Oliver James
Senior Claims Specialist - Human Services (US based remote)
Oliver James, Frankfort, Kentucky, United States
Senior Claims Specialist – Human Services (US based remote)
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Senior Claims Specialist – Human Services (US based remote)
role at
Oliver James
Base pay range: $130,000.00/yr - $130,000.00/yr
Essential Job Functions and 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.
Job Requirements
Education:
Bachelor's Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience.
Experience:
Generally, a minimum of 5-7 years of experience in property and casualty claims handling. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC).
Scope of Job/Qualifications:
Works within significant limits and authority on assignments of higher technical complexity and coordination. 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.
Seniority Level Mid‑Senior level
Employment Type Full-time
Job Function Finance
Industries Insurance
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Senior Claims Specialist – Human Services (US based remote)
role at
Oliver James
Base pay range: $130,000.00/yr - $130,000.00/yr
Essential Job Functions and 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.
Job Requirements
Education:
Bachelor's Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience.
Experience:
Generally, a minimum of 5-7 years of experience in property and casualty claims handling. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC).
Scope of Job/Qualifications:
Works within significant limits and authority on assignments of higher technical complexity and coordination. 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.
Seniority Level Mid‑Senior level
Employment Type Full-time
Job Function Finance
Industries Insurance
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