drjobs Sr Claims Analyst Med Psych North American Claims Group

Sr Claims Analyst Med Psych North American Claims Group

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1 Vacancy
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Job Location drjobs

Farmington - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Job Requirements:

A minimum of five to ten years experience handling professional liability insurance claims or related relevant experience. Fouryear college degree is required. J.D. degree or experience in handling medical malpractice or behavioral health claims is preferred.

Substantial knowledge of issues underlying claims and coverage issues. Excellent negotiation and communication skills. Technical writing experience. Proficient in Microsoft Office products.

About Fairfax


Fairfax is a holding company which through its subsidiaries is engaged in property and casualty insurance and reinsurance and investment management.

About Allied World


Allied World Assurance Company Holdings Ltd through its subsidiaries is a global provider of insurance and reinsurance solutions. We operate under the brand Allied World and have supported clients cedents and trading partners with thoughtful service and meaningful coverages since 2001. We are a subsidiary of Fairfax Financial Holdings Limited and we benefit from a worldwide network of affiliated entities that allow us to think and respond in nontraditional ways. Our capital base is strong our solutions anticipate rather than react to changing trends and our teams are focused on establishing longterm relationships that are mutually beneficial. Learn more about how we can help you manage your risk by visiting: Web: Facebook: LinkedIn: generous benefits package includes: Health and Dental Insurance 401k plan and Group Term Life Insurance. Allied World Insurance Company is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will be considered for employment without regard to an individuals race color national origin religion or belief sex age genetic information marital or civil partnership status family status sexual orientation gender identity or their protected veteran or disability status. Please visitfor further information on Allied World.

Job Summary:

Investigate evaluate and resolve claims made against the Companys behavioral health and psychiatry program business including psychiatrists psychologists and other behavioral health care providers liability. Engage in collaborative projects in support of other areas of the company including underwriting finance and accounting actuarial operations and technology. Provide superior service to all customers whether internal or external.

Job Duties:

Efficiently manage a vigorous caseload of claims. Promptly investigate matters analyze coverage draft accurate and timely coverage correspondence. Manage litigation by effectively interacting with insureds brokers defense counsel and other parties as required.

Instruct and collaborate with counsel regarding litigation strategy and claim resolution; resolve claims; and otherwise act within the scope of delegated authority.

Approve reserves payments and other actions consistent with authority.

Interact with underwriters concerning renewals and prospective accounts as well as individual claims and policy issues.

Work with other areas of the Company including underwriting finance and accounting actuarial operations and technology on projects as required.

Prepare claim summaries and other reports as necessary for management.

Attend and/or present at relevant industry conferences/meetings.

Assist with claims related queries in internal and external audits.

Work with reinsurers as needed.


Required Experience:

Senior IC

Employment Type

Full Time

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