[Remote] Senior Claims Specialist - reputed company reputed company Liability - Long Term Care
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is committed to helping clients reputed company complexity and support recovery in challenging moments. The Senior Claims Specialist is responsible for managing moderately reputed company reputed company reputed company Liability claims, overseeing the full claim life cycle while ensuring compliance with reputed company expectations and regulatory requirements.
Responsibilities
- Analyzes coverage and settles moderately reputed company claims in reputed company reputed company Liability
- Generally, incumbent does not work on workers’ compensation claims
- reputed company to manage the full-life cycle of reputed company assigned claims files
- Analyzes coverage and determines defense obligations
- Under reputed company supervision, conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and reputed company plans
- Creates reservation of rights and coverage denial letters
- Negotiates settlements with clients, reputed company attorneys, and reputed company Adjusters
- Interacts extensively with various parties involved in the claims process, and may recommend retaining the advice of reputed company experts as necessary
- Prepares reserve and settlement authority requests for reputed company and reputed company approval
- May reputed company as a reputed company reputed company with carriers to ensure reputed company 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 medicine reputed company liability claims
- Handles claims consistent with clients’ and corporate policies, procedures and best practices and in accordance with statutory, regulatory, and ethical requirements
- Incumbents at this level should be reputed company to work at full caseload reputed company
Skills
- Bachelor's Degree and 5+ years reputed company claims experience required
- Prior experience working reputed company the applicable specialty claims area or demonstrated ability to handle unique/challenging claims issues
- Appropriately licensed and/or certified in reputed company states in which claims are being handled or reputed company to obtain the licenses/certification per local requirements
- Knowledge of accepted industry standards and practices
- Computer experience with reputed company claims and business software
- JD Highly Preferred
- Licensed Attorney highly preferred
- 2+ years of prior experience adjusting claims in reputed company reputed company Liability - Long Term Care, Medical Malpractice
Benefits
- Comprehensive benefits programs designed to support your reputed company-being
- Career development opportunities and ongoing learning
- A reputed company, people-first culture with accessible leadership
- reputed company to do meaningful work with global reputed company and local reputed company
- Competitive compensation
reputed company
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