Senior Claims Specialist

1 week ago

Hartford, United States Russell Tobin Full time

Job Summary:

We are seeking a dedicated and detail-oriented consultant to join our team. The ideal candidate will assist in implementing strategic plans aimed at optimizing insurance recovery for high-value claims, particularly in complex tort cases such as asbestos, toxic torts, and environmental, and product liability claims.

This role requires a foundational understanding of insurance concepts and legal pleadings, as well as proficiency in Word and Excel to organize and track critical claim-related data. The consultant will work independently and collaboratively to improve processes, ensuring clients' needs are met efficiently and effectively.

Key Responsibilities:

Client Service & Claims Management:

  • Claims Documentation & Analysis: Review, record, and analyze information related to mass tort and liability claims filed by clients.
  • Insurer & Coverage Research: Research and assess the financial solvency of legacy insurers and determine the appropriate coverage for clients' claims.
  • Claims Notifications: Set up email and letter notifications to insurers, ensuring timely receipt and acknowledgment of claims.
  • Correspondence Review: Analyze insurer correspondence, highlighting key issues and communicating findings to senior consultants and clients.
  • Coverage Issues: Assess and guide on basic coverage issues related to commercial general liability and excess liability insurance policies.
  • Cost Tracking: Organize and track litigation and claims-related costs across multiple claims.
  • Client Communication: Maintain clear communication with clients and insurers to respond to questions, provide updates, and resolve issues related to coverage and claims.
  • Issue Identification: Proactively identify potential concerns or unclear issues in the claims process.

Research & Investigation:

  • Claims Research: Conduct research via Internet sources and other applicable methods to gather relevant information about claims, insurers, and policy details.
  • Financial Solvency Investigations: Investigate and assess the financial stability of parent companies and legacy insurers to ensure clients' claims are properly supported.

Process Improvement & Innovation:

  • Process Optimization: Identify opportunities to streamline processes and improve efficiency in claims management and recovery strategies.
  • Independent Work: Demonstrate initiative and creativity in handling complex issues while adhering to established protocols.

Key Qualifications:

  • Experience: 3-5+ years of relevant experience in handling complex claims at an insurance carrier or third-party administrator, with a strong focus on general liability and excess policies.
  • Specialized Knowledge: Proven experience managing long-tail tort claims, particularly in the areas of Asbestos, Toxic Torts, Environmental Claims, Medical Devices, Pharmaceuticals, Pollution, Product Liabilities, and Premises Liabilities.
  • Legal & Insurance Knowledge: Familiarity with basic insurance concepts, legal pleadings (e.g., Summons and Complaint), and coverage issues related to mass tort claims.
  • Software Proficiency: Strong working knowledge of Microsoft Word and Excel for managing and organizing claim data.
  • Education: Bachelor’s degree or equivalent experience.

Desired Skills & Attributes:

  • Attention to Detail: Ability to review complex information thoroughly and accurately.
  • Analytical Skills: Strong problem-solving abilities, particularly when managing multifaceted and long-tail claims.
  • Communication Skills: Excellent written and verbal communication skills, with the ability to convey complex information to clients and senior consultants.
  • Client Focused: Demonstrated ability to respect client confidentiality while providing exceptional client service and support.
  • Self-Motivated: Ability to work independently, prioritize tasks, and manage time efficiently in a corporate environment

"Salary- $52- $62.00 /hour"


Benefits Info

Pride Global offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors.

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