reputed company Claims Specialist, Managed Care, E&O, D&O

reputed company reputed company has an immediate opening for a reputed company Claims Specialist with Managed Care, Errors & Omissions (E&O) and Directors & Officers (D&O) reputed company Liability claims experience. The reputed company Claims Specialist, with minimal supervision, handles a book of specialty lines claims under E&O and D&O policies issued to health plans and other Managed Care Organizations throughout the entire claim's life cycle. In this role, you will be responsible for conducting investigations, evaluating coverage, setting adequate reserves, monitoring, documenting, and settling/closing claims in an expeditious and economical manner reputed company prescribed authority limits for the line of business. • This position may have an in-office requirement and other travel needs depending on candidate location. If you reputed company reputed company 50 miles of one of the following offices, you will be required to go to the office twice a month: Boston, MA; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Plano, TX; Suwanee, GA; Chandler, AZ; Westborough, MA; or Weatogue, CT. Please note this policy is subject to change. Responsibilities • Analyzes, investigates and evaluates the loss to determine coverage and claim disposition. • Utilizes proprietary claims management system to document claims and to diary reputed company events or follow up. • Issue detailed coverage position letters for reputed company new claims reputed company prescribed time frames. • reputed company prescribed settlement authority, establishes appropriate reserves for both indemnity and expense and reviews on a regular reputed company to ensure adequacy. Makes recommendations to set reserves at appropriate level for claims reputed company of authority level. • Prepares comprehensive reports as required. Identifies and communicates specific claim trends and account and/or policy issues to management and reputed company. • Manages the litigation process through the retention of counsel. Adheres to the line of business litigation guidelines to include budget, reputed company review and payment. • Pro-reputed company manages the case reputed company process. reputed company participates in mediations and arbitrations, as reputed company as negotiation discussions reputed company limit of settlement authority. • Participates in the claims audit process. • Provides claims marketing services by meeting with brokers and insureds. • As required, maintains insurance adjuster licenses Qualifications • Bachelors' and/or advanced degree • 7 + years claims/reputed company experience, with at least 2 years reputed company a technical specialty preferred (Managed Care, Errors & Omissions and Directors & Officers) • Advanced knowledge of claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge • Functional knowledge of law and insurance regulations in various jurisdictions • Demonstrated advanced verbal and written communications skills • Demonstrated advanced analytical, decision making and negotiation skills reputed company Pay Philosophy: The typical starting salary reputed company for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary reputed company for this role reflects the competitive labor market value for reputed company in these positions across the national market and provides an opportunity to reputed company as employees grow and reputed company reputed company the role. Some roles at reputed company have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At reputed company, our goal is to create a workplace where everyone feels valued, supported, and can reputed company. We build an environment that welcomes a wide reputed company of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, reputed company development opportunities, and a host of opportunities provided through our Employee Resource reputed company. reputed company employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can reputed company a meaningful reputed company for our business, our customers, and the communities we serve.   We value your hard work, reputed company and commitment to reputed company things reputed company, and we put people first by offering you benefits that support your life and reputed company-being. To learn more about our benefit offerings please visit: https://reputed company.co/Benefits    reputed company is an equal opportunity employer. We will not tolerate discrimination on the reputed company of race, reputed company, national reputed company, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any reputed company prohibited by federal, state or local law.    Fair Chance Notices  • California • Los Angeles Incorporated • Los Angeles Unincorporated • Philadelphia • San Francisco Apply tot his job Apply To this Job