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Complex Claims Specialist
3 months ago
We are currently recruiting for a variety of Claims positions in multiple locations: Atlanta, GA (Dunwoody / Sandy Springs area), NY (NYC or Westchester, NY), Scottsdale, AZ, or Chicago, IL. The positions are a hybrid schedule in the closest US office (2 days in-office and 3 days remote).
We are looking for Claims professionals with experience in Commercial Claims. Positions available in Misc Professional Liability, Allied Health, and General Liability (bodily Injury) and Cyber.
Senior Claims Examiner: 85K – 115K Base + Bonus + Benefits
Complex Claims Specialist & Sr Complex Claims Specialist – 125K – 165K Base + Bonus + Benefits
Responsibilities:
- Adjust and resolve moderate to complex claims that can include all phases of litigation (depending on level).
- Document claim files with all relevant claim information, correspondence, and notes in compliance with policies and applicable regulatory authorities.
- Draft coverage letters, including reservation of rights and denial letters.
- Review and analyze claim documentation and legal filings to set timely and accurate reserves and notify the manager if upward segmentation is needed.
- Identify emerging exposures and claims trends.
- Drive litigation best practices to manage deployment and utilization of defense counsel.
- Identify suspected fraudulent claims and track with special investigations unit.
Requirements:
- Must have commercial claims experience
- A./B.S degree or JD from an accredited law school
- Certifications CPCU, ARMS, AINS a plus
- Advanced knowledge of claims analysis and adjusting practices
- Experience with litigated claims (senior level positions)
- In-depth knowledge of standards for claims documentation and legal filings
- Proven ability to actively and effectively negotiate settlement of moderate to complex claims
- Strong verbal and written communication skills
No sponsorship. Must be located near one of the offices listed in description for hybrid schedule.