Claims Specialist - Professional Liability

Posted 2025-04-30
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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