Job Description
Complex Claims Specialist
Job Summary
Seeking a highly skilled and experienced Complex Claims Specialist to join a dynamic team. This role focuses on managing complex claims within the Cyber Tech Media and Crime professional liability lines of business. The successful candidate will play a pivotal role in analyzing liability claim submissions managing litigation and driving early resolution of claims.
Compensation Package
- Salary Range: $115000 - $150000 per year (based on experience and qualifications)
- Benefits:
- Competitive salary and performance-based bonus
- Comprehensive health vision and dental insurance
- 401(k) with competitive company matching
Responsibilities
- Adjust and resolve complex claims including all phases of litigation.
- Manage and direct work of counsel and experts on claims.
- Draft complex coverage letters including reservation of rights and denial letters.
- Review and analyze claim documentation and legal filings.
- Drive litigation best practices to lead defense strategy on litigated files.
- Investigate negotiate and utilize alternative dispute resolutions to achieve positive claim outcomes.
- Identify emerging exposures and claims trends.
- Accurately document claim files in compliance with company policies and regulatory requirements.
- Develop and conduct training for claims teams and underwriters.
- Handle claims from across the U.S. with an average caseload of 110-125 files (80% litigated).
Qualifications/Requirements
- 8 years in insurance with at least 5 years in litigation.
- Proven ability to manage claims up to $2M with an average range of $100K-$250K.
- Advanced knowledge of claims analysis adjusting practices and litigation processes.
- Bachelors degree from an accredited college or university preferred.
- JD from an ABA-accredited law school may be considered as a supplement to claims handling experience.
- Strong analytical negotiation and communication skills.
- Ability to work independently with minimal supervision.
- Experience attending and leading mediations arbitrations and trials.
- Commitment to professional development including certifications such as CPCU ARMS or AINS.
- Demonstrated ability to act as a subject matter expert.
- Courage and professionalism in addressing complex matters with insureds attorneys and brokers.
- Well-organized and responsive with a proactive approach to claims management.
Disclaimer: Please note that this job description may not cover all duties responsibilities or aspects of the role and it is subject to modification at the employers discretion.
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Required Experience:
Unclear Seniority