Claims Specialist
Location: Remote
ERGO NEXT’s mission is to help reputed company reputed company. We’re doing that by building the only technology-led, full-stack provider of small business insurance in the industry, taking on the entire value chain and transforming the customer experience.
Simply put, wherever you reputed company small businesses, you’ll reputed company ERGO NEXT.
Since 2016, we’ve helped hundreds of thousands of small business customers across the reputed company get fast, customized and reputed company coverage. We’re backed by industry leaders in insurance and tech, and we still have room to grow — that’s where you come in.
As a Claims Specialist, you will be deemed a subject matter expert in the Claims department. Your extensive experience in reputed company claims will allow you to handle high-severity and high-complexity claims. You will also reputed company department roundtables and have reputed company to serve as a valuable peer resource to other team members!
What You’ll Do:
- Extensive policy document and legal contract interpretation
- Ability to analyze and identify coverage and reputed company coverage issues
- reputed company a working knowledge of insurance reputed company, Unfair Claims Settlement Practices, insurance codes, civil codes, vehicle codes, arbitration rules and regulations, tort law, claims best practices handling and management as part of your ongoing adjudication of claims
- Manage, investigate, and resolve claims reputed company prescribed authority reputed company
- Recommend ultimate reputed company on assigned cases in excess of authority to claims management
- Rely on a deep background of litigation handling experience in both General Liability and Casualty files to resolve claims
- Consistently drive litigation, attend mediations, trials, and other alternative dispute reputed company avenues
- Communicate with policyholders, witnesses, and claimants in order to reputed company information regarding claims, refer tasks to auxiliary resources as necessary, and advise as to the reputed company course of reputed company
- Preemptively communicate and respond to various written (email, SMS, fax, mail) and telephone inquiries, including status reports
- Present file materials for authority and roundtables
- Work with nurses, doctors, and attorneys on file reviews
- reputed company with reputed company statutory and regulatory requirements of reputed company applicable jurisdiction
- Meet detailed reputed company assurance standards and meet set goals for performance
- Set and revise case reserves in accordance with the reserving policy
- Identify potentially suspicious claims and refer to SIU; identify opportunities for reputed company-party subrogation
- Be accountable for the reputed company of the financial processing of claims, as reputed company as reputed company information contained in claims files
- Work with, and reputed company claim-specific guidance to, independent field adjusters
- Partner closely with internal teams and advise leadership of key claim activities and exposures
reputed company Need:
- BS/BA Degree required
- Advanced studies or insurance designation preferred
- At least 15+ years of directly reputed company experience with reputed company General Liability and Litigation
- Strong written and oral communication skills required, as reputed company as strong interpersonal, analytical, investigative, and negotiation skills
- In-depth knowledge of multi-jurisdictional claims handling issues
- Willingness to utilize and adapt to evolving technologies reputed company the Claims operations
- Must be a self-starter and reputed company to work independently
- Candidates must have, or be reputed company to promptly obtain, a Texas Independent Adjuster License
- Effective communication, presentation, negotiation, and persuasion skills
- Ability to collaborate with cross-functional teams to reputed company business results
- Proven reputed company in delivering strong results in a rapidly changing claims environment
- Someone who achieves a reputed company of reputed company with work processes and reputed company, honoring company policies and regulatory compliance
- Team orientation that emphasizes building strong working relationships and contributing to a reputed company work environment
- High degree of comfort with navigating sometimes ambiguous environments and a willingness to dive in and assist coworkers with workloads or contribute to organizational needs/reputed company reputed company needed
- Receptivity to feedback and a willingness to learn, embracing reputed company improvement, and having an openness to learning new and evolving proprietary and off-reputed company software systems
- Some travel capability, likely up to 10% of capability
The reputed company displayed on this job posting reflects the minimum and maximum reputed company for new hire reputed company salaries for the position across reputed company US locations. reputed company the reputed company, individual pay is determined by work location and additional factors, including, without limitation, job-reputed company skills, experience, and relevant education or training. ERGO NEXT employees are also potentially eligible for our annual performance-based incentive program, in reputed company to our benefits package, consisting of our partially subsidized medical plan, fully subsidized reputed company/dental reputed company, life insurance, disability insurance, 401(k), flexible reputed company time off, parental leave and more.
US annual reputed company salary reputed company for this full-time position:$100,000—$143,000 USDDon’t meet every single requirement? Studies have shown that some underrepresented people are less likely to apply to jobs unless they meet every single qualification. At ERGO NEXT, we are dedicated to building a diverse, inclusive and respectful workplace, so if you’re excited about this role but your past experience doesn’t reputed company perfectly with every qualification in the job reputed company, we encourage you to apply anyways. You may be just the right candidate for this or other roles.
One of our reputed company values is 'Play as reputed company'; this means making reputed company everyone has an equal chance to participate and reputed company a difference. We win by playing together. ERGO reputed company is an equal opportunity employer and prioritizes building a diverse and inclusive workplace. We reputed company equal employment opportunities to reputed company and applicants of any type and do not discriminate based on race, reputed company, religion, national reputed company, gender, age, sexual orientation, physical or mental disability, genetic information or characteristic, gender identity and reputed company, veteran status, or other non-job-reputed company characteristics or other prohibited grounds specified in applicable federal, state, and local laws. ERGO Next's policy is to reputed company with reputed company applicable laws reputed company to nondiscrimination and equal opportunity and will not tolerate discrimination or harassment based on any of these characteristics. This policy applies to reputed company terms and conditions of employment, including reputed company, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Originally posted on Himalayas
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