Cynet systems Inc
Claims Examiner GL PL - Remote / Telecommute
Cynet systems Inc, Memphis, Indiana, United States, 47143
Job Description
Requirement/Must Have
Minimum of 5 years of claims management experience. Strong knowledge of general liability insurance principles and laws. Experience managing high-exposure and litigated claims. Excellent negotiation and communication skills. Ability to manage claims independently and meet service expectations. Experience
Complex and technically challenging general liability claims. Litigation management and coordination with legal counsel. Reserve analysis and ongoing reserve management. Subrogation and recovery processes. Cost containment and vendor management strategies. Responsibilities
Analyze and process complex general liability claims through investigation and evaluation. Assess liability and determine appropriate claim resolutions. Develop and execute action plans to achieve timely claim closure. Negotiate claim settlements within assigned authority levels. Calculate, assign, and manage claim reserves throughout the claim lifecycle. Authorize and issue claim payments and adjustments accurately and timely. Prepare required state filings in compliance with statutory requirements. Manage litigated claims to ensure cost-effective and timely resolution. Coordinate vendor referrals for investigation and litigation support. Identify and manage recovery opportunities including subrogation and applicable offsets. Communicate claim activity clearly with claimants and clients. Ensure claim documentation and coding accuracy. Escalate cases to management as appropriate. Should Have
Professional insurance or claims-related certification. Experience working with excess carriers. Background in cost containment or medical management practices. Skills
Claims investigation and evaluation. Litigation and settlement negotiation. Analytical and problem-solving skills. Strong organizational and time-management skills. Microsoft Office proficiency. Interpersonal and client relationship management. Qualification and Education
Bachelor’s degree preferred or equivalent professional experience.
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Requirement/Must Have
Minimum of 5 years of claims management experience. Strong knowledge of general liability insurance principles and laws. Experience managing high-exposure and litigated claims. Excellent negotiation and communication skills. Ability to manage claims independently and meet service expectations. Experience
Complex and technically challenging general liability claims. Litigation management and coordination with legal counsel. Reserve analysis and ongoing reserve management. Subrogation and recovery processes. Cost containment and vendor management strategies. Responsibilities
Analyze and process complex general liability claims through investigation and evaluation. Assess liability and determine appropriate claim resolutions. Develop and execute action plans to achieve timely claim closure. Negotiate claim settlements within assigned authority levels. Calculate, assign, and manage claim reserves throughout the claim lifecycle. Authorize and issue claim payments and adjustments accurately and timely. Prepare required state filings in compliance with statutory requirements. Manage litigated claims to ensure cost-effective and timely resolution. Coordinate vendor referrals for investigation and litigation support. Identify and manage recovery opportunities including subrogation and applicable offsets. Communicate claim activity clearly with claimants and clients. Ensure claim documentation and coding accuracy. Escalate cases to management as appropriate. Should Have
Professional insurance or claims-related certification. Experience working with excess carriers. Background in cost containment or medical management practices. Skills
Claims investigation and evaluation. Litigation and settlement negotiation. Analytical and problem-solving skills. Strong organizational and time-management skills. Microsoft Office proficiency. Interpersonal and client relationship management. Qualification and Education
Bachelor’s degree preferred or equivalent professional experience.
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