Claims Technical Specialist
Location
Urbandale, IA | United States
Job description
Own what’s next. Add your experience and insight to our business.
Own what’s next. Add your experience and insight to our business. Berkley Agribusiness works with ambitious agribusiness and food industry clients to help them own their futures. Our culture is built on the belief that everyone has the power to create the future they deserve. Every Berkley Agribusiness team member must have the courage to challenge the status quo, collaboratively working with our clients to find creative property and casualty insurance solutions that drive them to succeed. We depend on our ability to listen to our clients — and our experience to help them make fact-based decisions that help their businesses thrive.
Berkley Agribusiness is part of the W. R. Berkley Corporation (WRBC). Founded in 1967, WRBC is one of the nation’s premier commercial lines property casualty insurance providers. WRBC’s international business operates in selected regions throughout the world, including Europe, South America, Australia, and Asia. #LI-AV1 #LI-Hybrid
Learn more about how Berkley Agribusiness can help you Create Your Future at berkleyag.com.
This role will be based in our Urbandale, IA office; w e offer a hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so.
The Company is an equal employment opportunity employer. #MedicareSecondary
The Claims Technical Specialist is responsible for researching, analyzing and developing technical claims guidance and training related to compliance with federal and state regulations, coverage matters and Claims Best Practices. We'll rely on you to research trending compliance issues and recommend the best way forward for implementing changes. You'll have tremendous visibility in this role coupled with the support of colleagues across the enterprise and vendor expertise to leverage. To be successful in this role, you'll need to be decisive, capable of managing projects, be nimble when faced with shifting priorities, and a concise communicator who can influence operational changes for complex issues.
What you can expect:
- Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent
- Internal mobility opportunities #Workcompclaims #casualtyadjuster
- Visibility to senior leaders and partnership with cross functional teams
- Opportunity to impact change #workerscomp #workcomp #medicare
- Benefits – competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education
We'll count on you to:
- Research, analyze and develop technical claims guidance based on legislative/regulatory updates in coordination with in-house legal counsel. Ensures the technical guidance related to legal statues, regulation and/or other requirements impacting claim practices and processes is communicated and implemented.
- Develop and implement claim handling policies and best practices.
- Collaborate with in-house and outside counsel to develop, maintain and update technical guidance materials to ensure adjusters handling of claims remains in compliance with federal and state regulations.
- Coordinate with Claims Directors to track and ensure proper adjuster licenses are acquired, tracked and maintained for adjusters as required in each jurisdiction that claims are handled.
- Review and update form letters and releases to ensure they are in compliance with state requirements and are properly worded and formatted.
- Develop and deliver in partnership with in-house and outside counsel, claims adjuster training and claims training materials related to compliance and coverage matters.
- Handles Medicare compliance related issues and reporting.
- Serve as liaison with in-house counsel on Departments of Insurance (DOI) matters to ensure timely reporting for compliance with governmental and regulatory agencies.
- Develop and implement Claims onboarding process for new hires; collaborate with leaders to create new hire onboarding training schedule and identify needed resources.
- Participate in business projects to achieve desired business objectives. Assist in coordinating and prioritizing various aspects of the project, including planning, communication, execution and completion.
What you need to have:
- 10 years of insurance or coverage related work; or an equivalent combination of education and experience. Experience in multiple lines of business such as Property, General Liability, Auto, Workers Compensation is preferred.
- Ability to perform legal research and provide information in easily understandable format.
- Strong understanding of coverage forms.
- Excellent communication skills to work with internal and external business partners, including strong presentation skills.
- Proficient with Microsoft Word, Excel, Outlook and PowerPoint.
What makes you stand out:
- Knowledge of Medicare Secondary Compliance guidelines
- Commercial Casualty Claims experience
- Ability to assess training needs and objectives; teaching and facilitation skills.
- Completion of or working toward AINS, AIC, CPCU or similar designation.
- Claims Adjusting licenses preferred but not required.
We 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.
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 not Offered for this Role
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