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обновлено 17 минут назад

Complex Claims Specialist (E&S)

124 000 - 160 000$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US

Описание вакансии

Текст:
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TL;DR
Complex Claims Specialist (E&S) (Claims/Property and Casualty): Managing complex insurance claims through coverage analysis, investigation, evaluation, negotiation, and resolution with an accent on litigation management, loss exposure assessment, and regulatory compliance. Focus on resolving claims within delegated authority, coordinating experts and reinsurers, managing litigation budgets, and attending mediations, trials, and other proceedings.

Location: Remote within the United States; travel to mediations, arbitrations, settlement conferences, trials, and other proceedings may account for up to 20% of the role. Car travel within the assigned territory represents approximately 10–25% of working time.

Salary: USD $124,000–$160,000 per year, depending on geographic location, qualifications, experience, skills, performance, and business needs.

Company

hirify.global is a midsized U.S. property and casualty insurance company serving customers through insurance and claims services.

What you will do

  • Evaluate and resolve coverage issues across all lines of business and liability claim types.
  • Investigate claims through communication with claimants, attorneys, insureds, witnesses, and other relevant parties.
  • Analyze losses, contributory or comparative negligence, expert needs, medical examinations, and overall claim exposure.
  • Negotiate and resolve claims within delegated authority ranging from $100,000 to $400,000, using appropriate denials or releases.
  • Manage litigation activities, vendors, expenses, reports, referrals, and updates for claims, underwriting, reinsurance, and actuarial stakeholders.
  • Attend trials and other proceedings when required, while providing training, collaboration, and thought leadership.

Requirements

  • 8+ years of casualty claims-handling experience, including at least 5 years managing complex cases with a primary property and casualty carrier.
  • Experience in complex coverage analysis and significant large-loss evaluations.
  • Strong litigation management, strategic negotiation, problem-solving, communication, and claim disposition skills.
  • Ability to write coverage letters and use standard business software, including Microsoft Outlook, Excel, and PowerPoint.
  • Multi-state licensing and knowledge of Medicare reporting and compliance are preferred.
  • Valid state-issued driver's license in good standing and ability to drive an automobile are required.

Nice to have

  • E&S claims experience.
  • New York Labor Law experience.
  • Habitability, assault and battery, and Coverage B experience.
  • College degree and carrier experience.

Culture & Benefits

  • Fully remote work within the United States with travel required for selected proceedings.
  • Competitive base salary and incentive plan eligibility.
  • Health care plans, retirement savings plan with company match, and employee stock purchase program.
  • Tuition assistance and reimbursement programs.
  • 20 days of paid time off.
  • Inclusive workplace focused on diverse perspectives and employee contribution.