Current jobs related to Sr Liability Specialist - Folsom - Public Risk Innovation Solutions and Management

  • Supply Chain Sr Specialist

    4 weeks ago

    Folsom, California, United States General Dynamics Ordnance and Tactical Systems Full time

    Job Title: Supply Chain Sr Specialist - Material Program ManagerGeneral Dynamics Ordnance and Tactical Systems (GD-OTS) is seeking a highly skilled Supply Chain Sr Specialist - Material Program Manager to join our team in Healdsburg or Folsom, California.The successful candidate will provide Supply Chain Management (SCM) representation and leadership in...

  • Claims Adjuster

    2 weeks ago

    Folsom, CA, United States George Hills Company Full time

    Job SummaryGeorge Hills Company is seeking a highly skilled Claims Adjuster to join our team. As a Claims Adjuster, you will be responsible for investigating, evaluating, and adjusting General and Automobile Liability claims.Key ResponsibilitiesInvestigate and analyze claims to determine the extent of insurance provider's liabilityCorrespond with claimants,...

  • Supply Chain Sr Specialist

    1 month ago

    Folsom, United States General Dynamics Ordnance and Tactical Systems Full time

    General Dynamics Ordnance and Tactical Systems (GD-OTS), a premier provider to the US Department of Defense and allied nations, is seeking a Supply Chain Sr Specialist (Material Program Manager) to join our Healdsburg or Folsom California team. The Senior Material Program Manager (MPM) position provides Supply Chain Management (SCM) representation and...

  • Supply Chain Sr Specialist

    1 month ago

    Folsom, United States General Dynamics Ordnance and Tactical Systems Full time

    General Dynamics Ordnance and Tactical Systems (GD-OTS), a premier provider to the US Department of Defense and allied nations, is seeking a Supply Chain Sr Specialist (Material Program Manager) to join our Healdsburg or Folsom California team. The Senior Material Program Manager (MPM) position provides Supply Chain Management (SCM) representation and...

  • Supply Chain Sr Specialist

    4 weeks ago

    Folsom, United States General Dynamics Ordnance and Tactical Systems Full time

    General Dynamics Ordnance and Tactical Systems (GD-OTS), a premier provider to the US Department of Defense and allied nations, is seeking a Supply Chain Sr Specialist (Material Program Manager) to join our Healdsburg or Folsom California team. The Senior Material Program Manager (MPM) position provides Supply Chain Management (SCM) representation and...

  • Sr. Employment Law Attorney

    1 week ago

    Folsom, United States Public Risk Innovation Solutions and Management Full time

    Description PRISM is a joint powers authority (JPA) that provides risk management and insurance solutions for public entities throughout California. Our organization is member driven meaning that our public entity members have numerous opportunities available to participate in the governance of our JPA. One of PRISM's greatest assets is its staff. PRISM...

  • Supply Chain Manager

    4 weeks ago

    Folsom, California, United States General Dynamics Ordnance and Tactical Systems Full time

    Supply Chain Sr Specialist - Material Program ManagerGeneral Dynamics Ordnance and Tactical Systems, a leading provider to the US Department of Defense and allied nations, is seeking a Supply Chain Sr Specialist - Material Program Manager to join our team in Healdsburg or Folsom, California.The Senior Material Program Manager position provides Supply Chain...

  • CA Senior Claims Specialist

    2 weeks ago

    Folsom, United States CorVel Corporation Full time

    CorVel is seeking a full time Sr. Claims Specialist. The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and...

  • Emergency Veterinarian

    1 month ago

    Folsom, United States Ethos Veterinary Health Full time

    Emergency Veterinarian OpportunityVista Veterinary Specialists, a leading 24/7/365 Emergency and Specialty hospital, is seeking an experienced ER Veterinarian to join our team in Sacramento, California.Position Overview:Provide high-quality emergency and critical care to patientsCollaborate with our experienced team of ER doctors, Criticalists, and...

  • Senior Staff Attorney, Insurance Defense Specialist

    2 weeks ago

    Folsom, California, United States The Hartford Full time

    About the RoleThe Hartford is seeking a highly experienced Senior Staff Attorney to join our team in Northern California. As a key member of our litigation team, you will be responsible for handling complex and high-exposure cases, analyzing intricate legal and factual issues, and developing and presenting defense strategies on behalf of our...

  • Emergency Veterinarian

    1 month ago

    Folsom, United States Ethos Veterinary Health Full time

    Emergency Veterinarian OpportunityVista Veterinary Specialists is seeking a skilled Emergency Veterinarian to join our team in Sacramento, California. As a key member of our hospital, you will provide high-quality medical care to our patients and contribute to the growth and success of our organization.Position Details:Competitive compensation package,...

  • Physical Therapist

    2 weeks ago

    Folsom, United States Luna Physical Therapy Full time

    About LunaLuna is a leading in-home tech-enabled physical therapy platform that empowers physical therapists to avoid burnout and deliver exceptional care. With over 3000 PTs on our platform, we partner with top organizations to provide innovative solutions for healthcare delivery.Job DescriptionWe're seeking experienced and collaborative physical therapists...

Sr Liability Specialist

2 months ago

Folsom, United States Public Risk Innovation Solutions and Management Full time
Description

*** Applications will be pulled for first review on Friday, September 6th, 2024 ***

The Senior Liability Claims Specialist is responsible for managing a caseload of simple to complex cases within PRISM's General Liability programs. Caseload management requires monitoring and evaluating member claim files, reserves and coverage; collaborating with third party administrators (TPA) and self-administered members with regard to settlement or defense of their claim files; updating PRISM's file records; presenting claims to the committees; and creating and maintaining open and constructive channels of verbal and written communication with all members, TPAs, defense counsel and reinsurers/excess carriers.

JOB RESPONSIBILITIES
  • Maintain diary to document updates, correspondence & strategies toward resolution on a 200+ pending claims caseload.
  • Monitor and evaluate case strategy, litigation management, reserves and case statuses to ensure compliance with the PRISM Standards.
  • Work with members and/or TPAs to ensure they are compliant with PRISM Standards in all aspects of claims handling.
  • Make decisions regarding coverage for less complex exposures and generate coverage related correspondence.
  • Properly code claim files in accordance with the PRISM coding standards.
  • Engage coverage counsel on complex exposures as needed.
  • Update reinsurers/excess carriers on cases involving their layer and/or cases they are monitoring.
  • Present claims to the appropriate committees for settlement authority or coverage determination.
  • Update information concerning claims and maintain claims files within the claims system, including documentation of analysis of the exposure and plan of action, file material in electronic environment, and appropriate claims fields in the system to maintain data integrity.
  • Generate requisite reports from claims files.
  • Contact member agencies, TPAs, defense counsel or reinsurers/excess carriers concerning claims status and information
  • Create and maintain positive, collaborative relationships with members, committees, and staff.
  • Actively participate in committee meetings as necessary.
  • Attend mediations/MSCs as needed.
  • There will be a moderate amount of travel (up to 25%)
  • Support the PRISM Core Values and PRISM Mission.
  • Assist with the overall success of the organizational strategic plan, goals, and objectives of the organization.
  • Maintain strong customer service focus both internally and externally.
  • Foster member relationships and assist members when needed.
Requirements

The ideal candidate will have a Bachelor's Degree in directly related field or equivalent and five years increasingly responsible work in directly related field; or, an equivalent combination of education and experience sufficient to successfully perform the essential duties of the job, including but not limited to:
  • Strong working knowledge in Microsoft Office including Word and Excel
  • Experience working with a RMIS system (SIMS, iVOS, Valley Oaks, etc.)
  • Ability to set priorities and handle multiple projects simultaneously
  • Ability to handle basic arithmetical calculations
  • Good presentation skills
  • Ability to conduct research, analyze and interpret information
  • Ability to establish and maintain effective working relationships and good public relations with other employees, agencies, members, and the public
  • Knowledge of applicable laws and regulations
  • Knowledge of research and evaluation techniques
  • Completion of specialized educational training and courses related to insurance claims adjusting, reporting, settlement, and management are highly desirable
  • Public agency claims experience is highly desirable


Physical Requirements

Physical requirements of this position typically include: reaching, grasping, talking, hearing, seeing, repetitive motions, exerting up to 20 pounds of force occasionally and/or up to 10 pounds of force frequently, and/or negligible amount of force constantly to move. Some travel may be required.

Licensing Requirements

A valid California Driver's license is required. Proof of auto insurance with no exclusion for business use is required.