Director of Claims

Anticipated Salary: $100,000.00 - $110,000.00 per year

Closing Date: September 20, 2024

About Us

The Division of Rehabilitation and Liquidation (Division) is one of 13 divisions within the Florida Department of Financial Services. (Department) It serves as the Receiver of insurance companies that are placed in receivership, primarily for purposes of rehabilitation or liquidation. Under an order of rehabilitation, the Receiver seeks to remedy the problems that resulted in the company being placed into rehabilitation. In liquidation, the Receiver collects all assets of the company and ultimately distributes the available assets to claimants under a statutory prioritization. In both instances, the Receiver is responsible for conducting business on behalf of the company that has been placed in receivership. This process entails providing an array of services which include Accounting, Claims, Legal, Information Technology, Asset Recovery, and Administrative Services functions.

Position Summary:

The Division is seeking a Director of Claims. This position plans, directs, and coordinates the activities of the Claims Section. The Director of Claims is a full-time position that physically reports to our Tallahassee office. The duties and responsibilities include:

• Direct and lead a team of Claims professionals who are responsible for claims evaluations, processing, and the administration of claims support services for insurance companies in receivership.
• Manage onsite activities of the Claims team by coordinating the control of claims operations of insurance companies placed in receivership and performing an evaluation of Claims programs and procedures during the initial stages of receivership. This may also include serving as a member of estate teams.
• Oversee the analysis, coordination, and execution of claims adjudication, projects, support services, and ongoing receivership resource management.
• Advise Division Administration regarding claims policies and the progress of claims evaluations on each receivership estate.
• Prepares a variety of reports containing claims information for each receivership, the status of claims activities, and receivership checklists that comply with NAIC guidelines and department standards.
• Serve as the representative for claims communications with guaranty associations and other receivers.
• Maintain awareness of any changes to legislation and regulations which pertain to insurance claims, trend analysis and forecasting of receivership data, and make recommendations that would improve the Division’s service to the Department and public.
• Revise and develop policies related to claims for more effective administration of evaluation and processing.
• Partner with key staff to develop strategic and operational plans aimed at achieving efficiencies such that the Claims section can meet critical success goals.
• Develop, implement, and monitor performance objectives and metrics to meet operational goals and comply with regulatory mandates.
• Identify business needs and drive continuous improvement through initiatives that achieve operational efficiencies and integrate best practices for the Claims section.
• Develop and manage a budget for the Claims section.
• Performs contract management functions in support of section needs by overseeing the solicitation and monitoring of provider contracts for Claims, serving as Contract Manager, budgeting and financial management of contracts, providing technical assistance, and completing other program management activities in compliance with policy regulations.

Salary:

The hiring salary for this position is$100,000.00 - $110,000.00 per year.

Minimum Qualifications:

• A bachelor’s degree from an accredited college or university and six years of professional experience in insurance administration, claims, risk management, business administration or a related field, three of which must have been in a supervisory capacity, and possession of a State of Florida ALL Lines Adjuster license or its equivalent issued by another state, or
• A Juris Doctor and three years of experience as described above, two of which must have been in a supervisory capacity.

Special Note: Applicants who do not possess a State of Florida ALL Lines Adjuster License may be considered; however, employment will be contingent upon obtaining the license within twelve (12) months of employment.

Preferences:

Preference may be given to applicants with experience in one or more of the following areas:

• Experience in Receivership or Bankruptcy
• Experience and education in Insurance Law or a legal field

Employment Requirements:

• In compliance with federal law, individuals selected for hire will be required to confirm their identity and eligibility to work in the United States.
• In accordance with Florida Statutes 110.1128, the Division must verify male applicants have registered with the Selective Service System or have proof of registration exemption to be eligible for employment or promotion with the Division. If registration or exemption cannot be verified, male applicants are not eligible for hire. If currently employed by the Division, this law prohibits the promotion of such person. This requirement also applies to any male who has legally or illegally entered the United States. To check the status of your registration, obtain proof of exemption, review requirements for transgender people, or for general information about the Selective Service System, please visit www.sss.gov.

Why Join Our Team?

The vision of the Receiver is to be a recognized and respected leader in the efficient administration of insurance receiverships. To accomplish this goal, the Receiver is comprised of a talented workforce that is dedicated to providing quality service that maximizes value for the public. Joining our team will provide the opportunity to experience the following benefits:

• A welcoming and open environment that fosters a sense of belonging, purpose and innovation.
• Meaningful and challenging work that improves the quality of life for the citizens of Florida.
• Shared values of service, teamwork, excellence, accountability, diversity, innovation and integrity.
• A comprehensive benefit package that includes medical, dental, vision, life and other supplemental insurances, retirement and flexible spending accounts, front-loaded paid time off, and more.
• A culture that supports flexible work schedules, community service and the recognition of employee contributions.
• A commitment to training and development through continuous education and collaboration.

For more information, please visit our website at http://www.myfloridacfo.com/division/receiver/.

How to Apply:

Resumes can be submitted through one of the below methods. The information must be received by the position’s closing date and time.

• Email: [email protected]. Please include the position title in the email subject line.
• Mail or Hand Delivery: 325 John Knox Road, Atrium Building, Suite 101, Tallahassee, Florida 32303.
• If you require an accommodation to participate in the application process due to a disability, please call (850) 413-4546 for assistance.

Equal Opportunity Employer

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Application Question(s):

• Do you have a bachelor’s degree from an accredited college or university and six years of professional experience in insurance administration, claims, risk management, business administration or a related field and three years in a supervisory capacity; OR a Juris Doctor and three years of experience as described above, two of which must have been in a supervisory capacity.
• Do you possess a State of Florida ALL Lines Adjuster license or its equivalent issued by another state? If not, are you willing to obtain the license within twelve (12) months of employment if hired?
• This position physically works 40 hours per week in our Tallahassee office. Are you within reasonable commuting distance from Tallahassee, FL or able to relocate before starting work?
• If employed by our Division, a hybrid work schedule may be requested after six months of employment. Employees who are approved for a hybrid schedule may work remotely one day per week after six months. Are you still interested in applying?
• The Division is an Equal Opportunity Employer; however, we do not sponsor visas if sponsorship is needed. Are you still interested in applying?

Work Location: In person