ClaimsFirst Services, a Third-Party Administrator, is seeking a highly capable Claims Specialist to join our Professional Liability Claims team.
This role will adjudicate EPL and Private D&O claims for our clients.
The primary duties and responsibilities of the role are:
- Investigating claims promptly and thoroughly.
- Analyzing claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage.
- Working independently under minimal technical direction and within significant limits and authority.
- Analyzing claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage.
- Properly setting claim reserves, identifying, assigning, and coordinating the assignment and coordination of expertise resources to assist in case resolution.
- Preparing reports for file documentation.
- Reporting to senior management and underwriters on claims trends and developments
- This position is fully remote.
Core qualifications and requirements for this position include:
- A practical knowledge of adjudicating management and professional liability claims.
- A minimum of two years’ experience adjudicating management and professional liability claims with exposure of $100,000 or more.
- Bachelor’s degree from an accredited university required; a JD is strongly preferred.
- Must possess or have ability to quickly obtain a license in each jurisdiction requiring a license to adjudicate first party claims.
- Excellent evaluation, strategic skills and claim negotiation with a customer focus.
- Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
- Must work independently and demonstrate the ability to exercise sound judgment.
- Must have excellent communication skills.
Education:
Experience:
Work Location: Remote
Job Type: Full-time
Pay: $85,000.00 - $95,000.00 per year
Benefits:
Work Location: Remote
