Job Details

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This range is provided by Enduris. Your actual pay will be based on your skills and experience talk with your recruiter to learn more.

Base pay range

$124,900.00/yr - $187,900.00/yr

Direct message the job poster from Enduris

Enduris is recruiting qualified applicants for their Director of Claims position. The Director of Claims is responsible for the overall administration, direction, and management of the Enduris claims department.

Enduris is the premier risk sharing pool for special purpose districts in Washington. We are recognized in Washington, and nationally, as a leader in the risk pooling industry. We provide liability/property coverage and risk management solutions for our membership of approx. 500 special purpose districts in Washington State. Enduris is a member owned risk pool with an emphasis on member service and appreciation for the districts that serve our communities.

The ideal Director of Claims will be a seasoned manager capable of leading all aspects of Enduris' claims department. Responsibilities include supervising a team of internal claims adjusters, reviewing and determining coverage with members/legal counsel, developing claim procedures, and settling claims within the authority granted by the Executive Director.

The Director of Claims will be deeply familiar with commercial lines property and casualty insurance and policy interpretation. The Director of Claims will work closely with the Member Relations, Finance, and Operations directors to achieve the strategic objectives of the organization. The successful candidate will possess excellent communication, negotiation, and organizational skills. Knowledge handling claims in Washington State is a must!

Claims

• Supervise and/or manage each claim submitted to Enduris, from inception to the settlement, including a preliminary coverage assessment, liability and damage determination, reserve assessment and recoveries.
• Supervise the Claim staff and administrative staff supporting claims.
• Work with the members and legal counsel to determine coverage and find coverage when possible
• Develop and recommend Claims policies and procedures to the Executive Director.
• Develop and maintain Claim Management Guidelines Manual.
• Manage and oversee the work of Third-Party Claims adjusters.
• Manage all aspects of claims including investigating, evaluating and settling claims.
• Settle claims within authority set by Executive Director and/or Board of Directors.
• Obtain authority from Executive Director, Board of Directors and/or reinsurer to settle claims above the authority limit.
• Coordinate and oversee communication regarding claim concerns with Claims Associate, Financial Services Coordinator, Chief Operating Officer and the Executive Director.
• Work with the members to resolve disputes that may lead to a claim; and work with members to mitigate any potential claim.
• Coordinate Reservation of Rights and Denial of Coverage Letters to Members.
• Designate and manage claims on 'watch list'.
• Manage Origami (the claims information system).
• Oversee verification and documentation of Medicare eligibility as required for.

Litigation

• Supervise and/or manage litigation of all claim files.
• Attend mediations, settlement conferences, depositions, arbitrations and trials as necessary.
• Oversee and manage Defense Counsel and supervise and/or establish a litigation strategy including approval of claims budget for each litigated file.
• Manage defense counsel's compliance with Enduris policies, procedures, and/or guidelines.
• Oversee selection of Defense Counsel.

General Administration

• Oversee status and condition of commercial lines Casualty/Property claims files.
• Review and analyze reinsurance/excess policies from the broker.
• Evaluate, coordinate and implement changes in the Memorandum of Coverage.

Seniority level

• Director

Employment type

• Full-time

Job function

• Finance and Sales
• Insurance

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