Claims Specialist
Primma, LLCRoslyn, NY, US30+ days ago
Job type
- Full-time
Job descriptionFollow standard claims protocols for documentation, coverage verification, and file management Maintain accurate and organized claims files, suggesting improvements as necessary Assist in client relationship management, collaborate with underwriting on marketing Investigate and document most significant exposures, setting appropriate indemnity and expense reserves Develop resolutions strategy and participate in negotiations to bring matters to a close Attend trials and mediations when necessary Adhere to industry Best Practices for effective claim management Mentor staff through formal and informal training and development; demonstrate strong technical knowledge to guide and support less experienced claims professionals Ensure exceptional data integrity Actively manage defense council and partner on litigation strategy Proactive communication with insureds, other departments and claim leadership Perform additional duties and responsibilities as assigned Bachelor’s degree or JD required Five years’ claims handling experience required; medical professional liability preferred NY adjusters license required within the first 6 - 12 months of employment Strong analytical and problem-solving skills with attention to detail Demonstrate solid and concise business writing proficiency Exhibit strong oral communication skills to include presenting information clearly and effectively to diverse audiences Ability to work independently as well as collaboratively within a team. Set a strong example for less experienced colleagues Strong ethical judgement and a commitment to maintaining confidentiality Must be able to work on site Travel required as needed; may include overnight travel
Job Description
Job Description
- This role is onsite at our Roslyn, NY or Rochester, NY office, with the option for a hybrid schedule after the training period.
General Summary : A Claims Specialist will utilize their experience in medical liability claim handling to investigate, evaluate, and resolve high exposure claims while demonstrating a strong commitment to exceptional client service.
Essential Duties & Responsibilities :
Education & Qualifications :
The actual compensation for this position will be determined by experience and other factors permitted by law.
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Claim Specialist • Roslyn, NY, US