Vice President-Claims

BITCO Corporation, headquartered in Davenport, IA, is currently seeking an Assistant Vice President, Workers' Compensation to join our Corporate Office in Davenport, IA. With a strong national presence including 11 branch offices, BITCO delivers tailored insurance services to specialized industries including construction, forest products and oil & gas.

This position is eligible for a hybrid work arrangement with occasional necessary business travel to BITCO office locations.

 

Position Summary:

 

The Assistant Vice President, Workers' Compensation Claims will provide technical oversight of our Workers' Compensation claims, ensuring appropriate handling of claims with efficient and effective management of claims processes. This role involves technical supervision and oversight of all workers' compensation claim related matters.  In addition, the AVP will play a critical role in driving strategic initiatives, managing risk exposure, and cultivating a culture of excellence and accountability within the Claims department.

 

Primary Responsibilities:

• Provide leadership and direction to claims staff, overseeing the handling of workers' compensation claims including resource allocation, and workflow management. Implement best practices and processes to optimize claims handling efficiency and quality.
• Directs and supervises highly complex workers' compensation claims.
• Supervises and participates in the direction of assigned claims team to meet the needs of internal and external customers.
• Reviews, analyzes, and interprets policy conditions, exclusions and endorsements to resolve complicated coverage issues and/or highly complex workers' compensation claims.
• Reviews and evaluates claim reserves to ensure that every claim reserve properly reflects the potential exposure.
• Supervises the preparation and submission of workers' compensation reinsurance reporting
• Directs team members and may be consulted regarding the retention of outside counsel or experts to properly investigate claims and secure necessary information and evidentiary materials to allow us to properly evaluate compensability, coverage and other legal issues.
• Ensures team members are providing proper documentation of claim investigations and claims handling activities.
• Manage and oversee workers' compensation EDI reporting for all jurisdictions
• Provides direction and authority to Regional Claims staff to negotiate, settle, and resolve claims with attorneys, claimants and insureds; ensuring appropriate claims resolution documents are secured.
• Maintains a very diverse knowledge of workers' compensation regulatory and jurisdictional requirements
• Coordinates with management to ensure proper assignment to claims team to persons who have the appropriate skills, abilities and interests to perform all the job responsibilities.
• Establish workers' compensation performance measures and metrics to evaluate Claims department performance.
• Provides oversight and ensures compliance with Centers for Medicare & Medicaid Services secondary payer statue and mandatory Section 111 reporting
• Coordinates with and assists claims management in carrying out personnel and salary administration involving persons under their supervision.
• Provides appropriate workers' compensation training for assigned claims team.
• As a management representative, consistently acts in the best interest of BITCO and provides leadership and communication to actively promote BITCO's mission, values, and culture.
• Perform other duties and special projects as assigned.

 

Qualifications:

• Bachelor's degree in business, insurance or related field
• 10+ years of claims experience in the following areas:
• Commercial Workers' Compensation
• Complex Coverage – proficient in managing and analyzing complex workers' compensation coverage issues and providing clear and accurate direction to claims staff accordingly
• Claims Administration – analysis of losses, reports, reserves, compliance, laws, and procedures within many different workers' compensation jurisdictions, providing clear and accurate direction to Claims staff to meet best practices and company gui