Chief Claim Specialist

3 weeks ago

Atlanta, United States RSUI Group Full time

RSUI is searching for a Chief Claim Specialist to join the Excess unit of our Atlanta Claims department Working with strong technical expertise and limited supervision, the Chief Claim Specialist effectively manages a caseload of Excess/Umbrella/Complex/Major Case claims in areas including product, transportation, premises, environmental, chemical exposure, construction defect and other complex claims.

As RSUI is a highly collaborative work environment with a specialized area of industry focus, in-person interaction, team meetings, and other activities, like mediations, trials, etc. will require an in-person presence.Building deep and respectful relationships is a key component of RSUI's culture, and doing so is accomplished, in part, through engaging in meaningful in-person dialogue and making personal connections. This position will work RSUI's hybrid work schedule, which requires three days weekly in the office.

What can you expect if you join our team? Our collaborative culture, competitive compensation, professional development opportunities, and supportive leadership are just some of perks we're proud to offer. Interested and qualified applicants, we welcome you to apply

RESPONSIBILITIES:

  • Handles a designated segment of serious, complex, highly valued claims exposures reported to the claims unit.
  • Works collaboratively with the Unit Leader to plan and execute investigation, settlement negotiations, or sustain an appropriate denial governed by company guidelines.
  • Provides reporting on files to the Unit Leader and/or Sr. Management, as appropriate, recommending and/or confirming reserves, plan of action, and current evaluation as required.
  • Collaborates and shares ideas in dynamic, highly specialized working environment.
  • Attends business related functions, such as team meetings, mediations, trials, company events, etc.
  • Exhibits integrity and trust.
  • In area of specialization, handles policy interpretation, coverage issues, statutes and state regulations, litigation management, conducting and guiding investigations, adjustments, file documentation, case negotiation and settlement and strategies.
  • Other duties as assigned.
QUALIFICATIONS:
  • JD strongly preferred, college degree or equivalent industry experience required.
  • 10 years of claims experience within Excess line, or specialty experience including relevant legal/attorney work.
  • Excellent oral and written communication skills required (telephone, email and interpersonal).
  • Adjuster's licensed required or readily obtainable.
  • Advanced interpersonal skills necessary to effectively communicate with all levels of internal and external company contacts, vendors, customers, etc.
  • Possesses an excellent in-depth, working knowledge in area of specialization including policy interpretation, coverage issue identification, statutes and state regulations, litigation management, and possesses excellent skills conducting and guiding investigations, adjustments, file documentation, case negotiation and settlement steps and strategies.
  • Superior customer service orientation and strong work ethic are critical.
  • Working knowledge of Microsoft Office Products (Outlook, Word and Excel).


RSUI provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type on the basis of race, color, religion, gender, gender identity, sexual orientation, national origin, age, disability, marital status, amnesty, genetic characteristics or genetic information, pregnancy or childbirth, veteran status, and any other characteristic protected by applicable Federal, state, and local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

  • Chief Claim Specialist

    2 days ago

    Atlanta, United States Harrison Gray Search & Consulting Full time

    Job DescriptionJob DescriptionHarrison Gray Search has partnered with a leading carrier of specialty insurance products distributed exclusively through wholesale brokers that is seeking a Chief Claim Specialist (Property). Our client has been around for over 35 years and rated AM Best A++ and S&P Global AA+. They strive to create an environment where...

  • Chief Claim Specialist

    2 days ago

    Atlanta, United States Harrison Gray Search & Consulting Full time

    Job DescriptionJob DescriptionHarrison Gray Search has partnered with a leading carrier of specialty insurance products distributed exclusively through wholesale brokers that is seeking a Chief Claim Specialist (Excess). Our client has been around for over 35 years and rated AM Best A++ and S&P Global AA+. They strive to create an environment where employees...

  • Excess Casualty Claims Specialist

    3 weeks ago

    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...

  • Claim/Charge Edit Specialist

    1 month ago

    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...

  • Sr. Claim Specialist

    2 days ago

    Atlanta, United States Harrison Gray Search & Consulting Full time

    Job DescriptionJob DescriptionHarrison Gray Search has partnered with a leading carrier of specialty insurance products distributed exclusively through wholesale brokers that is seeking a Sr Claim Specialist (Property). Our client has been around for over 35 years and rated AM Best A++ and S&P Global AA+. They strive to create an environment where employees...

  • Insurance Agency Claims Specialist MNN9572

    2 weeks ago

    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,...

  • Claims Specialist, Complex Cases

    4 weeks ago

    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...

  • Training Specialist, Claims Operations

    1 month ago

    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...

  • Property Adjuster Specialist

    6 days ago

    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

  • Operations Support Specialist

    5 days ago

    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

    1 month 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...

  • Revenue Cycle Management Specialist

    2 weeks ago

    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,...

  • Revenue Cycle Management Specialist

    2 days ago

    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,...

  • Denials Prevention Specialist

    1 week ago

    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...

  • A/R Revenue Cycle Specialist

    2 weeks ago

    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...

  • Denials Prevention Specialist

    5 days ago

    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...

  • Budget Support Specialist

    4 weeks ago

    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...

  • Accounts Receivable Specialist I

    1 week ago

    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...