Claims Specialist - Professional Liability

Posted 2025-04-21
Remote, USA Full-time Immediate Start

Description:
?? Analyzes and processes complex or technically difficult liability claims.
?? Conducts or assigns full investigation and provides report.
?? Negotiates claim settlement up to designated authority level.
?? Calculates and assigns timely and appropriate reserves to claims.
?? Represents company in depositions, mediations, and trial monitoring as needed.
?? Communicates claim activity and processing with the client.
?? Ensures claim files are properly documented and claims coding is correct.
?? Travels as required.

Requirements: ?? Masters or Juris Doctorate degree from an accredited college or university preferred. ?? Licenses as required. ?? Designations and/or licensing including but not limited to Bachelor of Science in Nursing. ?? Ten (10) years of complex claims management experience or equivalent combination of education and experience required. ?? In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of-business handled. ?? Claims expertise in medical malpractice, errors and omissions, directors and officers, life sciences, and/or cyber liability. ?? Excellent oral and written communication, including presentation skills. ?? PC literate, including Microsoft Office products. ?? Analytical and interpretive skills. ?? Strong organizational skills. ?? Excellent negotiation skills. ?? Good interpersonal skills.

Benefits:
?? Medical
?? Dental
?? Vision
?? 401k and matching
?? PTO
?? Disability and life insurance
?? Employee assistance
?? Flexible spending or health savings account
?? Other additional voluntary benefits

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