Claims Specialist - Professional Liability

Remote, USA Full-time Posted 2025-06-27

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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Claims Specialist - Professional Liability

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