Senior Claims Representative

4 weeks ago


Boston, United States CRICO Full time
Job DescriptionJob Description

Role Summary:

Responsible for investigating, evaluating, negotiating, and disposing of assigned claims. Such assignments are non-routine, moderate in complexity, and sensitive requiring significant experience and background.

Key Duties & Accountabilities:

Responsibilities:

  • Investigates all assigned claims following established policies and procedures. 
  • Coordinates with company personnel and outside parties including lawyers, clients, expert witness, etc. To evaluate claims for proper disposition. 
  • Prepares all documentation for the files and disseminates relevant information to appropriate parties. 
  • Remains current and applies industry best practices, techniques, trends, law, and precedents. 
  • Effectively utilizes technology to maximize efficiency, productivity, results, and communication within the department and with clients. 
  • Participates, often together with Loss Prevention personnel, in programs and interventions designed to reduce Professional Liability Risk at insured institutions.

Core Competencies:

  • Communication-Oral, Written, & Presentation
  • Influence
  • Interpersonal/Collaborative/Teamwork
  • Adaptability/Flexibility
  • Negotiation
  • Business/Strategic Thinking
  • Customer Service
  • Analysis
  • Organizational/Priority Setting

Primary Contacts:

Seeking and providing non-routine or difficult to understand information outside of the department or to clients/members, requiring discussion and interpretation. Interfaces regularly with outside organizations, insured clinicians, SMEs, legal counsel, and institutional leaders.

People Management:

No direct people management responsibilities.

Shared Impact:

Works on portfolio of claims/cases with high degree of complexity across all lines of coverage.

Latitude/ Freedom to Act:

Works independently with general direction and supervision.

Requirements

Minimum Requirements:

Knowledge, Education, Experience, & Skills:

  • Bachelor’s degree required.
  • 5-10+ years’ experience in liability claims handling or professional liability law required.
  • Ability to travel locally to meet with and support insureds and various litigation activities

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