Oliver James · 1 day ago
Senior Claims Specialist – Human Services (US based remote)
United States
Full-time
Remote
Senior Level
5+ years expOliver James is a company seeking a Senior Claims Specialist to manage a large inventory of claims. The role involves evaluating compensability and liability, conducting investigations, negotiating settlements, and maintaining detailed claim files.
Staffing & Recruiting
Responsibilities
Manages a large inventory of claims to evaluate compensability/liability
Plans and conducts claim investigations to confirm coverage and to determine liability, compensability and damages
Determines and negotiates appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials
Conveys moderately complex information regarding coverage and settlements to insureds, claimants, and external partners
Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner
Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements
Performs other duties as assigned
Qualification
Required
Bachelor's Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience
Generally, a minimum of 5-7 years of experience in property and casualty claims handling
Demonstrates strong analytical, negotiation, and problem-solving skills
Demonstrates knowledge of insurance policies, coverage, and claims handling procedures
Maintains knowledge of industry laws and regulations
Demonstrates ability to organize and prioritize caseloads, ensuring timely resolution of claims
Excellent interpersonal and communication skills with the ability to build relationships and lead negotiations
Proven ability to handle confidential information with discretion
Preferred
Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC)
Company
Oliver James
At Oliver James, we deliver flexible hiring solutions tailored to your business needs across financial services, professional services, commerce & industry.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Alexia Bunker
VP - Client Partnerships
Dominic Reilly
Principal Business Partner
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