Gallagher Bassett ยท 1 day ago
Senior Claim Specialist
United States
Full-time
Remote
Mid, Senior Level
$0/yr - $125K/yr
5+ years expGallagher Bassett is dedicated to helping clients navigate complexity and support recovery during challenging times. They are seeking a Senior Claim Specialist who will analyze coverage, settle moderately complex claims, and manage the full life cycle of assigned claims files while ensuring compliance with corporate policies and best practices.
BeautyCosmeticsE-Commerce
Responsibilities
Analyzes coverage and settles moderately complex claims in one or more of Gallagher Bassett's specialty claims areas (Misc Medical)
Generally, incumbent does not work on workers compensation claims
Able to manage the full-life cycle of all assigned claims files
Analyzes coverage and determines defense obligations
Under minimal supervision, conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans
Creates reservation of rights and coverage denial letters
Negotiates settlements with clients, client attorneys, and Public Adjusters
Interacts extensively with various parties involved in the claims process, and may recommend retaining the advice of outside experts as necessary
Prepares reserve and settlement authority requests for client and carrier approval
May act as a client advocate with carriers to ensure proper claims handling, including any necessary scoping, estimating, and addressing of coverage
Has a solid understanding of claims processing and the insurance brokerage business
Has a basic understanding of the terminology and case law associated with their specialized claims niche/industry
Handles claims consistent with clients' and corporate policies, procedures and best practices and also in accordance with any statutory, regulatory and ethical requirements
Incumbents at this level should be able to work at full case load capacity
Qualification
Required
High school diploma and 5 years related claims experience required
Prior experience working within the applicable specialty claims area or demonstrated ability to handle unique/challenging claims issues
Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements
Knowledge of accepted industry standards and practices
Computer experience with related claims and business software
Preferred
Bachelor's Degree preferred
Two or more years of prior experience adjusting claims in applicable specialty area preferred
Law Degree (JD) Highly preferred
Company
Gallagher Bassett
About Gallagher Bassett: We are the leading provider of claims and risk management services, helping people and companies prevent, manage and overcome the impact of risk.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Mike Hessling
Chief Executive Officer- North America
Scott Hudson
President and CEO
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