Senior Claims Specialist/Claims Technical Director

1 week ago


Tulsa, Oklahoma, United States Great American Insurance Company Full time
Mid-Continent Group underwrites specialty commercial insurance and contract surety products. Mid-Continent Group specializes in general liability, commercial auto, umbrella and inland marine coverages. With a long history of financial strength and stability, Mid-Continent Group is rated "A+" (Superior) by A. M. Best.

Mid-Continent provides a competitive salary with annual salary reviews

Our benefits package includes:

health, dental, vision, life, disability, paid time off, 401(k), retirement plan, employee stock purchase plan and tuition reimbursement, including incentive bonus awards for completion of certification courses.

We are adding an experienced Senior Claims Specialist or Senior Claims Technical Director to our diverse claims team. The position will focus on adjusting losses nationwide and include complex litigated claims.

The preferred candidate will work from one of our downtown corporate locations in Tulsa, Oklahoma or Cincinnati, Ohio on a hybrid work schedule.

Remote opportunities will be considered.

Essential Job Functions and Responsibilities
Manage a book of claims of significant size, complexity, or for a specific line of business

Investigate and maintain claims:
Review and evaluate coverage and liability.
Secure necessary information (i

e:
reports, policies, appraisals, releases, statements, records, or other documents) in the investigation of claims.
Work toward the resolution of claims files, and attend arbitrations, mediations, depositions, or trials as necessary.
Affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority.

Convey the most complex information (coverage, decisions, outcomes, negotiations, etc.) to all appropriate parties maintaining a professional demeanor in all situations.

Ensure that claims payments are issued in a timely and accurate manner.

Ensure compliance of claims handling pursuant to all state, legal, statutory, and regulatory bodies to comply with all company procedures and requirements.

Serve as the technical expert on a product(s) and/or line of business.

Evaluate and make recommendations to executive management on internal and external issues of strategic importance to a product(s) and/or line of business.

Plan for and ensure that budget and performance targets are met.
Provide technical advice to team and other functional areas.
Interact with underwriting and marketing regarding claims trend issues.

May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports.

Perform other duties as assigned.

Job Requirements

Generally, 8 to 12+ years of experience handling mid-six figure and larger general liability and commercial auto losses as well as experience with excess carriers in the marketplace.

A Juris Doctorate Degree is preferred. A Bachelor's degree or equivalent is required.

The successful candidate will be able to demonstrate excellent writing, analysis, communication, and organizational skills to reach resolution of claims.


Company:
MCC Mid-Continent Casualty Company

Benefits:
We offer competitive healthcare, retirement, and paid time off benefits for full-time and part-time benefit eligible employees.
#J-18808-Ljbffr

  • Tulsa, Oklahoma, United States Centene Corporation Full time

    Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Position Purpose:Lead a large scale organization accountable for the accurate, timely and efficient processing of Claims. Set the strategic vision and objectives of the claims...


  • Tulsa, Oklahoma, United States CommunityCare Full time

    JOB SUMMARY:Directs the Data Analytics and Reporting, Actuarial, and Underwriting activities of the Company, including product and bid filing activities. Directs the development and analysis of the financial budget, with particular emphasis on premiums, medical costs and provider reimbursement plans. Directs and manages the analysis of medical, pharmacy, and...


  • Tulsa, Oklahoma, United States CommunityCare Full time

    JOB SUMMARY:Directs the Data Analytics and Reporting, Actuarial, and Underwriting activities of the Company, including product and bid filing activities. Directs the development and analysis of the financial budget, with particular emphasis on premiums, medical costs and provider reimbursement plans. Directs and manages the analysis of medical, pharmacy, and...


  • Tulsa, Oklahoma, United States Ensemble Health Partners Full time

    Thank you for considering a career at Ensemble Health PartnersEnsemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the...

  • Medical Biller

    1 week ago


    Tulsa, Oklahoma, United States Trinity Employment Specialists Full time

    Job DescriptionJob DescriptionMedical Billing & Follow-up Specialist$16-$18/HR, DOE | M-F 7:30am-4pmJob Description• The Billing & Follow-Up Representative reviews, researches, and processes claims in accordance with contracts and policies to determine the extent of liability and entitlement, as well as to adjudicate claims as appropriate.• The Billing &...


  • Tulsa, Oklahoma, United States HNTB Full time

    HNTBProject Controls Specialist I Indianapolis , Indiana Apply Now At HNTB, you can create a career that is meaningful to you while building communities that matter to all of us. For more than a century, we have been delivering solutions for some of the largest, most complex infrastructure projects across the country. With our historic growth, it is an...


  • Tulsa, Oklahoma, United States CommunityCare Full time

    JOB SUMMARY:Responsible for providing technical and customer service support for pharmacy benefits, processing prior authorizations according to CMS and State regulations, and resolving pharmacy related complaints.KEY RESPONSIBILITIES: Telephone support for pharmacies and members related to pharmacy benefits for the HMO product. Provides resolution for...


  • Tulsa, Oklahoma, United States Medefy Health LLC Full time

    Job DescriptionJob DescriptionJob Summary:A Medefy Benefits Navigation Specialist (BNS) is responsible for assisting with the administration, navigation, and explanation of company benefit plans serviced by Medefy. Benefits Navigation Specialists will educate plan members, using email, phone, or the chat app, on their specific benefits plans, answer...


  • Tulsa, Oklahoma, United States Universal Health Services Full time

    Universal Health Services Senior Variance Analyst- East RICHMOND , Virginia Apply Now One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation,...


  • Tulsa, Oklahoma, United States Tulsa Honor Academy Full time

    WHO WE AREAt Tulsa Honor Academy (THA), we are on a mission to equip all scholars with the academic skills, content knowledge, and ethical character required for college graduation and life success.We believe ALL scholars, regardless of race, background, income or ability, can achieve at high levels. We work relentlessly to ensure 100% of scholars are on a...


  • Tulsa, Oklahoma, United States U.S. Army Corps Of Engineers Full time

    Independently advise Contracting Division and other senior leadership on all aspects of the solicitation, award, and administration of government contracts. Utilize a comprehensive working knowledge of various federal procurement statutes and implementing regulations. Review contracts and contract modifications prior to award. Investigate protests to include...


  • Tulsa, Oklahoma, United States U.S. Army Corps Of Engineers Full time

    Independently advise Contracting Division and other senior leadership on all aspects of the solicitation, award, and administration of government contracts. Utilize a comprehensive working knowledge of various federal procurement statutes and implementing regulations. Review contracts and contract modifications prior to award. Investigate protests to include...


  • Tulsa, Oklahoma, United States Edwards Lifesciences Full time

    Edwards Lifesciences Director, Biostatistics and Programming Operations Lansing , Michigan Apply Now Director, Biostatistics Operations (Scientific Insights & Analytics) - Surgical Structural HeartDedicated to innovation, our Surgical business unit is focused on identifying and solving critical, unmet needs in cardiac surgery. In understanding the challenges...


  • Tulsa, Oklahoma, United States LIFE Senior Services Full time

    The Director of Development will develop strategies and relationships to promote and fund the mission of LIFE Senior Services and its affiliate organizations. This person will work with the development team to produce and execute a development plan including in-person solicitation, grants, direct mail, events and corporate relationships.PRICIPAL DUTIES AND...


  • Tulsa, Oklahoma, United States Acxiom Full time

    Acxiom Senior Software Engineer Support Specialist Indianapolis , Indiana Apply Now We are seeking a highly skilled and experienced Senior Software Engineer to join our dynamic team in a Support Specialist role. As a Software Engineer, you will play a critical role in ensuring the smooth operation of our software systems, providing technical support to our...


  • Tulsa, Oklahoma, United States LIFE Senior Services Inc Full time

    The Director of Development will develop strategies and relationships to promote and fund the mission of LIFE Senior Services and its affiliate organizations. This person will work with the development team to produce and execute a development plan including in-person solicitation, grants, direct mail, events and corporate relationships.PRICIPAL DUTIES AND...


  • Tulsa, Oklahoma, United States Osage Casinos Full time

    OverviewUnder general supervision of the Risk and Safety Manager and/or Risk and Safety Supervisor, develops, promotes safety awareness by educating and training employees on safety policies, procedures, laws, and regulations. Provides technical knowledge and expertise in the operation and support of Osage Casino health and safety programs to ensure...


  • Tulsa, Oklahoma, United States Osage Casinos Full time

    OverviewUnder general supervision of the Risk and Safety Manager and/or Risk and Safety Supervisor, develops, promotes safety awareness by educating and training employees on safety policies, procedures, laws, and regulations. Provides technical knowledge and expertise in the operation and support of Osage Casino health and safety programs to ensure...


  • Tulsa, Oklahoma, United States Osage Casinos Full time

    OverviewUnder general supervision of the Risk and Safety Manager and/or Risk and Safety Supervisor, develops, promotes safety awareness by educating and training employees on safety policies, procedures, laws, and regulations. Provides technical knowledge and expertise in the operation and support of Osage Casino health and safety programs to ensure...

  • Category Manager

    1 week ago


    Tulsa, Oklahoma, United States PPL Full time

    PPL Corporation Category Manager (Intermediate or Senior) Louisville , Kentucky Apply Now As one of the largest investor-owned utility companies in the United States, PPL Corporation (NYSE:PPL), is committed to creating long-term, sustainable value for our 3.5 million customers, our shareowners and the communities we serve. Our high-performing regulated...