BHFL Senior Claim Director

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.

The Senior Director, Claims is responsible for handling the most complex, high exposure and high severity claims for all BHFL primary and excess lines of business including: Director’s and Officer’s Liability, Employment Practices Liability, Fiduciary Liability, Fidelity/Crime and Managed Care Errors and Omissions.  This role serves as a senior technical expert and escalation resource within the BHFL Claims organization, providing guidance and oversight on challenging coverage, liability and resolution issues. In addition to managing a portfolio of complex matters, the Senior Director will provide mentoring and will partner with Claims leadership to design and implement training, best practices, and claim handling procedures. The Senior Director will work closely with underwriters and general counsel in support of product development, underwriting strategy, and marketing efforts.   The successful candidate will play a key role in shaping the technical excellence and future growth of the Berkley Healthcare Financial Lines Claims function.

Key functions include but are not limited to the following:

• Handle complex and high severity primary and excess healthcare-related Director’s & Officer’s Liability, Employment Liability, Fiduciary Liability, Crime and Errors & Omissions Claims
• Serve as a technical expert and escalation resource for complex coverage, litigation, and claim resolution issues across the Claims organization
• Provide mentorship and coaching as needed to more junior team members
• Assist in the development and delivery of training programs, claim handling protocols, and best practices to ensure consistent technical excellence across the team
• Partner with Claims leadership to enhance procedures, workflows, and claim strategies, contributing to continuous improvement initiatives
• Draft coverage documents including reservation of rights letters, large loss reports and other internal claim related documents
• Comply with Best Practices guidelines and other company claim handling requirements regarding communication, investigation, litigation management, coverage evaluation, exposure assessment, and settlement/resolution.

• Collaborate with underwriting, legal, and senior leadership on emerging risks and portfolio-level claim trends
• Engage in projects or other responsibilities/tasks outside of direct claim handling as needed.
• Actively maintain advanced expertise as to industry and insurance trends including exposures, claims, legal, legislative, healthcare, current events, self-improvement and innovation

• Juris Doctor Degree requred
• 10+ years’ experience handling complex or high severity claims in one or more of BHFL’s lines of business (D&O, EPL, Fiduciary, Crime, Managed Care E&O)
• Demonstrated expertise with insurance contract interpretation and coverage issues
• Experience serving as a technical resource, mentor, or leader within a claims organization
• Healthcare financial lines claims experience strongly preferred

The Company is an equal employment opportunity employer.