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Senior Complex Claims Specialist - Remote

Posted 8 weeks ago
Finance / Legal
Full Time
Worldwide
$85,000.00 - $105,000.00/year

Overview

The Senior Complex Claims Specialist role is part of our JWF Specialty division. This position involves managing complex insurance claims, ensuring compliance with state regulations, and driving early resolution of claims.

In Short

  • High-level adjusting role for complex claims.
  • Investigate, evaluate, negotiate, and settle claims.
  • Confirm and analyze coverage and liability exposure.
  • Work with vendors and internal teams for claims resolution.
  • Maintain accurate claim file documentation.
  • Drive litigation best practices.
  • Identify emerging exposures and claims trends.
  • Participate in special projects as assigned.
  • Requires 8+ years of claims management experience.
  • Remote work opportunity.

Requirements

  • Extensive experience managing litigated claims.
  • Preferred experience with public sector claims.
  • Ability to handle high volume and shifting priorities.
  • Adjusters' licenses for New York and/or California are a plus.
  • Strong team player with a growth mindset.

Benefits

  • Generous Paid Time Off and leave options.
  • Employee referral bonus program.
  • Professional growth and development opportunities.
  • Unique benefits including Pet Insurance and Legal Planning.
  • 401(k) matching and wellness programs.
EPIC Brokers logo

EPIC Brokers

EPIC Brokers is a dynamic organization focused on providing innovative solutions in the healthcare sector, particularly through its Artemetrx software business. The company specializes in pharmacy claims and data analytics, aiming to enhance client operations by acting as a trusted advisor. With a commitment to professional growth and an inclusive work culture, EPIC Brokers offers a range of benefits including generous paid time off, comprehensive insurance, and opportunities for development. The team values strong problem-solving and communication skills, ensuring effective collaboration with clients and stakeholders.

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