Claims Resolution Specialist

2 days ago


New York, New York, United States Selby Jennings Full time
Job Title: Claims Specialist

At Selby Jennings, we are seeking a highly skilled Claims Specialist to join our team. As a Claims Specialist, you will be responsible for overseeing complex and high-exposure claims, executing coverage verification, claim investigation, reserving, and disposition.

Key Responsibilities:
  • Claim Oversight: Manage and oversee the most complex and high-exposure claims, ensuring timely and effective resolution.
  • Coverage Verification: Execute coverage verification to ensure accurate and compliant claims handling.
  • Claim Investigation: Conduct thorough investigations to determine claim validity and liability.
  • Reserving and Disposition: Manage reserves and ensure proper disposition of claims.
  • Litigation Management: Manage litigation, including trial monitoring and reporting.
  • Communication: Communicate effectively with external and internal partners, including defense counsel.
Requirements:
  • Education: Bachelor's degree required, attorney preferred.
  • Experience: 7-10 years of direct claim handling experience preferred.
  • Medical Professional Liability Experience: Preferred.
  • Confidentiality: Ability to maintain high levels of confidentiality.


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