details

As a member company of W. R. Berkley Corporation, Berkley Healthcare has assembled a unique team of multi-disciplinary insurance professionals to take a fresh look at healthcare organization insurance. We pride ourselves on our deep expertise in underwriting, claims and distribution in the healthcare industry insurance market. We understand that the healthcare industry is in a state of rapid evolution; shaped by emerging concepts in technology, law, public welfare and social economics, all with attendant enterprise risk unique to healthcare organizations. We apply cutting-edge insurance concepts to traditional healthcare insurance products that embrace the current complexity of the healthcare industry and give ultimate flexibility in managing enterprise risk.

Company URL: www.berkleyhealthcare.com

The company is an equal opportunity employer.

Responsibilities

The Director will be part of a small team of claim professionals responsible for managing a full inventory of Senior Care Professional and General Liability claims with varying levels of exposure.  The Director will be responsible for overseeing all aspects of claim handling, including determining coverage, investigating liability and damages, evaluating and resolving claims, and managing complex litigation.

**Hybrid Model**Mon-Thurs in office, Fri-work from home. If you are over 50 miles from one of our offices, the role can be **Remote** for the right qualified candidate.

Key functions include but are not limited to the following:

Manage a full inventory of Senior Care Professional and General Liability claims with varying levels of exposure. 

Comply   with   Best   Practices   guidelines   and   other   company   claim   handling   requirements   regarding communication, investigation, litigation   management, coverage   evaluation, exposure   assessment, and settlement/resolution. Evaluate and verify coverage by reviewing and interpreting the claims asserted alongside applicable policy language.  Investigate liability and damages, retain qualified counsel as necessary, and set appropriate and timely reserves that are consistent with estimated exposures.

Develop and execute a claim resolution strategy, taking into account the unique and individual characteristics of the claim, communicating and collaborating with stakeholders as appropriate. Present claims clearly and concisely to senior leadership as requested. Travel as needed to mediations, settlement conferences, trials and other proceedings. Contribute to a collaborative environment by raising new ideas, demonstrating teamwork, high motivation, positive behavior and effort to achieve goals and objectives. Build and maintain productive relationships with internal and external customers, including clients, underwriters and agents. Engage in projects or other responsibilities/tasks outside of direct claim handling. Actively self-educate as to line of business, industry and insurance trends including exposures, claims, legal, legislative, healthcare, current events, self-improvement and innovation.

Qualifications
  • Bachelors' degree required. JD preferred. 
  • Minimum of 5-7 years' claim handling or other relevant work experience
  • Experience managing senior care claims preferred
  • Adjusters' licenses will be required for the successful candidate
  • Self-motivated, independent and decisive
  • Excellent time management skills with ability to triage and prioritize
  • Exceptional collaboration with internal and external teams and partners
  • Willingness to learn/develop coverage concepts/issues in the required lines of business
  • Strong oral and written communication skills with ability to articulate very complex facts, analysis and recommendations in a concise manner to senior leadership, insureds, and external business partners
  • Desire for new and varied job responsibilities beyond claims handling
  • Demonstrated ability to meet deadlines, determine priorities and adapt to changing priorities as needed.
Additional Company DetailsWe do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: Base Salary Range: $125,000 - $160,000 Eligible to participate in annual discretionary bonus. Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. 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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