Introduction


Overview

Jurisdictions: Open to any

Licenses: must be willing to obtain all licenses stated by manager within specified timeframe

Location: This role is eligible for fully remote work.

How you'll make an impact

• Analyzes coverage and settles moderately complex claims in one or more of Gallagher Bassett's specialty claims areas (Senior Living).
• Generally, incumbent does not work on workers compensation claims.
• Able to manage the full-life cycle of all assigned claims files.
• Analyzes coverage and determines defense obligations.
• Under minimal supervision, conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans.
• Creates reservation of rights and coverage denial letters.
• Negotiates settlements with clients, client attorneys, and Public Adjusters.
• Interacts extensively with various parties involved in the claims process, and may recommend retaining the advice of outside experts as necessary.
• Prepares reserve and settlement authority requests for client and carrier approval.
• May act as a client advocate with carriers to ensure proper claims handling, including any necessary scoping, estimating, and addressing of coverage.
• Has a solid understanding of claims processing and the insurance brokerage business.
• Has a basic understanding of the terminology and case law associated with their specialized claims niche/industry.
•  Handles claims consistent with clients' and corporate policies, procedures and best practices and also in accordance with any statutory, regulatory and ethical requirements.
• Incumbents at this level should be able to work at full case load capacity.

About You

Potential candidates should have the following:

• Claims Background: Senior Living Professional Liability Claims
• Jurisdictional Experience: Open to any
• Active Adjusters' licenses: must be willing to obtain all licenses stated by manager within specified timeframe

Required:

 

• High school diploma and 5 years related claims experience required.
• Prior experience working within the applicable specialty claims area or demonstrated ability to handle unique/challenging claims issues.
• Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements.
• Knowledge of accepted industry standards and practices.
• Computer experience with related claims and business software.

 

Preferred:

• Bachelor's Degree with Law Degree (JD) highly preferred.
• 5+ years of prior experience adjusting claims in applicable specialty area preferred.

Behaviors:

•  Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
• Analytical skill necessary to make decisions and resolve issues inherent in handling of claims.
• Ability to successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation. 

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