Claims Optimization Professional

5 days ago


Hartford, Connecticut, United States Synergistic Systems Inc Full time

About the Role:

Synergistic Systems Inc is seeking a talented Claims Optimization Professional to join our Complex Liability Consulting (CLC) practice. This is a remote position that can be based anywhere in the US.

The ideal candidate will have 3-5+ years of experience in insurance recovery and claims management, with a focus on complex liability claims. Key responsibilities include insurance archeology, policy analysis and mapping, electronic database solutions, allocation modeling, negotiations with insurers, and claims and payment tracking.

Key Performance Indicators:

  • Claim Recovery Rate: Achieve a minimum claim recovery rate of 90%.
  • Client Satisfaction: Maintain a client satisfaction rating of 95% or higher.
  • Process Efficiency: Implement process improvements to increase efficiency by 20%.

Salary: The estimated annual salary for this position is $120,000 - $180,000 depending on experience.

Requirements:

  • Experience: 3-5+ years of relevant experience at a law firm, insurer, or third-party administrator. Experience in long-tail and emerging coverage issues is a plus.
  • Claims Handling: Experience handling complex claims for general liability and excess policies.
  • Education: Bachelors degree or equivalent.
  • Technical Proficiency: Ability to work efficiently in Word and Excel.
  • Legal Knowledge: Understanding of basic insurance concepts and legal pleadings (Summons and Complaint).

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