Complex Claims Specialist
Job Description
Job Description
We are actively looking to hire a Complex Claims Specialist to join our team!
About the role:- Handle complex medical liability claims with a focus on strategic resolution and strong client service.
- Conduct thorough investigations, verify coverage, and maintain detailed, accurate claim files.
- Set appropriate indemnity and expense reserves based on high-exposure claim assessments.
- Lead negotiations and drive resolution strategies; attend mediations and trials when necessary.
- Manage key client relationships and collaborate with underwriting to support marketing initiatives.
- Mentor junior team members and provide technical guidance through both formal and informal training.
- Ensure compliance with industry Best Practices and maintain exceptional data integrity.
- Partner with defense counsel to manage litigation strategies and ensure proactive case management.
- Bachelor’s degree or JD required; minimum 5 years of claims experience, preferably in medical professional liability.
- NY adjuster’s license required within 6–12 months; must be able to work on site and travel as needed.
Location: Roslyn, NY; Rochester, NY; or New Hamilton Township, NJ
Salary: $127,000 +Recommended Jobs
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