Job Description
Company Details:
At Berkley Entertainment, our team's industry experience and collaborative approach leads to great client solutions - and this is by design. We are here to assist with customizing products and services that are tailored to respond to each client's unique exposures.
Our business model is focused on you and providing peace of mind - the way we operate, the team we have built, current and planned future products, and the way we interact with clients - will meet or exceed your expectations.
Responsibilities:
The Claims Operations Analyst provides operational analysis and support across the Claims Department. S/he collaborates with Claims leadership to focus on primarily on operational improvements, process engineering, quality assurance control/standards, regulatory compliance and other matters as necessary. Monitors productivity and claims inventory to provide analysis and recommendations to Claims senior leadership. Duties and responsibilities include but are not limited to:
Will drive operations and innovation activities within the Claim Department. Using strong business acumen, oversees operations that connect the Claim Department to the other company disciplines of Underwriting, Business Development, Risk Management, IT, Finance, and overall Company operations. May assist with change management implementations for the Claim Department. Responsible for exploring process improvement and consistency opportunities.
Serves as product owner for claims projects and implementations including development, coordination and presentation of business cases, working with business partners including BEI IT, BTS, other internal departments, and outsourced technology providers.
Plans, directs and executes the company's vision by ensuring best practices are established, shared, utilized and maintained. Recommends refining existing operations to ensure consistent and coordinated outcomes. Ensures that continuous improvement processes are executed to support the achievement of business results and most importantly continued efficiency improvements and appropriate expense management.
Champions innovation through all stages: ideation, experimentation and deployment for claims.
Qualifications:
Bachelor's degree in business insurance or related field.
Minimum of 3-5 years of workers compensation or casualty claims handling experience required.
5+ years' experience in regulatory or compliance related field preferred.
Experience in regulatory compliance specific to workers compensation
Serve as a regulatory subject matter expert to the claims team (Ex. Medicare, EDI)
Effectively manage a project and/or lead a team
Demonstrated leadership skills and ability to indirectly lead people and influence others to achieve results
Excellent verbal and written communication skills, including presentation skills
Works effectively with all levels and can easily build new relationships
Demonstrated critical thinking, problem analysis, and problem resolution skills at both a strategic and functional level
Must be action oriented and have strong drive for results
Organization skills to effectively establish work priorities
Possess strong customer orientation
Able to consistently demonstrate commitment to company values and guiding principles
Proficient with Microsoft Word, Excel, PowerPoint and Outlook
Ability to travel as needed and work outside normal work schedule to fulfill responsibilities