Job Description
Job Summary
Seeking a Complex Claims Specialist (Professional Lines). The role involves adjusting and resolving complex to severe claims, drafting coverage letters, leading defense strategy on litigated files, and mentoring Claim Examiners.
Compensation Package
- Salary: $120,000 - $155,000/year with potential bonus
- 401(k) with competitive company matching
- Comprehensive benefit package
- Financial Adoption Assistance and Medical Travel Reimbursement Programs
- Annual reimbursement up to $600 for health club membership or fees associated with any fitness program
- Company paid subscription to Headspace for mental health and wellbeing
- Dynamic, creative, and values-driven culture
- Modern and open office spaces, complimentary drinks
- Spirit of volunteerism, social responsibility, and community involvement
Responsibilities
- Adjust and resolve complex to severe claims, including all phases of litigation
- Draft complex coverage letters, including reservation of rights and denial letters
- Review and analyze claim documentation and legal filings
- Drive litigation best practices to lead defense strategy on litigated files
- Mentor Claim Examiners
- Use superior knowledge and experience to affect positive claim outcomes via investigation, negotiation, and alternative dispute resolutions
- Identify emerging exposures and claims trends
- Accurately document claim files in compliance with company policies and regulatory authorities
- Develop content and conduct training for claims team and underwriters as requested
Qualifications/Requirements
- Professional Lines background
- 8+ years in insurance and 5+ in litigation
- JD from an ABA accredited law school may be considered as a supplement to claims handling experience
- Advanced knowledge of claims analysis and adjusting practices
- B.A./B.S degree from an accredited College or University preferred
- Ability to act as a subject matter expert within the team
- Demonstrated ability to work with minimal oversight
- Experience attending and leading mediations, arbitrations, and trials
- Commitment to professional development and learning
If you are a dedicated professional with the required experience and expertise, we encourage you to apply for this exciting opportunity. Join our team at [Company Name] and build a brilliant future with us.
For more information about the company and to apply, please visit [Company Website].