Senior Claims Representative
4 weeks ago
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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