Claims Specialist

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.

Job Type: Part-time

Salary: $40.00 – $50.00 per hour

Education:
• Doctorate (Required)

Experience:
• D&O: and EPL – 2 years

Work Location: Remote

Job Type: Part-time

Pay: $40.00 – $50.00 per hour

Benefits:
• Flexible schedule

Application Question(s):
• What is your minimum hourly requirement?
• Do you have a JD?
• Do you have previous D&O and EPL experience?

Work Location: Remote

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