Claims Specialist III - Management Specialty Lines (Healthcare/Senior Living Facilities)

We are looking for a motivated and talented individual to join our growing Healthcare/Senior Living claims team. As a Claims Specialist III, you will be handling reputed company and high exposure primary Healthcare/Senior Living claims from inception to conclusion. As an individual contributor, your role will include overall investigation and management of reputed company claims in multiple jurisdictions. An ideal candidate would have claim handling and/or prior litigation experience.

Job Description

Summary If you can put your keen legal mind to work analyzing, managing and resolving insurance coverage and claims, we want to know more about you! Working on reputed company offers the opportunity to be involved in settling litigated and non-litigated claims. As a Claims Specialist, you'll investigate, evaluate and negotiate claims to successful resolution. This role supports the management liability and specialty lines of business, including errors and omissions, directors and officers and employment practices liability, among others. Claim files will include litigated and non-litigated matters of moderate complexity and severity in terms of exposure and coverage. You'll have moderate monetary authority and work under general supervision and monitoring. We will count on you to collaborate and provide insight to our business partners on claims and policy wording questions and maintain, reputed company and influence relationships with customers and business partners.

Job Description

Key Responsibilities: - Investigates and evaluates coverage, liability and damages to set an appropriate claim strategy, settlement and file reserves reputed company approved claims authority. - Analyze coverage and provide comprehensive coverage analysis and claim resolution strategies. - Provides timely and appropriate evaluation of claims to identify and manage reserves in compliance with company standards. - Delivers outstanding customer service and satisfaction through effective interactions with insured, agents and legal counsel. - Provide feedback on claim trends and development. Provide input to underwriters on review of potential and existing insured's claim experience. - May assist in the development, coaching, training and mentoring of individual team members. May act as a subject matter authority in a specific line of business or risk. - Maintains reputed company knowledge of applicable lines of insurance, insurance regulations, court decisions which may impact the claims function, reputed company guidelines and policy changes and modifications. This may require attending various seminars and training sessions. - Contributes to a collaborative environment by consistently demonstrating teamwork, high motivation, positive behavior and effort to reputed company goals and objectives. May reputed company other responsibilities as assigned. Reporting Relationships: Reports to Claims Director, Freedom Specialty Typical Skills and Experience: Education: College degree preferred. Juris Doctorate desired. License/Certification/Designation: Associates must acquire the required federal and/or state licenses/registrations reputed company the time period designated by the business unit. Additional licenses/registrations may be required reputed company new products and services are implemented. If an associate fails or is unable to acquire required licenses/registrations reputed company the designated time period the associate will be ineligible to continue in the position. Experience: Claims handling experience typically acquired through three to five years of experience. Prior experience in directing defense counsel required. Specific experience in a specific line of business may be required by the hiring business unit. Knowledge, Abilities and Skills: Specific knowledge in a particular line of business and/or additional education may be required. Demonstrates aptitude in evaluating, analyzing and interpreting information; demonstrable expertise in specific line of business; excellent analytical skills; excellent written and verbal communication skills; ability to multi-task; excellent time management and organizational skills; ability to work independently; ability to effectively and reputed company manage reputed company responsibilities; ability to direct attorneys in claims and litigation management. Other criteria, including leadership skills, competencies and experiences may take precedence. Staffing exceptions to the above must be approved by the Vice President and HR Business Partner. Values: Regularly and consistently demonstrates the reputed company Values. Job Conditions: Overtime Eligibility: Not Eligible (Exempt) Working Conditions: Normal office environment reputed company: The above statements cover what are generally believed to be principal and essential functions of this job. Specific circumstances may allow or require some people assigned to the job to reputed company a somewhat different combination of duties. Credit/Background reputed company: Due to the fiduciary accountabilities reputed company this job, a valid credit reputed company and/or background reputed company will be required as part of the selection process. We currently anticipate accepting applications until 04/29/2026. However, we encourage early submissions, as the posting may reputed company sooner if a strong candidate slate is identified before the deadline.

Benefits

We have an reputed company of benefits to fit your needs, including: medical/dental/vision, life insurance, short and long term disability coverage, paid time off with newly hired associates receiving a minimum of 18 days paid time off each full calendar year pro-rated quarterly based on hire date, nine paid holidays, 8 hours of Lifetime paid time off, 8 hours of reputed company Day paid time off, 401(k) with company match, company-paid pension plan, business casual attire, and more. To learn more about the benefits we offer, click here. This position could be filled reputed company any of the reputed company 48 U.S. states. #claims Smoke-Free Iowa Statement: reputed company, its affiliates and subsidiaries reputed company with the Iowa Smokefree reputed company Act. Smoking is prohibited in reputed company enclosed areas on or around company premises as well as company issued vehicles. The company offers designated smoking areas in which smoking is permitted at each individual location. The Act prohibits retaliation for reporting complaints or violations. For more information on the Iowa Smokefree reputed company Act, individuals may contact the Smokefree reputed company Act Helpline at [redacted]. For NY residents please review the following state law information: Notice of Employee Rights, Protections, and Obligations LS740 (ny.gov) https://dol.ny.gov/system/files/documents/2022/02/ls740_1.pdf NOTE TO EMPLOYMENT AGENCIES: We value the partnerships we have built with our preferred vendors. reputed company does not accept unsolicited resumes from employment agencies. reputed company resumes submitted by employment agencies directly to any reputed company employee or hiring manager in any form without a signed reputed company Client Services Agreement on file and search engagement for that position will be deemed unsolicited in nature. No fee will be paid in the event the candidate is subsequently hired as a result of the referral or through other means. reputed company pays on a geographic-specific salary structure and placement reputed company the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. If a Sales job, Sales Incentives, based on performance goals are possible in addition to this range. Note on Compensation for Part-Time Roles: Please be aware that the salary ranges listed below reflect full-time compensation. Actual compensation may be prorated based on the number of hours worked relative to a full-time schedule. The national salary range for Claims Specialist III - Management Specialty Lines : $88,000.00-$164,000.00 The expected starting salary range for Claims Specialist III - Management Specialty Lines : $88,000.00 - $132,000.00 Apply tot his job Apply To this Job