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Coverys

Coverys provides medical professional liability insurance, data analytics, risk management, and more.

Claim Consultant

ConsultantConsultantFull TimeRemoteSeniorTeam 501-1,000Since 2010H1B No SponsorCompany SiteLinkedIn

Location

Connecticut + 4 moreAll locations: Connecticut, New Hampshire, Massachusetts, Rhode Island, Vermont

Posted

6 days ago

Salary

$103K - $140K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

• Provides complete claim loss services for policyholders • Investigates, evaluates, and disposes of MPL and General Liability claims • Interviews insureds, claimants, witnesses, and other parties to obtain information • Documents file regarding results of investigation and negotiations • Prepares reports for timely file documentation • Secures records for investigation and evaluation of cases • Determines and implements negotiation strategy • Adjusts reserves and makes recommendations to Manager/Director • Evaluates cases for appropriate disposition • Monitors activities of defense counsel • Analyzes losses to determine if insurance coverage applies • Maintains working knowledge of policy forms • Performs other duties as assigned

Job Requirements

  • Bachelor's degree from four-year college or university
  • R.N. or J.D. preferred with 5 years’ experience in clinical nursing and/or 5 years claims experience dealing with serious bodily injury
  • Insurance adjuster's license may be required for specific states
  • Knowledge of medical, legal and insurance terminology
  • Must hold a current driver's license
  • Strong written and oral communication skills
  • Training in contract/policy review and application
  • Ability to read, analyze, and interpret insurance policy coverage forms
  • Ability to write reports, business correspondence, and technical case summaries
  • Proficient with Microsoft Word, Excel, and PowerPoint

Benefits

  • Benefits package available day 1 of employment
  • Opportunities to get involved in local communities
  • Directed donations and company matching for personal initiatives

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