Senior Claims Representative

Role Summary:

Responsible for investigating, evaluating, negotiating, and disposing of assigned claims. Such assignments are non-routine, moderate in complexity, and sensitive requiring significant experience and background.

Key Duties & Accountabilities:

Responsibilities:

• Investigates all assigned claims following established policies and procedures.  
• Coordinates with company personnel and outside parties including lawyers, clients, expert witness, etc. To evaluate claims for proper disposition.  
• Prepares all documentation for the files and disseminates relevant information to appropriate parties.  
• Remains current and applies industry best practices, techniques, trends, law, and precedents.  
• Effectively utilizes technology to maximize efficiency, productivity, results, and communication within the department and with clients.  
• Participates, often together with Loss Prevention personnel, in programs and interventions designed to reduce Professional Liability Risk at insured institutions.

Core Competencies:

• Communication-Oral, Written, & Presentation 
• Influence 
• Interpersonal/Collaborative/Teamwork 
• Adaptability/Flexibility 
• Negotiation 
• Business/Strategic Thinking 
• Customer Service 
• Analysis 
• Organizational/Priority Setting 

Primary Contacts:

Seeking and providing non-routine or difficult to understand information outside of the department or to clients/members, requiring discussion and interpretation. Interfaces regularly with outside organizations, insured clinicians, SMEs, legal counsel, and institutional leaders. 

People Management:

No direct people management responsibilities.

Shared Impact:

Works on portfolio of claims/cases with high degree of complexity across all lines of coverage. 

Latitude/ Freedom to Act:

Works independently with general direction and supervision.

Requirements

Minimum Requirements:

Knowledge, Education, Experience, & Skills:

• Bachelor’s degree required. 
• 5-10+ years’ experience in liability claims handling or professional liability law required. 
• Ability to travel locally to meet with and support insureds and various litigation activities