Abrar Admin

Church Mutual Insurance Company

<div><p><b>BASIC PURPOSE:</b></p>
<p>
</p><p>Serve as technical advisor to the Claims Department with a focus on Casualty claims. Provide technical guidance and strategic oversight to claim handlers, claim leaders, and Corporate Management as appropriate, on claim files with large financial exposure or complex liability or coverage issues. Collaborate with file handlers, managers and management to ensure that large loss exposures are investigated, evaluated, reserved, discussed internally and resolved proactively thorough investigation, exposure analysis, establishment of timely reserves, development and implementation of claim handling, resolution strategies, and partnership with all stakeholders for the best total claim outcome. Ensure appropriate claim files are managed, selected, and prepared for resolution, hearing, trial, or other settlement forums. Identify and assist in preparing and delivering key technical training programs to Claims staff. This position does not have responsibilities in connection with Workers Compensation or Property claims.
</p><p></p><p><b>PRIMARY JOB RESPONSIBILITIES:</b></p>
<p>
</p><ul><li>Collaboration with supervisors/managers/directors may include the following:
</li><li>Consultation in connection with staffing decisions, to include interviewing and onboarding for new employees.</li>
<li>Training and development, as well as coaching for staff.</li>
<li>Performance management, goal setting, and employee engagement.
</li><li>Provide file handling guidance, direction, and resolution strategy on complex cases that exceed claim handler authority in full alignment with achieving outcome accuracy, adherence to jurisdictional compliance requirements, and support execution of all department best practices.</li>
<li>Provide internal claims coverage analysis on all CM Group policy forms, including CM Group subsidiaries. Manage complex referrals and coordinate with Corporate Legal and the Claims Department as needed.</li>
<li>Collaborate with file handlers, managers and co-directors to assure large exposures are thoroughly and timely prepared for roundtable presentations.
</li><li>Review and report on large exposure claims heading to trial including results.
</li><li>Provide analysis and opinions regarding state legal issues impacting claim analysis (e.g., potential risk transfer, joint and several liability, charitable immunity, wrongful death, and specific venue-based issues).</li>
<li>Partner with Claims Management, Claims Technical Coach, and Learning and Development to provide technical claims training, as well as jurisdictional specific training that is in full alignment with the department training plan and strategy.</li>
<li>Conduct technical file reviews of the department's most complex cases, aged pending cases, or other files as requested.</li>
<li>Partner with Claims audit staff to ensure alignment and consistent execution of best practices and identification of additional training needs.</li>
<li>Advise and mentor Claims staff concerning the proactive investigation, evaluation, or negotiation of complex claim files.</li>
<li>Review and approve complex coverage denials and reservation of rights letters.</li>
<li>Ensure all cases that will be tried, go to a state hearing process, or other form of settlement or dispute resolution, are properly selected and prepared prior to the initiation of this process. This includes following best practices, ensuring cases are properly reserved, and all communication protocols have been followed.</li>
<li>Consult on compensability decisions and provides technical input and strategic recommendations during case reserving, settlement authority and pretrial roundtables/conferences, with follow-up communications to senior management as appropriate.</li>
<li>Ensure proper execution and utilization of all applicable loss mitigation, cost containment, and litigation management strategies.</li>
<li>Coordinate with Claims Legal in maintaining the outside panel counsel list, adding or removing firms as necessary for corporate needs and identifying firm specialty practices. Monitor and evaluate firm performance. Negotiate rates with the law firms and cause updated rates to be reflected in Legal Exchange.</li>
<li>Assist in the improvement of metrics utilized to track counsel/firm performance.</li>
<li>Assist Claims Legal with claim related litigation or direct corporate litigation, including extra contractual claims, E&amp;O claims, and other litigation as directed by Church Mutual General Counsel.</li>
<li>Serve as a liaison for communication between outside counsel and in house clients, as required, to resolve issues between counsel and staff or billing issues.</li>
<li>Serve as a legal resource for input to other corporate departments, such as Product and Underwriting, regarding language of coverage forms.</li>
<li>Communicate with internal business units, such as Product and Underwriting, concerning developing legal issues that could impact insurance exposures.</li>
<li>Make recommendations on claims handling policy and procedures, and drive claim initiatives related to the position's primary responsibilities.</li>
<li>Stay current with key changes in the legal and regulatory environment.</li>
<li>Monitor Legal Exchange regarding cost effectiveness of bill reviews and firm compliance with billing guidelines. Resolve bill appeal issues with law firms as needed.</li>
<li>Other duties as assigned by VP -Claim, AVP-Claim and SVP - Secretary and General Counsel.</li>
</ul>
<p></p><p><b>QUALIFICATIONS:</b></p>
<p>
</p><ul><li>Juris Doctorate degree from an accredited law school is preferred along with a license to practice law.
</li><li>10+ years of experience handling and/or oversight of commercial casualty large loss claims and litigation.
</li><li>5+ years evaluating commercial casualty coverage issues, with experience in general liability, commercial auto, professional; and management liability (EPL &amp; D&amp;O) preferred.
</li><li>3+ years supervisory experience preferred
</li><li>Experience working with and executing loss mitigations, cost containment strategies, and resources is preferred.</li>
<li>Senior level knowledge of the theories, principles, practices, and procedures of claim handling, federal and state regulatory/compliance matters, and litigation management within an insurance environment.</li>
<li>Excellent technical and product specific expertise, claims resolution skill, and knowledge of insurance and claims principles, practices, and procedures.</li>
<li>Excellent verbal and written communication and presentation skills. Excellent negotiation, consultative, and facilitation skills.</li>
<li>Ability to effectively partner, collaborate, and communicate with all internal and external business partners.</li>
<li>Ability to exercise independent judgment and to work with and maintain confidential and sensitive information.</li>
<li>Excellent analytical and problem-solving skills, and senior level skill in managing ambiguous situations and issues.</li>
<li>Creativity in resolving unique and challenging business problems.</li>
<li>Proven ability to take a proactive long-term view of business goals and objectives in order to achieve strategic business results.</li>
<li>Experience with legal case and spend management systems desirable.</li>
<li>Strong knowledge of insurance products and services.</li>
<li>Demonstrated leadership and team building skills.</li>
<li>Demonstrated ability to function at varied levels, including &quot;hands on&quot; detail work and higher-level strategic thinking.</li>
</ul>
<p></p><p><b>WORK ENVIRONMENT:</b></p>
<p>
</p><ul><li>Office environment.</li>
<li>Some travel is required.</li>
</ul>
<p></p><p>NOTE: This job description in no way states or implies that these are the only duties performed by this employee. Employees may be requested to perform job-related tasks other than those specifically presented in this job description. The employer reserves the right to change or assign other duties to this position.</p>
<p>
</p><p>The CM Group is made up of Church Mutual Insurance Company, S.I., CM Regent Insurance Company, CM Vantage Specialty Insurance Company and CM Select Insurance Company.</p>
<p>
</p><p>#LI-Remote</p><br>
<br>
Compensation: 146,300 to 219,500</div>

Director - Technical Claims

<div><div>What you'll be doing:<br>
In accordance with application of state and federal laws and company best practices, handle low to moderate value claims within an assigned line of coverage, such as medical payments, short duration indemnity, minor auto physical damage, property damage, business personal property, and low exposure bodily injury claims. Gather and review claim information, determine coverage, and conduct investigation. Initiate and maintain customer contact to provide updates and resolve any issues with the claim. Update information in the claim system to document claim handling activities. Determine/set reserves and make payments within level of authority. Investigate and refer identified claims to Loss Recovery Services, as applicable.</div>
<div></div><div>On any given day, you'll:</div>
<ul><li>Perform claim tasks timely and document claim files appropriately. Proactively manage claim activities to ensure fair claim resolution. Handle all claims in accordance with state and federal laws.</li>
<li>Verify coverage by gathering adequate information necessary to make an informed decision in a fair, equitable, and ethical manner. Review and approve probable denials with supervisor.</li>
<li>Perform a thorough investigation and obtain pertinent file documentation (i.e., police report, medical records, estimates, photos, etc.). Upon completion of the investigation, analyze and evaluate the potential exposure and damages, and formulate and document an action plan.</li>
<li>Determine and set reserves based on the most probable outcome of the claim, within authority level. Make complete, accurate, and timely payments within authority for covered losses. Refer claims above authority to appropriate team member for review and potential reassignment.</li>
<li>Maintain a professional, courteous, and helpful approach when communicating in-person, on the phone, or through email and other correspondence with internal and external customers and business partners.</li>
<li>Recognize when vendor partners are required on a claim. Assign and direct vendors, as needed, to aid in the investigation and evaluation of the claim. Manage claim expense by concluding vendor assignment when vendor is no longer adding value to the claim.</li>
<li>Investigate and refer identified claims to Loss Recovery Services, as applicable.</li>
<li>Completes all other assigned duties, as requested.</li>
</ul><div></div><div>Here's what we expect:</div>
<ul><li>One to two years of insurance or related experience is required.</li>
</ul><div>Education:</div>
<ul><li>Associate or bachelor's degree preferred. A combination of equivalent education and/or experience may be considered in lieu of a degree.</li>
<li>Additional training in insurance, medical, and/or building terminology knowledge is desirable.</li>
<li>Completion of courses in any one or more of the following designations, INS, AIC, or CPCU, is preferred.</li>
</ul><div>Necessary Knowledge and Abilities:</div>
<ul><li>Ability to obtain and maintain state adjusting license requirements and complete continuing education requirements.</li>
<li>Evidence of ability to think independently.</li>
<li>Strong listening, verbal, and written communication skills.</li>
<li>Basic knowledge of policy terminology and legal principles involving at least one or more of the following: insurance, automobile, medical, and property claims.</li>
</ul>
<div></div><div><br>
Church Mutual is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.</div>
<div>
</div><div></div><div><br>
Exact compensation will vary based on consideration of a variety of factors including education, skills, experience, and location.</div>
<br>
Compensation: 52,600 to 78,800</div>

Claim Representative I

<div><div>What you'll be doing:<br>
Provide timely and accurate response to assigned internal and external customers to include service requests from producers, agencies, CM Group subsidiaries, and others to support the retention of business. Collaborate with underwriters to establish target dates and communicate coverage limitation issues. Assist in reviewing applications received for completeness and request missing information from producer. Responsibilities to include account set up, quoting, proposals, policy issuance, policy administration requests, and account service. Document and maintain unit processes and procedures and disseminate information to the applicable team.</div>
<div></div><div>On any given day, you'll:</div>
<ul><li>Develop relationships and work within team and across departments to ensure customer tasks are completed and customer response expectations are achieved.</li>
<li>Ensure proper initiation and completion of quote requests, including the completion of proposals.</li>
<li>Initiate and facilitate renewal process in collaboration with underwriter and timely, professional communication with producer.</li>
<li>Analyze and approve or reject endorsement transactions within binding authority.</li>
<li>Assist in resolving customer service issues.</li>
<li>Complete the clearance process (all channels).</li>
<li>Ensure proper initiation and completion of incoming requests for policy issuance and policy administration.</li>
<li>Identify areas for improvement with recommendations for process, procedure, or system changes.</li>
<li>Complete reports for producer productivity, quality, customer response, and customer satisfaction metrics.</li>
<li>Complete reports, audits, and tasks, as needed, to identify individual and team results and report to management. Communicate results with identified assigned producers, agents, or customers.</li>
<li>Implement processes to determine customer satisfaction for producer team tasks and responsibilities.</li>
</ul><div></div><div>Here's what we expect:</div>
<ul><li>High school diploma or equivalent is required. Additional post‑secondary education is preferred.</li>
<li>Minimum of two years of property/casualty insurance background is required. Post‑secondary education may waive this requirement.</li>
<li>Completion of insurance courses, such as INS, AU, or CPCU, is desirable.</li>
<li>Knowledge of company services, products, and structure is desirable.</li>
<li>Organizational and interpersonal skills to set priorities, manage time, and be responsive to assigned customers.</li>
<li>Excellent interpersonal skills necessary to perform in a fast‑paced environment, handling multiple priorities and high‑profile customers.</li>
<li>Demonstrated ability to professionally communicate and collaborate with internal staff and external customers.</li>
<li>Demonstrated desire and commitment to continually learn and strengthen knowledge, accept new challenges, and strive for personal improvement/growth.</li>
<li>Ability to maintain confidentiality.</li>
</ul><div></div><div>Church Mutual is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.</div>
<div>
</div><div></div><div><br>
Exact compensation will vary based on consideration of a variety of factors including education, skills, experience, and location.</div>
<br>
Compensation: 23.00 to 32.20</div>

Underwriting Support Specialist, Religious

<div><div><p><b>BASIC PURPOSE:</b></p>
<p>
</p><p>Responsible for handling large, complex casualty claim files, including litigated matters, umbrella claims and severe injury claims, in accordance with applicable state and federal laws. Set reserves and settle claims within level of authority. Direct work of defense attorney. Actively share knowledge with team members, contribute to training programs, and mentor other claim representatives.</p>
<p>
</p><p><b>PRIMARY JOB RESPONSIBILITIES:</b></p>
<p>
</p><ul><li>Perform claim tasks timely and document claim files appropriately. Proactively manage claim activities to ensure fair claim resolution. Handle all claims in accordance with state and federal laws.</li>
<li>Make complex coverage decisions by gathering information necessary to make an informed decision in a fair, equitable, and ethical manner. Deny losses within authority level, providing detailed explanation, citing facts, and policy language.</li>
<li>Perform a thorough investigation based upon the type, complexity, and severity of the claim. Inspect loss sites as necessary. Upon completion of the investigation, analyze and evaluate the potential high exposure and extensive damages, including potential full or partial liability and compensability denials. Formulate and document an action plan based on the covered damages and injuries.</li>
<li>Determine and set reserves based on the most probable outcome of the claim, within authority level. Evaluate and negotiate directly with insured, claimant, or claimant's attorney on all cases within authority level. Review claim facts and exposure with claims management, as appropriate, to guide claim strategy. Make complete, accurate, and timely payments within authority for covered losses.</li>
<li>Maintain a professional, courteous, and helpful approach when communicating in person, on the phone, through email, and other correspondence with internal and external customers, business partners, and brokers.</li>
<li>Provide knowledge and guidance to other claim handlers regarding claim strategy, coverage interpretations, and in-depth jurisdictional and legal nuances. Field questions from team members related to coverage/compensability decisions.</li>
<li>Investigate and refer identified claims to loss recovery services, as applicable.</li>
<li>Direct work of defense attorney through collaboration on claim strategy and resolution. Ensure defense attorney is adhering to litigation management guidelines. Manage claim expense by concluding vendor assignment when vendor is no longer adding value to the claim.</li>
<li>Engage in direct investigation, control, and settlement negotiations when outside adjusting and legal services are not necessary or available.</li>
<li>Attend mediations, depositions, and trials. Present complex claim files during roundtables and claims committee meetings.</li>
</ul>
<p></p><p><b>QUALIFICATIONS:</b></p>
<p>
</p><ul><li>Bachelor's degree preferred. A combination of equivalent education and/or experience may be considered in lieu of a degree.</li>
<li>General Liability and/or Professional Liability experience preferred</li>
<li>Adjusters must obtain and maintain a valid license and demonstrate compliance with continuing education requirements.</li>
<li>Completion of AIC and/or CPCU is preferred.</li>
<li>Minimum of eight years in technical insurance claim roles with increasing responsibilities is required.</li>
<li>Ability to obtain and maintain state adjusting license requirements and complete continuing education requirements.</li>
<li>Advanced negotiation skills.</li>
<li>Strong listening, verbal, and written communication skills.</li>
<li>Advanced knowledge of policy terminology, legal principles involving insurance, and emerging industry trends.</li>
<li>Effective planning and organization skills.</li>
<li>Ability to travel to attend mediations and trials, etc.</li>
</ul>
<p></p><p><b>WORK ENVIRONMENT:</b></p>
<p>
</p><p>Professional office environment.</p>
<p>
</p><p></p><p>NOTE: This job description in no way states or implies that these are the only duties performed by this employee. Employees may be requested to perform job-related tasks other than those specifically presented in this job description. The employer reserves the right to change or assign other duties to this position.</p>
<p>
</p><p>The CM Group is made up of Church Mutual Insurance Company, S.I., CM Regent Insurance Company, CM Vantage Specialty Insurance Company and CM Select Insurance Company.</p>
</div>
<div></div><div>#LI-Remote</div>
<br>
Compensation: 84,600 to 126,900</div>

Technical Claim Specialist

Join Church Mutual Insurance Company and explore 4   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Church Mutual Insurance Company

About Company

Director - Technical Claims

Claim Representative I

Underwriting Support Specialist, Religious

Technical Claim Specialist