Senior Claims Representative - Legal Claims - Remote

Overview

The Senior Claims Representative plays a crucial role in the insurance industry by evaluating and processing claims, ensuring compliance with regulations, and providing exceptional customer service.

In Short

• Investigate and evaluate insurance claims to determine coverage and liability.
• Communicate with claimants and stakeholders to gather information and provide updates.
• Prepare detailed reports summarizing findings and recommendations.
• Negotiate settlements and conduct thorough investigations.
• Maintain accurate claim records using digital systems.
• Stay updated on insurance industry trends and regulations.
• Collaborate with internal teams and participate in training programs.
• Adhere to company policies and industry standards.
• Provide exceptional customer service throughout the claims process.
• Ensure compliance with Department of Insurance regulations.

Requirements

• Bachelor's degree or equivalent work experience; Juris Doctor preferred.
• Proven experience as a Claim Adjuster or similar role.
• In-depth knowledge of insurance policies and claims procedures.
• Strong analytical and problem-solving skills.
• Excellent verbal and written communication skills.
• Ability to negotiate and resolve conflicts effectively.
• Proficient in claim management software.
• Demonstrated ability to work independently.
• Relevant certifications and willingness to obtain additional licenses.

Benefits

• Medical, dental, and vision plans.
• 401k plan with employer matching.
• Discretionary Time Off and Paid Time Off policies.
• Paid holidays.
• Life insurance and disability plans.