Claims SpecialistPrimma, LLC • Roslyn, NY, US

Claims Specialist

Primma, LLC • Roslyn, NY, US

30+ days ago

Job type

Full-time

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 :

Follow 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

Education & Qualifications :

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

The actual compensation for this position will be determined by experience and other factors permitted by law.

Create a job alert for this search

Claim Specialist • Roslyn, NY, US

Related jobs

Trucking Claim Specialist

AmTrust Financial • New York, NY, United States

Full-time

The Commercial Trucking Claims Adjuster is responsible for the prompt and efficient examination, investigation and settlement or declination of insurance claims through effective research, negotiat...Show more

Last updated: 30+ days ago • Promoted

Arkansas Licensed Claims Specialist

VirtualVocations • New York, New York, United States

Full-time

A company is looking for a Claims Specialist to join their Workers Compensation Claims Adjuster team.Key Responsibilities Investigate, evaluate, and resolve workers compensation claims Collabora...Show more

Last updated: 3 days ago • Promoted

Senior General Liability Bodily Injury Technical Claims Specialist

Argonaut Management Services, Inc • New York, NY, United States

Full-time

Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...Show more

Last updated: 30+ days ago • Promoted

New York Licensed Claims Specialist

VirtualVocations • New York, New York, United States

Full-time

A company is looking for a Claims Specialist - Commercial Auto.Key Responsibilities Serve as the main point of contact for inbound claims and provide timely resolutions Review claim documentatio...Show more

Last updated: 30+ days ago • Promoted

Senior Program Claims Compliance Specialist

Argonaut Management Services, Inc • New York, NY, United States

Full-time

Last updated: 30+ days ago • Promoted

Claims Adjustment Specialist I

MetroPlus Health Plan • New York, NY, United States

Full-time +1

Claims Adjustment Specialist I.Water Street, 7th Floor, New York, NY 10004 .New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege.If you have co...Show more

Last updated: 30+ days ago • Promoted

Complex Claim Specialist, Professional Liability

AmTrust Financial • New York, NY, United States

Full-time

Complex Claim Specialist, Professional Liability.Amtrust Financial Services, a fast-growing commercial insurance company, is seeking a Complex Claim Specialist. This position can be located in one o...Show more

Last updated: 30+ days ago • Promoted

Medical Claims Specialist

Vanguard Temporaries, Inc. • New York, New York, US

Full-time

Job Purpose : Serves medical insurance customers by determining insurance coverage; examining and resolving medical claims. documenting actions; maintaining quality customer services; ensuring legal...Show more

Last updated: 8 days ago • Promoted

Complex Claim Specialist, Trucking

AmTrust Financial • New York, NY, United States

Full-time

Complex Claim Specialist, Trucking.The Commercial Trucking Claims Adjuster is responsible for the prompt and efficient examination, investigation and settlement or declination of insurance claims t...Show more

Last updated: 15 days ago • Promoted

Follow-Up Specialist

VirtualVocations • Bronx, New York, United States

Full-time

A company is looking for a Follow-Up Specialist to ensure timely and effective follow-ups with insurance companies.Key Responsibilities : Follow up on unpaid claims with insurance carriers after s...Show more

Last updated: 2 days ago • Promoted

Medical Claims Specialist / Examiner

Vanguard Temporaries, Inc. • New York, New York, US

Full-time

Last updated: 8 days ago • Promoted

Complex Claim Specialist, General Liability

AmTrust Financial • New York, NY, United States

Full-time

Complex Claim Specialist, General Liability.Amtrust Financial Services, a fast-growing commercial insurance company, is seeking a Complex General Liability Claims Specialist.The successful candidat...Show more

Last updated: 10 days ago • Promoted

Senior Claims Integration Specialist

VirtualVocations • Bronx, New York, United States

Full-time

A company is looking for a Senior Claims Integration Specialist who will manage complex healthcare claims data integrations across multiple platforms. Key Responsibilities Lead carrier partnership...Show more

Last updated: 1 day ago • Promoted

Priority Claims Specialist

VirtualVocations • Jamaica, New York, United States

Full-time

A company is looking for a Priority Claims Specialist III.Key Responsibilities Ensure accurate, timely payment for services and maintain compliance with relevant laws and policies Utilize billin...Show more

Last updated: 1 day ago • Promoted

Medicare Claims Specialist

VirtualVocations • New York, New York, United States

Full-time

A company is looking for a Medicare Specialist to assist with resolving aged medical claims and managing Medicare accounts. Key Responsibilities Resolve cash-generating accounts to enhance revenue...Show more

Last updated: 30+ days ago • Promoted

E&S Claim Specialist

AmTrust Financial • New York, NY, United States

Full-time

AmTrust Financial Services, a fast-growing commercial insurance company, is seeking an experienced Claims Specialist for a role in Excess and Surplus Lines (E&S) General Liability.This position can...Show more

Last updated: 15 days ago • Promoted

General Liability Claim Specialist

AmTrust Financial • New York, NY, United States

Full-time

General Liability Claim Specialist.AmTrust Financial Services, a fast-growing commercial insurance company, is seeking an experienced Claims Specialist. This position can be located in one of our cl...Show more

Last updated: 30+ days ago • Promoted

State Certified Claims Specialist

VirtualVocations • New York, New York, United States

Full-time

A company is looking for a Claims Specialist to manage lower-level, non-complex workers' compensation claims under supervision. Key Responsibilities Receive claims, confirm policy coverage, and ac...Show more

Last updated: 2 days ago • Promoted