Senior Claims Specialist – Professional Liability

Claims SpecialistClaims SpecialistFull TimeRemoteTeam 10,001+H1B SponsorCompany SiteLinkedIn

Location

Massachusetts

Posted

28 days ago

Salary

$110K - $115K / year

Bachelor Degree6 yrs expEnglish

Job Description

• To analyze complex errors and omissions, directors and officers claims • To provide resolution of highly complex nature and/or severe injury claims • To coordinate case management within Company standards, industry best practices and specific client service requirements • To manage the total claim costs while providing high levels of customer service • Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions. • Negotiates claim settlement up to designated authority level. • Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life. • Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement. • Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines. • Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients. • Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost. • Represents Company in depositions, mediations, and trial monitoring as needed. • Communicates claim activity and processing with the client; maintains professional client relationships. • Ensures claim files are properly documented and claims coding is correct. • Refers cases as appropriate to supervisor and management. • Delegates work and mentors assigned staff.

Job Requirements

  • Bachelor's degree from an accredited college or university preferred.
  • Licenses as required.
  • Professional certification as applicable to line of business preferred.
  • Six (6) years of claims management experience or equivalent combination of education and experience required.

Benefits

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

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