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Complex Claims Consultant

co • Posted 4 days ago
Onsite Full Time Consulting

Responsibilities

  • Manages an inventory of highly complex commercial claims with large exposures
  • Ensures exceptional customer service by managing all aspects of the claim
  • Verifies coverage and establishes timely and adequate reserves
  • Leads focused investigation to determine compensability, liability and covered damages
  • Collaborates with internal and external business partners to develop, own and execute a claim resolution strategy
  • Establishes and manages claim budgets
  • Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences
  • Achieves quality standards by appropriately managing each claim
  • Keeps leadership informed of significant risks and losses
  • Maintains subject matter expertise and ensures compliance with state/local regulatory requirements
  • Mentors, guides, develops and delivers training to less experienced Claim Professionals

Requirements

  • Bachelor's Degree or equivalent experience
  • Typically a minimum six years of relevant experience, preferably in claim handling
  • Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire where applicable
  • Prior negotiation experience
  • Professional designations preferred (e.g. CPCU)

Certifications & Qualifications

  • Bachelor's Degree
  • Insurance Adjuster License
  • CPCU

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