Senior Claims Representative

4 weeks ago


Boston Massachusetts, United States CRICO Full time
Role Summary:

Responsible for investigating, evaluating, negotiating, and disposing of assigned claims. Such assignments are non-routine, moderate in complexity, and sensitive requiring significant experience and background.

Key Duties & Accountabilities:

Responsibilities:

Investigates all assigned claims following established policies and procedures.  

Coordinates with company personnel and outside parties including lawyers, clients, expert witness, etc. To evaluate claims for proper disposition.  

Prepares all documentation for the files and disseminates relevant information to appropriate parties.  

Remains current and applies industry best practices, techniques, trends, law, and precedents.  

Effectively utilizes technology to maximize efficiency, productivity, results, and communication within the department and with clients.  

Participates, often together with Loss Prevention personnel, in programs and interventions designed to reduce Professional Liability Risk at insured institutions.

Core Competencies:

Communication-Oral, Written, & Presentation 

Influence 

Interpersonal/Collaborative/Teamwork 

Adaptability/Flexibility 

Negotiation 

Business/Strategic Thinking 

Customer Service 

Analysis 

Organizational/Priority Setting 

Primary Contacts:

Seeking and providing non-routine or difficult to understand information outside of the department or to clients/members, requiring discussion and interpretation. Interfaces regularly with outside organizations, insured clinicians, SMEs, legal counsel, and institutional leaders. 

People Management:

No direct people management responsibilities.

Shared Impact:

Works on portfolio of claims/cases with high degree of complexity across all lines of coverage. 

Latitude/ Freedom to Act:

Works independently with general direction and supervision.

Requirements

Minimum Requirements:

Knowledge, Education, Experience, & Skills:

Bachelor’s degree required. 

5-10+ years’ experience in liability claims handling or professional liability law required. 

Ability to travel locally to meet with and support insureds and various litigation activities 



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