Claims Examiner – General Liability, BI

Claims SpecialistClaims SpecialistFull TimeRemoteSeniorTeam 10,001+H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

48 days ago

Salary

$85K - $100K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

• Analyze complex or technically difficult general liability claims to determine benefits due • Work with high exposure claims involving litigation and rehabilitation • Ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements • Identify subrogation of claims and negotiate settlements • Manages claims through well-developed action plans to an appropriate and timely resolution • Assesses liability and resolves claims within evaluation • Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim • Manages the litigation process; ensures timely and cost effective claims resolution • Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients • Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner • Communicates claim activity and processing with the claimant and the client; maintains professional client relationships • Ensures claim files are properly documented and claims coding is correct

Job Requirements

  • Bachelor's degree from an accredited college or university preferred
  • Professional certification as applicable to line of business preferred
  • Five (5) years of claims management experience or equivalent combination of education and experience required
  • Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration
  • Excellent oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Analytical and interpretive skills
  • Strong organizational skills
  • Good interpersonal skills
  • Excellent negotiation skills
  • Ability to work in a team environment
  • Ability to meet or exceed Service Expectations

Benefits

  • medical
  • dental
  • vision
  • 401k and matching
  • PTO
  • disability and life insurance
  • employee assistance
  • flexible spending or health savings account
  • other additional voluntary benefits

Related Categories

Related Job Pages

More Claims Specialist Jobs

CHG Healthcare logo

Senior Medical Claims Adjuster

CHG Healthcare

People matter. Especially here.

Claims Specialist48 days ago
Full TimeRemoteTeam 1,001-5,000Since 1984H1B Sponsor

Manage medical professional liability claims as a Sr. Medical Claims Adjuster

Utah
$92.9K - $179.7K / year
RYZE Claim Solutions logo

Construction Defect Claims Examiner

RYZE Claim Solutions

REPUTATIONS MATTER, PEOPLE MATTER, RESULTS MATTER!

Claims Specialist48 days ago
Full TimeRemoteTeam 1,001-5,000

Construction Defect Claims Examiner managing complex claims remotely

Florida
Claims Specialist49 days ago
Full TimeRemote

The Claims Billing Specialist will manage billing operations, ensuring timely claims submissions, compliance, and follow-ups on unpaid claims while collaborating with the Claims team and Product.

Electronic Health Records SystemsNavinetPayer PortalsPayspanProvider One
District Of Columbia + 1 moreAll locations: District Of Columbia, New York
$55K - $75K / year
Full TimeRemoteTeam 10,001+H1B Sponsor

Claims Examiner adjudicating complex general liability claims in a remote setting

United States