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Complex Claims Specialist

3 months ago

Rochester, United States Primma, LLC Full time $125,000 - $140,000
Job DescriptionJob Description**This role is onsite at our Roslyn, NY or Rochester, NY office, with the option for a hybrid schedule after the training period. **

General Summary: Responsible for direct management of claims handling including but not limited to; coverage verification, investigation, reserving, negotiation, litigation management, including trial monitoring and resolution of the departments largest and most complex claims.

Responsibilities:

  • Directly manage the most complex and high exposure claims of the company
  • Preform coverage verification, claim investigation, reserving and disposition of significant claims.
  • Manage all aspects of claim including litigation management, trial monitoring and reporting.
  • Negotiate claim settlements directly or through attorneys within approved settlement authority
  • Demonstrate effective teamwork, model appropriate behavior provide informal support for colleagues.
  • Continually seek opportunities to increase individual knowledge base and skills and teach as appropriate.
  • Attend trials, mediations when necessary
  • Maintain regular and prompt communication with all external and internal business partners.
  • Maintain close working relationship with defense counsel in the management of Litigation including but not limited to disposition strategy throughout the life of the claim.
  • Ensure counsel is working within prescribed budget and defense counsel guidelines.
  • Participate in departmental projects as requested.
  • Other duties as assigned

Education & Qualifications:

  • Four Year college degree required, attorney preferred.
  • Demonstrated direct claim handling experience; 7-10 years preferred. Medical professional liability claims management experience required.
  • Excellent oral and written communication skills required.
  • Ability to professionally present to both a large audience and one on one.
  • Strong organizational and time management skills.
  • Maintain high degree of confidentiality.

The actual compensation for this position will be determined by experience and other factors permitted by law.