Upvote
Downvote
Sr. Claims Specialist, Healthcare
Share Job
- Suggest Revision
Full-time
- This position in Healthcare Claims will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation.
- The primary purpose of this job is to handle claims in the excess and reinsurance categories: from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.
- College degree is required and a JD and/or minimum of 5 years claims handling experience is preferred.
- Job ResponsibilitiesConfirms coverage of claims by reviewing policies and documents submitted in support of claimsDirects and monitors assignments to experts and outside counsel, ensures effective vendor and litigation management on moderate to high complexity claims including demonstrable savingsAnalyzes coverage and communicates coverage positionsPrepare coverage position letters on matters typically in litigation without assistance of outside coverage counsel.
- Successful achievement of industry designations (INS, IEA, AIC, ARM, SCLA, CPCU) orParticipation in industry training opportunities (CLM Claim College, Munich Re Training, FDCC, etc.)
Active Job
Updated TodaySimilar Job
Relevance
Active