Chief Claims Specialist

4 weeks ago


Atlanta, United States MRINetwork Jobs Full time
Job DescriptionJob Description

We are seeking a dynamic Claims Specialist to join our client’s Professional Liability division.

This pivotal role will involve overseeing claims related to Errors & Omissions (E&O), Cyber Liability and Medical Malpractice, among others.

The ideal candidate will possess a Juris Doctorate (J.D.) and have a strong background in litigation management, policy interpretation, coverage analysis, and negotiation.

Key Responsibilities:

  • Manage and oversee claims within the Professional Liability division, including E&O, Cyber, A&E and Medical Malpractice
  • Conduct thorough policy interpretation and analysis to determine coverage and liability
  • Utilize expertise in litigation management to efficiently resolve claims
  • Identify coverage issues and develop strategies for resolution
  • Stay abreast of statutes, regulations, and legal developments impacting claims handling
  • Lead settlement negotiations and effectively communicate with internal and external stakeholders
  • Provide guidance and mentorship to claims team members
  • Collaborate with underwriters and other departments to ensure seamless claim resolution and client satisfaction

Our ideal candidate may be someone who is currently in private practice looking to transition in-house or someone who currently works at an insurance carrier in claims and looking for a stronger position. Cross training of other lines of business/coverage is provided in this collaborative environment.

This is a Hybrid role working 3 days in office and 2 from home. They offer a competitive salary with full benefits along with supporting work/ life balance.

For consideration, please email Chris Caputi at ccaputi@prs2000.com

We keep all names and conversations confidential.

Keywords: Claim, Claims, Adjuster, Examiner, Counsel, Claim Manager, Claims Specialist, Attorney, J.D., Juris, JD, Claims Attorney, Claims Counsel, Claim Counsel, Claim Attorney, GL, Liability, Commercial Claims, Litigation. D&O, Executive Liability, Management Liability, EPL, Employment Law, Employment Practice, Employment Practices, EPLI, RPLU, Professional Liability, Cyber, Technology E&O, Medical Mal, Med Mal, Medical Professional Liability, Healthcare Professional Liability, A&E, Architects & Engineers, Misc. E&O, Miscellaneous E&O



  • Atlanta, United States MRINetwork Jobs Full time

    Job DescriptionJob DescriptionPolikov Recruitment Solutions specializes in recruiting in the Commercial Property & Casualty Insurance industry.We are working on a Chief Claim Specialist role with an A+ rated Carrier that has been in business for over 30 years.The Chief Claim Specialist effectively manages a caseload of Excess/Umbrella/Complex/Major Case...


  • Atlanta, United States PEDIATRIC EAR NOSE & THROAT OF ATLANTA PC Full time

    Job DescriptionJob DescriptionClaim/Charge Edit Specialist is responsible for reviewing clinical documentation to ensure timely, accurate, and compliant charge capture and processes paper and electronic claims to payers with full and complete information to satisfy and facilitate the claim for payment. Claim/Charge Edit Specialist works closely with...

  • Sr. Claim Specialist

    2 weeks ago


    Atlanta, United States RSUI Group Full time

    RSUI is seeking a Sr. Claim Specialist to join our Property Claims team in Atlanta! The Sr. Claim Specialist provides specialized, autonomous claims handling expertise for our E&S Commercial Property line of business. As RSUI is a highly collaborative work environment with a specialized area of industry focus, in-person interaction, team meetings, and other...


  • Atlanta, United States Capstone Search Group Full time

    Job DescriptionJob DescriptionAbout the RoleThe Insurance Agency Claims Specialist is responsible for claims handling for an Atlanta based insurance agency’s property and casualty portfolio. You support the sales and service teams along with the senior claims leader with the ultimate goal of increasing client satisfaction and retention. There is growth,...


  • Atlanta, United States Questor Consultants, Inc. Full time

    Job DescriptionJob DescriptionOur Client is an A rated Insurance Company looking for an experienced Commercial General Liability Claims Professional with knowledge of Property, Auto, and Workers Compensation. The ideal candidate will also have experience with TPA's, coverages, and litigation. College degree is preferred. Please call or respond for a more...


  • Atlanta, United States Berkshire Hathaway Specialty Insurance Full time

    Job DescriptionJob DescriptionWho are we? A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers around the world. Part of Berkshire Hathaway’s insurance operations, we bring our...

  • Billing Specialist

    3 weeks ago


    Atlanta, Georgia, United States Families First Full time

    Job Description POSITION SUMMARY The Billing Specialist (BS) position is an integral part of our organization’s accounting team. This position requires an individual who has a strong attention to detail, and excellent organizational and communication skills, written and oral. The BS will be responsible for reviewing and preparing invoices, ensuring the...


  • Atlanta, United States United Services Automobile Association - USAA Full time

    We are seeking a dedicated Property Adjuster Specialist Currently located in Cobb County or Fulton Counties, GA to join our field Team. As a Insurance Property Adjuster Specialist, you will work within established guidelines and framework to investig Property Adjuster, Specialist, Adjuster, Property, Claims, Business Partner


  • Atlanta, United States MultiPlan Full time

    Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client's needs and tailoring...

  • Title Specialist

    4 weeks ago


    Atlanta, United States IAA Inc Full time

    Here at IAA, our Title Specialists play a critical role in our vehicle life cycle process which includes processing and filing vehicle title documents, reviewing and following up on missing items, and identifying inventory reduction opportunities for our salvage auction facilities.In return for their excellent skills and abilities, Title Specialists are...

  • Title Specialist

    4 weeks ago


    Atlanta, Georgia, United States IAA Inc Full time

    Here at IAA, our Title Specialists play a critical role in our vehicle life cycle process which includes processing and filing vehicle title documents, reviewing and following up on missing items, and identifying inventory reduction opportunities for our salvage auction facilities.In return for their excellent skills and abilities, Title Specialists are...


  • Atlanta, United States The Recovery Center USA Full time

    Job DescriptionJob Description100% IN OFFICE POSITION-NO REMOTE WORKThe Recovery Center, LLC - Corporate Headquarters is looking for qualified candidates with experience in Behavioral Health Medical Billing to join our team. This position is responsible for submitting claims, posting payments & adjustments, rebills, EDI claim submissions, auditing claims,...


  • Atlanta, United States The Recovery Center USA Full time

    Job DescriptionJob Description100% IN OFFICE POSITION-NO REMOTE WORKThe Recovery Center, LLC - Corporate Headquarters is looking for qualified candidates with experience in Behavioral Health Medical Billing to join our team. This position is responsible for submitting claims, posting payments & adjustments, rebills, EDI claim submissions, auditing claims,...


  • Atlanta, United States CND Life Sciences Full time

    Job DescriptionJob DescriptionThis is a 6 month contract position with the potential to go permanent based on business needs.The Denials Prevention Specialist is responsible for working with the Back-End Billing specialist on denials and accounts receivables management for the department as defined by their manager. Duties include drafting written letters of...


  • Atlanta, United States NSN Revenue Resources Full time

    Job Type Full-time Description Overview: We are seeking an experienced and detail-oriented Accounts Receivable Specialist to join our central billing office team for Ambulatory Surgery Centers. The successful candidate will play a crucial role in resolving outstanding surgical claims resulting in maximum reimbursement. Responsibilities: Timely follow-up and...


  • Atlanta, United States CND Life Sciences Full time

    This is a 6 month contract position with the potential to go permanent based on business needs.The Denials Prevention Specialist is responsible for working with the Back-End Billing specialist on denials and accounts receivables management for the department as defined by their manager. Duties include drafting written letters of appeal on various types of...


  • Atlanta, United States Cetechs Full time

    Job DescriptionJob DescriptionExtramural Support SpecialistPosition SummaryCetechs, a Small Business, is seeking a Extramural Support Specialist to join our team ofprofessionals under the leadership of our Program Manager. The Extramural Support Specialist will support funding opportunity announcements and manage a portfolio of cooperative agreements and...


  • Atlanta, United States CND Life Sciences Full time

    Job DescriptionJob DescriptionThis is a 6 month contract position with the potential to go permanent based on business needs.The Account Receivable Specialist I (ARSI) will be responsible for resolving aged and unresolved claims with insurance carriers' claims. This position requires a comprehensive understanding of the operational aspects of the entire...


  • Atlanta, United States Safe-Guard Products International LLC Full time

    **Job Title**: Accounts Payable Specialist (hybrid) **Location**:US-GA-Atlanta (Sandy Springs) **FLSA**: Exempt **Job Overview**: This is a high-volume, fast-paced, customer-facing position with responsibilities for processing vendor payments as well as commission and incentive payables transactions for our company as well as clients who outsource the...


  • Atlanta, United States NANA Healthcare Management, LLC Full time

    Job DescriptionJob DescriptionJob Description:The Collections Specialist is a vital member of the MYMB System of Care.  The Collections Specialist is under the supervision of the Collections Supervisor.  The Collections Specialist is responsible for collections of outstanding accounts receivable dollars from the existing client base and all other aspects...