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BA/BS degree from a regionally accredited university or college and 10-15 years of insurance claims and litigation experience with a carrier, independent adjusting firm, third-party administrator, or law firm, or an equivalent combination of education and relevant insurance experience.
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Assign case to third-party vendors and experts as applicable for investigation of circumstances when compensability is questionable. This senior position provides the front-line handling of highly complex litigated matters arising from commercial general liability, commercial liability umbrella, inland marine, and first-party property claims.
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Leverage your claims experience and join our team as a Senior Litigation Specialist! The Sr. Litigation Specialist is responsible for all aspects of coverage, investigation, negotiation, and resolution of litigated matters within established company and industry Best Practices.
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Our team does their best work each day, creating a one-stop resource for all commercial insurance solutions and construction safety resources, leading to powerful results. Handle highly complex, commercial general liability and commercial building and business personal property claims involving substantial property damages, construction defect, personal and advertising injury claims, serious bodily injury, complex and high-value loss of use and other types of high exposure claims involving litigated matters arising from claims.
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This role will work with legal counsel to analyze each case to establish the proper action plans to appropriately defend and timely resolve cases within the highest and best legal and business practices.
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Earn swag and extra time off through peer recognition Builders Bucks program. Handle suits filed against the company that arise from claims or claims activities, always protecting the interest of the company against claims for extracontractual and punitive damages.
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Adjuster license or the ability to obtain an adjuster license for assigned jurisdiction(s) is required. Handle or direct activity of assigned independent adjusters in all aspects of investigation and settlement of assigned claims to include interviewing insureds, witnesses, and physicians; inspecting property damage; reviewing factual information to prepare damage estimates; evaluating and making recommendations regarding coverage of claims; determining liability and total value of claims; negotiating settlements and making recommendations regarding litigation.
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Make appropriate settlements in a timely manner with regards to all aspects of covered damages and appropriate applications of business considerations and needs, while proactively manages claim costs and expenses and manages litigation expenses within budget.
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Proven track record of handling complex, high-value claims and litigation. Complete accurate Large Loss and Litigation reports to executive management and reinsurers with timely updates. Analyze case facts to establish timely and accurate indemnity and expense reserves and identify possible fraud or abuse throughout course of claim.
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Provides guidance and support to lines of business in developing procedures, maintaining risk and control libraries, third-party risk management, developing KRIs and KPIs, monitoring control environment and business continuity planning.
$88,500 - $149,300 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Verifies insurance benefits and obtains pre-certification from various third-party payers. DeRoyal, HBOC, Account Link and Medifax)Update schedules daily of unexpected procedures, cancellations or changes and communicates with all individuals affected by revisions.
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Advanced level experience with database management and various third-party report building tools such as Tableau, Crystal Reports, Cognos, SAS, and others. The Clinical Informatics Specialist 3 - Epic Reporting is responsible for triaging, designing, managing, and meeting analytics needs across the UCSD Health system.
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The Pre-Authorization Specialist core duties consist of contacting insurance companies and other third-party administrators to determine pre-authorization and/or medical necessity requirements for basic and high-tech outpatient radiology exams and procedures.
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Must be passionate about media and the technologies used to support online and/or mobile advertising operations: ad serving, audience management tools, inventory applications, HTML, XML, and third-party ad tags.
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Zenith American Solutions, Inc. is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide. Experience in a third-party administrator.
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third party jobs Title: specialist
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