Claims Litigation Specialist

Emploi pas sur LinkedIn

🕒 il y a 17 jours

🤠 Texas – Distant

🤠 Texas – Remote

💵 $100 000 - $130 000 / an

⏰ Temps Plein

🟠 Senior

🔴 Expert

🦅 Parrain de Visa H1B

Cette entreprise a parrainé des visas H1B par le passé.

👻 Score fantôme 0%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Next Insurance

Site WebLinkedInTous les Emplois

501 - 1000 employés

Fondée en 2016

🛡️ Assurance

💸 Finance

🤝 B2B

Insurance • Finance • B2B

Next Insurance est un fournisseur d'assurance innovant spécialisé dans l'offre de solutions d'assurance sur mesure pour les petites entreprises. Ils exploitent la technologie pour simplifier le processus d'obtention d'une assurance, le rendant plus accessible et efficace pour les entrepreneurs. Next Insurance vise à fournir des polices d'assurance transparentes, abordables et faciles à comprendre qui répondent aux besoins uniques des propriétaires de petites entreprises.

Description

• Interpret policy documents and legal contracts • Analyze and identify coverage and related coverage issues • Apply knowledge of insurance contracts, Unfair Claims Settlement Practices, insurance codes, civil codes, vehicle codes, arbitration rules and regulations, tort law, and claims best practices • Manage, investigate, and resolve claims within prescribed authority levels • Recommend ultimate resolution on cases exceeding authority to claims management • Handle General Liability and Casualty litigation files • Drive litigation and attend mediations, trials, and alternative dispute resolution proceedings • Communicate with policyholders, witnesses, and claimants to gather claim information and advise on appropriate action • Respond to written and telephone inquiries, including status reports • Present file materials for authority reviews and roundtables • Collaborate with nurses, doctors, attorneys, internal teams, leadership, and independent field adjusters • Comply with statutory and regulatory requirements • Meet quality assurance standards and performance goals • Set and revise case reserves according to reserving policy • Identify suspicious claims and refer them to SIU; identify third-party subrogation opportunities • Maintain security of claims financial processing and claims-file information • Provide claim-specific guidance to independent field adjusters • Advise leadership on key claim activities and exposures

🎯 Exigences

• BS/BA degree required • Advanced studies or insurance designation preferred • At least 10+ years of directly related experience with Commercial General Liability and Litigation • Strong written and oral communication, interpersonal, analytical, investigative, and negotiation skills • In-depth knowledge of multi-jurisdictional claims handling issues • Willingness to use and adapt to evolving claims-operation technologies • Ability to work independently as a self-starter • Must have or promptly obtain a Texas Independent Adjuster License • Ability to collaborate with cross-functional teams • Proven success delivering strong results in a rapidly changing claims environment • Commitment to excellence, company policies, and regulatory compliance • Team-oriented approach and ability to build strong working relationships • Comfort navigating ambiguous environments and assisting coworkers or organizational projects • Receptiveness to feedback and willingness to learn new proprietary and off-the-shelf software systems • Some travel capability, likely up to 10%

🏖️ Avantages

• Annual performance-based incentive program eligibility • Partially subsidized medical plan • Fully subsidized vision/dental options • Life insurance • Disability insurance • 401(k) • Flexible paid time off • Parental leave • Equal employment opportunities and diverse, inclusive workplace