Claims Adjuster Oversight Specialist

3 weeks ago


Jacksonville, Florida, United States LotSolutions, Inc. Full time

Job Overview

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The Senior Claims Analyst - TPA Oversight will provide technical expertise and handle claims across multiple lines of business, including casualty, property, inland marine, excess/umbrella, and professional liability. This role complements the existing Specialty Claims team that supports the Underwriting unit and provides oversight of third parties and delegated authority referrals across various lines of business.

Key Responsibilities

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  • Handle claims originating out of the Specialty Claims unit and provide technical oversight of Third Party Administrators (TPAs).
  • Provide coverage, liability, and damages analysis with prompt identification of potential large loss claims.
  • Responsible for ensuring adequate reserving and accuracy of claims payments through appropriate supervision and authority levels.
  • Work in partnership with the TPA Claims Manager to ensure that claims are proactively managed and that all claim workflows and SLAs are adhered to.
  • Ability to proactively identify exposures and claim trends which may affect the portfolio and provide written assessments to the Specialty business unit.
  • Resolve problems and respond to coverage questions for underwriting team and senior management.
  • Effectively represent the Company's interests at mediations and settlement conferences.

Requirements

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  • Bachelor's Degree or equivalent work experience.
  • 5 + years of claims handling or related experience.
  • Licensed Adjuster – Various States.
  • Juris Doctor degree preferred.

Benefits

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This is a full-time position offering a competitive salary of $90,000 - $120,000 per year, depending on experience. Additionally, LotSolutions, Inc. offers a comprehensive benefits package, including medical, dental, life, vision, company-paid short/long term disability, 401(k), tuition assistance, and more.



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