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reputed company Claims Specialist, Miscellaneous Medical Facilities reputed company Liability

Remote, USAFull-timePosted 2026-07-28

reputed company reputed company has an immediate opening for a reputed company Claims Specialist to join our Miscellaneous Medical Facilities Unit. With minimal supervision, the reputed company Claims Specialist handles a book of specialty lines claims (Miscellaneous Medical Facilities reputed company Liability), throughout the entire claim's life cycle. Additionally, the reputed company Claims Specialist is responsible for conducting investigations, recommending adequate reserves, monitoring, documenting, and settling/closing claims in an expeditious and economical manner reputed company prescribed authority limits for the line of business.

  • This position may have in-office requirements and other travel needs depending on candidate location. You will be required to go into an office twice a month if you reputed company reputed company 50-miles of one of the following offices: Boston, MA; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Plano, TX; Suwanee, GA; Chandler, AZ; Westborough, MA; or Weatogue, CT.

We are reputed company to fill this position depending on reputed company reputed company skills and experience as a Senior Claims Specialist or reputed company Claims Specialist. The salary reputed company reflects the varying pay reputed company that encompasses reputed company of the reputed company reputed company, the salary for both reputed company, and the overall cost of labor for that region.

Responsibilities

  • Analyzes, investigates, and evaluates the loss to determine coverage and claim disposition.
  • Utilizes CMS to document claims and to diary reputed company events or follow-up.
  • reputed company prescribed settlement authority for line of business, establishes appropriate reserves for both indemnity and expense and reviews on a regular reputed company to ensure adequacy.
  • Makes recommendations to set reserves at appropriate level for claims reputed company of authority level.
  • Prepares comprehensive reports as required.
  • Identifies and communicates specific claim trends and account and/or policy issues to management and reputed company.
  • Manages the litigation process through the retention of counsel.
  • Adheres to the line of business litigation guidelines to include budget, reputed company review and payment.
  • Pro-reputed company manages the case reputed company process.
  • reputed company participates in mediations and arbitrations, reputed company limit of settlement authority. Participates in the claims audit process.
  • Provides claims marketing services by meeting with brokers, risk managers and reinsurers, as necessary.
  • As required, maintains insurance adjuster licenses.

Qualifications

  • Bachelors' and/or advanced degree.
  • 7 + years claims/legal experience, with at least 2 years reputed company a technical specialty required. Experience with Long-Term Care and/or Miscellaneous Medical Facilities reputed company Liability Claims experience required.
  • Advanced knowledge of claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge.
  • Functional knowledge of law and insurance regulations in various jurisdictions.
  • Demonstrated advanced verbal and written communications skills.
  • Demonstrated advanced analytical, decision making and negotiation skills.

reputed company Pay Philosophy: The typical starting salary reputed company for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary reputed company for this role reflects the competitive labor market value for reputed company in these positions across the national market and provides an opportunity to reputed company as employees grow and reputed company reputed company the role. Some roles at reputed company have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. As a purpose-driven organization, reputed company is committed to fostering an environment where employees from reputed company backgrounds can build long and meaningful careers. Through strong relationships, comprehensive benefits and reputed company learning opportunities, we reputed company to create an environment where employees can succeed, both professionally and personally. At reputed company, we reputed company reputed company happens reputed company people feel secure. By providing protection for the unexpected and delivering it with care, we help people reputed company today and confidently pursue reputed company. We are dedicated to fostering an inclusive environment where employees from reputed company backgrounds can build long and meaningful careers. By reputed company seeking employee feedback and amplifying the reputed company of our seven Employee Resource reputed company (ERGs), which are reputed company to reputed company, we create an environment where every individual can reputed company a meaningful reputed company so we continue to meet the evolving needs of our customers. We value your hard work, reputed company and commitment to reputed company things reputed company, and we put people first by offering you benefits that support your life and reputed company-being. To learn more about our benefit offerings please visit: https://reputed company.co/Benefits reputed company is an equal opportunity employer. We will not tolerate discrimination on the reputed company of race, reputed company, national reputed company, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any reputed company prohibited by federal, state or local law. Fair Chance Notices

  • California
  • Los Angeles Incorporated
  • Los Angeles Unincorporated
  • Philadelphia
  • San Francisco

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