SR Claims Specialist

5 days ago

Lakewood, United States Ultimate Staffing Full time

Must reside in Denver Metro Area. Hybrid Schedule: 3 days onsite - 2 days WFH

Location: Lakewood CO 80215

Compensations: $70k-$100K Annual Salary DOE

*** Must have Litigation & Construction Defect experience

Position Summary:

This position provides essential support in managing claims across various coverage lines, focusing on Liability (Commercial Auto and General Liability). Responsibilities include assessing claim coverage, liability, legal and damage issues, and investigating, evaluating, and resolving assigned claims efficiently according to regulatory guidelines. This role also ensures a high level of customer service for both internal and external stakeholders.

Primary Responsibilities:

  • Policy Review and Interpretation: Analyze and interpret policy conditions, exclusions, and endorsements to address coverage and liability issues for assigned claims.
  • Claims Documentation: Prepare reservation of rights letters, nonwaiver agreements, and coverage disclaimers as needed.
  • Reserve Evaluations: Review claim reserves to ensure they accurately reflect potential exposure.
  • Claims Investigation: Conduct thorough investigations to assess coverage and legal issues; this may involve meeting with insured parties, witnesses, and collecting statements and evidence.
  • Record Maintenance: Document and report on all investigation and claims handling activities comprehensively.
  • Claims Negotiation and Settlement: Negotiate settlements through mediation, arbitration, or court-supervised efforts, and resolve claims with claimants, insureds, and legal representatives, providing appropriate claims resolution documentation.
  • Regulatory Knowledge: Maintain current knowledge of regulatory and jurisdictional requirements.
  • External Collaboration: Manage and direct defense counsel, independent adjusters, and other third parties assisting with claims.
  • Additional Responsibilities: Carry out other duties as assigned.

Qualifications:

  • Experience: Minimum of 5 years in:
    • Coverage Review: Interpreting policies, agreements, and preparing reservation of rights and disclaimers.
    • Claims Investigation: Taking statements, managing authorizations, and retaining experts and counsel as necessary.
    • Claims Administration: Reporting, reviewing reserves, and complying with applicable laws and procedures.
    • Claims Settlement: Preparing disclaimers, releases, and proof of loss statements, and participating in legal proceedings when needed.
  • Knowledge Requirements: Strong understanding of coverage, negligence principles, investigation, and negotiation techniques.
  • Licensing: Ability to obtain and maintain state adjusting licenses as required.
  • Customer Service: Service-oriented with a commitment to efficient and effective claims and customer service.
  • Communication Skills: Excellent communication skills for interaction with customers, claimants, counsel, and the public.
  • Organization: Ability to manage multiple tasks and prioritize workload.
  • Decision-Making: Strong judgment, negotiation, and decision-making skills.
  • Travel Requirements: Must be able to travel efficiently to various off-site locations, including potential overnight stays.
  • Geographic Experience: Experience handling liability claims in western states, including but not limited to Montana, Wyoming, Colorado, New Mexico, Idaho, Utah, Arizona, California, Washington, and Oregon.

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance. For unincorporated Los Angeles county, to the extent our customers require a background check for certain positions, the Company faces a significant risk to its business operations and business reputation unless a review of criminal history is conducted for those specific job positions.

  • Insurance Claims Resolution Specialist

    2 weeks ago

    Lakewood, Washington, United States Swift Staffing Group Full time

    Swift Staffing Group is seeking a skilled Insurance Claims Resolution Specialist to address and resolve DME claim denials from insurance companies. The ideal candidate will have a strong background in DME/SNF HMO billing, tracking, and collection, as well as excellent communication skills.Key Responsibilities:Address and resolve DME claim denials from...

  • SR Claims Specialist

    1 day ago

    Lakewood, CO, United States Ultimate Staffing Full time

    Must reside in Denver Metro Area. Hybrid Schedule: 3 days onsite - 2 days WFH Location: Lakewood CO 80215Compensations: $70k-$100K Annual Salary DOE*** Must have Litigation & Construction Defect experiencePosition Summary:This position provides essential support in managing claims across various coverage lines, focusing on Liability (Commercial Auto and...

  • Staffing Specialist

    3 weeks ago

    Lakewood, United States Eberl Claims Service Full time

    Staffing Specialist (Wednesday - through Sunday shifts)EXCITING OPPORTUNITY TO JOIN GROWING INDUSTRY!Eberl Claims team based in Lakewood, CO is seeking a self-motivated Staffing Specialist with best-in-class customer service skills, and the willingness to go above and beyond in our fast-paced environment of handling claims. Staffing and recruiting experience...

  • Staffing Specialist

    3 weeks ago

    Lakewood, United States Eberl Claims Service Full time

    Staffing Specialist (Wednesday - through Sunday shifts)EXCITING OPPORTUNITY TO JOIN GROWING INDUSTRY!Eberl Claims team based in Lakewood, CO is seeking a self-motivated Staffing Specialist with best-in-class customer service skills, and the willingness to go above and beyond in our fast-paced environment of handling claims. Staffing and recruiting experience...

  • Medical Billing Specialist

    2 weeks ago

    Lakewood, New Jersey, United States Swift Staffing Group Full time

    Medical Billing SpecialistSwift Staffing Group is seeking a detail-oriented Medical Billing Specialist to join their team. As a Medical Billing Specialist, you will be responsible for processing medical billing and pending tasks accurately and efficiently. You will verify patient insurance coverage and eligibility, review medical records and documentation to...

  • Physical Security Specialist

    3 weeks ago

    Lakewood, United States U.S. Department of the Interior Full time

    Job SummaryWe are seeking a highly skilled Physical Security Specialist to join our team at the U.S. Department of the Interior. As a key member of our Security Division, you will serve as a technical expert for risk mitigation and security specialist for physical security project functions.Key ResponsibilitiesDesign, install, and troubleshoot electronic...

  • Senior Dev Support Specialist

    7 days ago

    Lakewood, Washington, United States The Ash Group, Inc. Full time

    Job SummaryWe are seeking a highly skilled Sr. Dev Support Specialist to join our team at The Ash Group, Inc. This is a full-time position that requires a strong background in software development, technical support, and project management.Key ResponsibilitiesAs a Sr. Dev Support Specialist, you will be responsible for:Designing, coding, and testing computer...

  • Service Parts Specialist

    1 month ago

    Lakewood, United States O'Reilly Auto Parts Full time

    Job SummaryWe are seeking an experienced and technical Service Parts Specialist to join our team at O'Reilly Auto Parts. As a key member of our installer counter team, you will be responsible for providing exceptional service to professional customers, ensuring accurate and timely order deliveries, and overseeing the daily activity of our delivery...

  • Service Parts Specialist

    3 weeks ago

    Lakewood, United States O'Reilly Auto Parts Full time

    Job Title: Installer Service SpecialistAt O'Reilly Auto Parts, we're looking for a skilled and experienced Installer Service Specialist to join our team. As a key member of our installer counter, you'll be responsible for providing exceptional service to our professional customers, ensuring their needs are met with accuracy and timeliness.Key...

  • Digital and IT Functional Specialist Service

    2 weeks ago

    Lakewood, Washington, United States Parker Hannifin Corporation Full time

    Parker Hannifin Corporation Job DescriptionJob Title: Digital and IT Functional Specialist Service & Quality PlatformsWe are seeking a highly skilled Digital and IT Functional Specialist to join our team at Parker Hannifin Corporation. As a subject matter expert, you will be responsible for the implementation and support of highly secure and resilient CX/CRM...

  • Card Specialist

    3 weeks ago

    Lakewood, CO, USA, United States Credit Union of Denver Full time

    About Credit Union of DenverCredit Union of Denver is a member-focused financial cooperative that prioritizes the financial well-being of its members. With over 90 years of experience, we offer a unique work environment that values professional development and community involvement.Job SummaryWe are seeking a skilled Card Specialist to join our team. As a...

  • Installer Service Specialist

    5 months ago

    Lakewood, United States O'Reilly Auto Parts Full time

    Compensation Pay Range: $13.65 - $23.00 The Installer Service Specialist is an experienced and technical parts specialist who services the needs of professional customers through the store’s installer counter. This position will oversee and direct the daily activity of the delivery specialist to ensure customers receive accurate and timely order...

  • Quality Assurance Specialist

    2 weeks ago

    Lakewood, Washington, United States Chili's Grill & Bar Full time

    Job SummaryChili's Grill & Bar is seeking a Quality Assurance Specialist to ensure that every guest receives perfectly prepared, high-quality food. As an Expeditor, you will provide dependable, fast service that is absolutely Chili's.ResponsibilitiesEnsure food is prepared to company standards and specificationsKeep food orders continuously flowing from the...

  • Auto Parts Service Specialist

    3 weeks ago

    Lakewood, United States O'Reilly Auto Parts Full time

    O'Reilly Auto Parts is seeking a skilled Installer Service Specialist to join our team. As a key member of our store's installer counter, you will be responsible for providing exceptional service to professional customers. Your technical expertise and strong communication skills will enable you to develop strong relationships with installers and customers...

  • Digital and IT Technical Specialist

    3 weeks ago

    Lakewood, United States Parker Hannifin Corporation Full time

    Digital and IT Technical Specialist - Digital Operations Location: CLEVELAND, OH, United States Job Family : Information Technology Job Type : Regular Posted : Aug 22, 2024 Job ID: 51492 Back to Search Results Job Description Apply Now > Save Job Job Saved Join Parker Hannifin's Digital & IT Team located at our Global Headquarters in the suburbs of...

  • Card Disputes Specialist

    1 month ago

    Lakewood, United States FirstBank Full time

    Card Disputes Representative Job DescriptionAt FirstBank, we're committed to providing exceptional customer service and ensuring that our customers have a positive experience with our products and services. As a Card Disputes Representative, you'll play a critical role in resolving customer disputes related to their credit and debit cards.Key...

  • Quality Assurance Specialist

    3 weeks ago

    Lakewood, United States Nekoosa Coated Products Full time

    About UsNekoosa Coated Products is a leading manufacturer of specialty print media, with a rich history of innovation and excellence. Our company is committed to delivering high-quality products and services to our customers, and we are seeking a talented Quality Assurance Technician to join our team.Job SummaryWe are looking for a detail-oriented and...

  • Clerk

    2 weeks ago

    Lakewood, United States Barnabas Health Medical Group Full time

    Job Overview & Essential Functions:Performs all workers compensation clerical duties necessary to assist the Workers Comp Specialist Team to provide employee and client work-place incident and injury case management,Utilizes critical thinking skills to effectively communicate information, observations, and/or activities to appropriate individuals,Essential...

  • Clerk

    7 days ago

    Lakewood, United States Barnabas Health Medical Group Full time

    Job Overview & Essential Functions:Performs all workers compensation clerical duties necessary to assist the Workers Comp Specialist Team to provide employee and client work-place incident and injury case management,Utilizes critical thinking skills to effectively communicate information, observations, and/or activities to appropriate individuals,Essential...

  • Clerk

    2 weeks ago

    Lakewood, United States Barnabas Health Medical Group Full time

    Job Overview & Essential Functions:Performs all workers compensation clerical duties necessary to assist the Workers Comp Specialist Team to provide employee and client work-place incident and injury case management,Utilizes critical thinking skills to effectively communicate information, observations, and/or activities to appropriate individuals,Essential...