About Get Covered LLC We provide cost-effective coverage with just a few clicks — satisfying residents, property managers, agencies, and distribution partners with a process that is as simple and touchless as possible. About the role • As the Director of Claims, you will play a pivotal role in overseeing and directing the claims management process for our Master Policy TLL and Contents Claims. You will be responsible for leading a team of claims adjusters, ensuring compliance with regulations, and handling complex claims and disputes. This position requires a blend of leadership skills, extensive claims adjustment experience, and a deep understanding of claims regulations and processes. What you'll do • Leadership and Team Management: • • Lead, mentor, and manage a team of claims adjusters handling Master Policy TLL and Contents Claims. • Foster a collaborative and high-performance work environment. • Provide ongoing training and development opportunities to team members. • Claims Management: • • Oversee the adjustment, processing, and resolution of complex claims. • Ensure all claims are handled in accordance with regulatory requirements and company policies. • Review and approve claims decisions and settlements. • Regulatory Compliance: • • Maintain a strong understanding of claims regulations, including notices, payments, and processing. • Ensure compliance with state and federal regulations and guidelines. • Stay updated on changes in regulations and implement necessary adjustments to procedures. • Dispute Resolution: • • Handle complex claim disputes and escalate issues as necessary. • Manage DOI complaints, ensuring timely and effective resolution. • Represent the company in depositions and other legal proceedings as required. • Department Development: • • Develop and implement strategies to improve departmental efficiency and effectiveness. • Build and maintain strong relationships with external partners and stakeholders. • Analyze and report on claims trends, performance metrics, and opportunities for improvement. Qualifications • Bachelor’s degree in Business Administration, Insurance, Risk Management, or a related field; advanced degree or professional certifications (e.g., CPCU, AIC) preferred. • Minimum of 7-10 years of experience in claims adjustment, with at least 3-5 years in a managerial role. Experience may be substituted for education requirements. • Demonstrated experience managing a team of claims adjusters. • Strong understanding of claims regulations, notices, payments, and processing. • Proven track record in handling claim disputes, DOI complaints, and legal depositions. • Excellent leadership, communication, and interpersonal skills.