Qureos Mentor

Berkley

<div>Company Details:
<div></div><div>
BerkleyNet is an innovative workers compensation insurance provider that does all of our business online. Our Goal? To make doing business &ldquo;Ridiculously Fast. Amazingly Easy.&rdquo;</div>
Responsibilities:
<div>
As a Sr. Claims Specialist, you will be responsible for handling some of our highest exposure and most complex workers&rsquo; compensation claims in your team&rsquo;s assigned jurisdictions. You&rsquo;ll serve as a Subject Matter Expert (SME) for all technical claims handling activities, including regulatory compliance, serve as the primary liaison for key internal and external business partnerships and programs, lead special projects and programs, and lead claims related account management activities for large clients.</div><br>
<div></div><ul><li>
Serves as claims technical Subject Matter Expert (SME) for other claims adjusting staff in assigned jurisdictions</li><li>
Assume full-responsibility of claims related account management activities for our large clients and serve as the Claims liaison and primary point of contact and collaborate closely with Business Development and Underwriting teams to deliver and maintain a high-level service</li><li>
Identify and notify management of any unfavorable trends related to account management</li><li>
Actively work with Business Development and Underwriting teams to monitor loss ratio for assigned accounts</li><li>
Participate in client meetings for training on claims issues and assist with claims service meetings for new accounts as requested</li><li>
Effectively investigate, evaluate, mitigate and resolve a pending inventory of litigated and high exposure workers&rsquo; compensation claims within delegated authority and in accordance with performance standards</li><li>
Promptly notifiy claims management of high-exposure claims and assist in compliance with reinsurance reporting requirements</li><li>
Serve as primary liaison with key internal &amp; external business partners and vendors and actively work to develop maintain, and improve the partnerships and programs</li><li>
Monitor costs and effectiveness of internal and external business partners and vendors</li><li>
Assist claims adjusters and management with the development of claims investigation and resolution action plans</li><li>
Maintain and demonstrate high-level of knowledge of the Workers Compensation Act and Rules and Regulations in assigned jurisdictions</li><li>
Serve as the Subject Matter Expert (SME) and go to person for all technical aspects of claims handling including coverage, disability benefit management, medical management, file management, litigation management, subrogation, reserving and settlement in their assigned jurisdictions</li><li>
Actively participate in the training and development of claims adjusters through mentoring and conducting training for new hires and existing staff</li><li>
Identify and addresses areas for coaching and training needs of claims adjusters and communicates needs with claims management and assists in development of action plans for improvement</li><li>
Coordinate relevant legal training seminars for claims staff in assigned jurisdictions</li><li>
Visibly supports the overall claims adjusting and managed care functions in assigned jurisdictions</li><li>
Assist claims management in monitoring and researching jurisdictional case law and statutory legal trends</li><li>
Communicate case and statutory law and legal trends that impact claims handling</li><li>
Demonstrate the use of tact and discretion in all communications and provides a positive contribution to the morale of the claims department</li><li>
Lead special projects as assigned by senior claims management</li><li>
Continuously strives to improve our product and business results through innovation</li><li>
Obtain and maintain adjuster license in multiple jurisdictions as required</li></ul>
Qualifications:
<ul><li>Minimum of 7-9 years of technical claims handling experience with a heavy emphasis on workers&rsquo; compensation claims in multiple jurisdictions</li><li>
Supervisory experience a plus, but not required</li><li>
Consistently display a high-level of ownership, drive and accountability</li><li>
Acts as an informal leader</li><li>
Excellent written, verbal, interpersonal and relationship building skills</li><li>
Exceptional time management and organization skills</li><li>
Strong insurance business acumen and leadership skills</li><li>
Ability to work independently and strategically problem solve</li><li>
Strong analytical and critical thinking skills</li><li>
Ability to diplomatically manage conflict</li><li>
Ability to develop relationships within the organization and work effectively across departments</li><li>
Strong discretion and integrity in dealing with highly confidential and sensitive information</li><li>
Display a high-degree of attention to detail</li></ul><div></div><div><b><br>
Education Requirement</b></div><ul><li>
Bachelor&rsquo;s degree or equivalent work experience</li><li>
AIC, ARM, CCP or CPCU insurance designation preferred</li></ul>
Additional Company Details: The above job description is not intended to be an &ldquo;all-inclusive&rdquo; list of the duties and responsibilities of the job described, nor is it intended to be such a listing of the skills and abilities required to do the job. Rather, it is intended only to describe the general nature of the job. The Company is an equal employment opportunity employer 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 &bull; Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. - Base Salary Range: $85k-$115k 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. Additional Requirements: Travel Requirements Low to moderate level of travel (up to 10% - 15% of time) Ability to travel nationally to attend legal hearings, conferences, trainings, file reviews, audits and business partner meetings Sponsorship Details: Sponsorship not Offered for this Role</div>

Senior Claims Specialist - California Workers Compensation (Remote)

<div>Company Details:<div></div><div><br>
Rated <b>Best Places to Work 2020, 2022 and 2024</b> by Business Insurance, <b>Continental Western Group</b> is a regional property casualty insurance company offering commercial products and services through independent agents in the Midwest. CWG provides unique value through the service provided by our experienced group of employees and independent agents. Since 1886 - Strong, Local and Trusted.</div><div></div><div><br>
As a Berkley company, we enjoy operational flexibility that allows us to deliver quality coverage solutions. <b>W. R. Berkley Corporation</b>, and all member insurance companies, are rated A+ (Superior) by A.M. Best Company and carry Standard &amp; Poor&rsquo;s Financial Rating of A+ (Strong).</div><div></div><div><b><br>
This role will be based in one of our two offices where we offer a hybrid work schedule with four days in the office; and one day remote where it makes sense to do so. This position is not a remote opportunity.</b></div><ul><li><b>
Urbandale, IA</b></li><li><b>
Lincoln, NE</b></li></ul><div>
The Company is an equal employment opportunity employer. #LI-LD1 #LI-Hybrid</div><br>
<div></div>
Responsibilities:
<div>
As a <b>Commercial Casualty Claims Manager</b>, you will oversee a team of claims professionals, ensuring timely, fair, and compliant resolution of claims. You will play a key role in managing loss costs and loss adjustment expenses, directly supporting our profitability and operational efficiency goals.</div><div></div><div><b><br>
What you can expect:</b></div><ul><li>
Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent.</li><li>
Internal mobility opportunities.</li><li>
Visibility to senior leaders and partnership with cross functional teams.</li><li>
Opportunity to impact change.</li><li>
Benefits &ndash; 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.</li></ul><div><b>
We'll count on you to:</b></div><ul><li>
Train, mentor, and supervise claims unit staff to ensure customer service, file quality and staff productivity objectives are met through adherence to the Claims Best Practices, Guidelines, and Standards. Mentor staff by providing timely and specific feedback to staff.
</li><li>Monitor claim files to evaluate the quality of investigation; coverage analysis; identification of liability/compensability and damages; documentation and reporting; accurate and timely reserving; and goal-oriented action planning. Monitor claim file data quality for accuracy. Provide technical advice and identify coaching opportunities to enhance file quality and individual job performance.</li><li>
Manage loss costs and loss adjustment expenses to support the company business plan objectives related to profitability and expense management. Monitor and drive efficient and cost-effective utilization of outside vendors.</li><li>
Examine files for timely and accurate assessment of damages. Provide technical advice and direction to staff. Partner with other company departments, including Underwriting, Risk Services, Finance, and Actuary, to provide claim-specific reports and other information as appropriate.</li><li>
Perform Quality Audits in compliance with company guidelines to measure quality of file handling. Create and implement effective coaching/training action plans based on results.</li><li>
Contribute to CWG&rsquo;s success by establishing individual staff performance and development goals, measuring results, rewarding achievement, or taking corrective action as needed. Partner with claims unit staff individually to provide direction, support, and monitor career development plans. Identify, develop and implement unit training and department-wide training as appropriate.</li><li>
Participate in Claims-related projects. Provide input to Claims leadership regarding trends and changes in the legal environment and State/jurisdictions.</li><li>
Partner with other company departments including Underwriting, Risk Services, Legal, Finance, and Actuary to provide input regarding trends and changes in Claims environment and to provide training and Claims perspective as appropriate.</li><li>
Perform other related duties as assigned by management.</li></ul><div><b>
Supervisory Responsibilities:</b></div><ul><li>
Directly supervises five to eight casualty claim adjusters.</li><li>
Responsible for the overall direction, coordination, and evaluation of the casualty claims team.</li><li>
Carry out supervisory responsibilities in accordance with the organization's policies and applicable laws.</li><li>
Interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.<br>
</li></ul>
Qualifications:
<div><b>
What you need to have:</b></div><ul><li>
5+ years related claims experience and/or training, or equivalent combination of education and experience. A bachelor&rsquo;s degree is preferred but not required.</li><li>
Ability to travel on an occasional basis and receive communications after businss hours from claims staff.</li><li>
Able to organize, prioritize, and manage multiple tasks in a fast-paced environment; quickly and professionally respond to customer inquiries; effectively manage a project and/or lead a team; lead people and get results through others (on-site and remote staff); communicate effectively with all levels of the organization; and attract, coach and develop talent.</li><li>
Possess strong customer orientation, problem analysis and problem resolution skills, and interpersonal and communication skills, including presentation skills.</li><li>
Regularly and consistently demonstrate a commitment to company values and guiding principles.</li><li>
Proficient with Microsoft Word, Excel, PowerPoint, and Outlook.</li><li>
Valid driver&rsquo;s license for travel.</li></ul><div><b>
What makes you stand out:</b></div><ul><li>
Bachelor&rsquo;s degree in Business Management or Administration.<br>
Previous leadership experience.</li><li>
Complex claims handling experience, including areas such as Construction Defect, Directors &amp; Officers Liability, Toxic Tort, Employers Liabilty, Public Officials Liability and high severity losses.</li><li>
Completion of any of the following; AIC, CPCU, SCLA or similar designation.</li></ul>
Additional Company Details: 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 Details: Sponsorship not Offered for this Role</div>

Manager, Claims

<div>Company Details:
<div></div><div><b>
&quot;Our Company provides a state of predictability which allows brokers and agents to act with confidence.&quot;</b></div><div></div><div><br>
Founded in 1967, W. R. Berkley Corporation has grown from a small investment management firm into one of the largest commercial lines property and casualty insurers in the United States.</div><div></div><div><br>
Along the way, we&rsquo;ve been listed on the New York Stock Exchange, become a Fortune 500 Company, joined the S&amp;P 500, and seen our gross written premiums exceed $10 billion.</div><div></div><div><br>
Today the Berkley brand comprises more than 60+ businesses worldwide and is divided into two segments: Insurance and Reinsurance and Monoline Excess. Led by our Executive Chairman, founder and largest shareholder, William. R. Berkley and our President and Chief Executive Officer, W. Robert Berkley, Jr., W.R. Berkley Corporation is well-positioned to respond to opportunities for future growth.</div><div></div><div><b><br>
The Company is an equal employment opportunity employer.</b></div><br>
<div></div>
Responsibilities:
<div><b>
Job Description:
</b></div><div><div>We are seeking an actuary (nearly or newly FCAS credentialed) or Data Scientist with strong analytical and coding skills to support data pipelines and advanced modeling. This role is suited to someone who is technically strong, comfortable working independently, and able to translate complexity into clear ideas.</div></div><div></div><div><div><br>
The position emphasizes rigorous quantitative thinking, high quality code, and professional judgment over purely mechanical analysis. We seek someone to challenge the status quo and find better ways to solve problems. You will advocate for the application of modern data science and AI approaches.</div></div><div></div><div><b><br>
Key Functions/Duties of Position:
</b></div><ul><li><div>Write production quality code for data wrangling, modeling, and AI-assisted analytical workflows.</div></li><li><div>
Perform deep exploratory analysis to identify problems, trends, and drivers.</div></li><li><div>
Work effectively with data platforms and pipelines designed by data engineers to develop, enhance, and maintain models, focusing on analytical correctness and model integrity.</div></li><li><div>
Design and apply machine learning tools, including accessing large language models (LLMs) or building task-specific agents.</div></li><li><div>
Apply professional skepticism and alternate approaches to thoroughly validate results.</div></li><li><div>
Communicate results effectively to actuarial peers, management, and non-technical audiences.</div></li><li><div>
Understand the different data types and uses of data within an insurance organization.</div></li><li><div>
Provide support and guidance to others who are at earlier stages in their data science or AI journey.</div></li></ul>
Qualifications:
<div><b>
Education Requirement:</b></div><div>
Master's degree in Data Science preferred.</div><div>
Progress toward CAS credentials (ACAS or nearly/newly FCAS or international equivalent).</div><div></div><div><b><br>
Qualifications:</b></div><div>
4-7 years of relevant actuarial, technical, or research experience.</div><div>
Strong programming skills, particularly in Python, including analytical and modeling libraries.</div><div>
Experience applying AI, machine learning, or LLM based tools to solve real data or analytical problems (e.g., building agents, calling model APIs, or integrating AI into analytical workflows).</div><div>
Proficient in probability and statistics. Experience working with large and complex data flows and articulating project plans and conclusions.</div><div>
Proficient with SQL and cloud‑based or distributed data environments (e.g., Snowflake, Databricks, or similar platforms).</div><div>
Strong professional judgment, curiosity, and attention to detail.</div>
Sponsorship Details: Sponsorship not Offered for this Role</div>

Actuary/Data Scientist

<div>Company Details:<div></div><div><b><br>
Carolina Casualty</b> is a member company of <b>W. R. Berkley Corporation</b>, an insurance holding company that is among the largest commercial lines insurance writers in the United States. We specialize in liability, physical damage, cargo and other insurance solutions for the commercial auto markets including trucking, public transportation and others.</div><div></div><div><br>
We maintain some of the lowest claim adjuster pending claim counts in the industry. Our adjusters are part of a culture that emphasizes inclusion, collaboration, innovation, and team. Our culture is one where your work is recognized and appreciated. If you want to contribute to an organization where you matter and where you can make a difference, then search no further.</div><div></div><div><b><br>
The company is an equal opportunity employer.</b></div>
Responsibilities:
<p>
The position is responsible for providing administrative claims support.</p><p></p><p><br>
Key Functions<b><i> </i></b>will include but not be limited to:</p><ul><li>
Ensure external and internal customers have an outstanding experience with the department and deescalate customers who are upset or frustrated</li><li>
Take first notice of loss reports, accurately enter new loss information into the claim system, route the claims for assignment to the correct adjuster</li><li>
Draft and send initial contact letters, gather policy documents, order police reports, coordinate vendor assignments</li><li>
Assist adjusters with SIU referrals, acknowledgement letters, and vendor payments</li><li>
Draft correspondence such as underwriting advisories and client contact letters</li><li>
Maintain data and update Excel Worksheets</li><li>
Process and attach mail/email/faxes/physical evidence into the correct claim files, accurately label and categorize the same</li><li>
Serve as first level of contact for external customer service inquiries</li><li>
Notify business partners by phone/email regarding messages, inquiries and claims issues</li><li>
Request W9 forms from vendors</li><li>
Process expense/invoice payments</li><li>
Post financial transactions such as salvage, subrogation and deductible recoveries to the claim system</li><li>
Prepare check attachments</li><li>
Download claim files to CDs for Attorney and Suit Assignments</li><li>
Transfer data received via CD to the claim system</li><li>
Prepare Attorney Assignment packets for law suits to include specific attachments, file copies, and prepare for mailing</li><li>
Transcribe recorded statements</li><li>
Update/maintain On-Call lists</li><li>
Assist Claim Adjusters with administrative and clerical assignments</li><li>
Perform other duties and/or projects as assigned</li></ul>
Qualifications:
<ul><li>Bachelor's Degree or some college preferred</li><li>Self-motivated and results oriented</li><li>Capable of working with internal and external teams and partners</li><li>Superior customer experience skills</li><li>Positive attitude and professional demeanor</li><li>Strong computer skills, including Excel and Outlook, and the ability to master multiple policy and claims</li></ul>
Additional Company Details: We do not accept any unsolicited resumes from external recruiting agencies or firms. 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 Details: Sponsorship not Offered for this Role</div>

Business Operations Specialist

<div>Company Details:<div></div><div><br>
Berkley Human Services, a Berkley Company, is devoted to meeting the needs of Human Services organizations. Our property and casualty solutions support the unique operational aspects of social service providers nationwide. Since 1989, our program has continued to evolve to support both nonprofit and for-profit organizations including childcare centers, group homes, counseling services, and community-serving associations.</div>
Responsibilities:
<div>
The Business Analyst serves as a strategic and tactical link between business partners and technology teams. This role drives the design, development, enhancement, and implementation of systems and reporting solutions that support organizational goals. The BA provides product and process expertise, leads requirements definition for high‑visibility initiatives, ensures quality and functionality of applications, and advances continuous improvement across business systems.</div><ul><li>
Collaborate with business partners across multiple Operating Units to gather and refine business requirements for system and reporting needs.</li><li>
Develop clear business specifications for application enhancements, system changes, and business reports.</li><li>
Facilitate requirement discussions and support design sessions with business and technology teams.</li><li>
Assist in systems development activities by translating business needs into actionable, well‑defined documentation.</li><li>
Support the implementation of new or updated application systems by coordinating testing, validating functionality, and ensuring business readiness.</li><li>
Analyze business issues and assist in developing system-based solutions to improve workflow or address inefficiencies.</li><li>
Maintain accurate documentation of systems, processes, and program logic for ongoing reference and support.</li><li>
Perform quality assurance reviews to ensure systems, reports, and programs perform as designed; assist with unit testing as needed.</li><li>
Configure and maintain application system tables, ensuring proper setup to support accurate processing.</li><li>
Assist with IT SOX Testing.</li><li>
Generate reports for business partners and provide guidance to users who develop their own reporting outputs.</li><li>
Troubleshoot system or reporting issues, identifying root causes and supporting resolution activities.</li><li>
Provide end‑user training to ensure effective adoption and use of systems and tools.</li></ul><div></div><div><b><i><br>
May perform other functions as assigned</i></b></div>
Qualifications:
<ul><li>3&ndash;5 years of property and casualty (P&amp;C) insurance experience.
</li><li>Minimum of 2 years&rsquo; experience as a Business Analyst.
</li><li>Experience with full lifecycle delivery of technology or reporting solutions.
</li><li>Strong sense of ownership, urgency, and follow‑</li><li>
Ability to work collaboratively with diverse stakeholders and maintain strong working relationships.
</li><li>Excellent oral and written communication skills, with the ability to translate technical information for business audiences.
</li><li>Demonstrated ability to work effectively in a fast‑paced, innovative environment and achieve stretch goals.
</li><li>Ability to independently learn new technologies and adapt to evolving business processes.</li></ul><div><b>
Education:</b></div><ul><li><p>
Bachelor&rsquo;s Degree in a business or information systems related major or equivalent work experience.</p></li></ul>
Additional Company Details: The Company is an equal employment opportunity employer. We do not accept unsolicited resumes from third party recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees including: &bull; Base Salary Range: $75k-$90k &bull; Benefits include Health, dental, vision, dental, life, disability, wellness, paid time off, 401(k) and profit-sharing plans 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. Additional Requirements: Travel: Periodic (1 week every 2 &ndash; 3 months) Sponsorship Details: Sponsorship not Offered for this Role</div>

Business Analyst - Insurance