3 senior claims representative jobs found in Remote

CANDIDATES MUST HAVE PA CLAIMS EXPERIENCE The Claim Specialist III investigates, evaluates, negotiates, and resolves lost time claims within settlement and reserving authority up to stated maximum. (Supervisor will determine actual individual authority up to the stated maximum). Based on experience and proven ability, an expanded and more difficult caseload will be expected, requiring a lesser degree of supervision. Principal Duties and Responsibilities 1. Communicates with insureds, injured workers, agents, brokers, witnesses, attorneys, loss prevention, and underwriters to obtain and relate necessary information to determine coverage/compensability, facts of loss, and degree of liability/exposure. Maintains contact throughout the life of the file as needed. 2. Administers the delivery of timely, appropriate and accurate indemnity and medical benefits. 3. Evaluates claim exposure, negotiate and resolve claims. Works closely with defense counsel on litigated cases and...

The Lead Claims Advocate is responsible for managing complex and high-severity specialty claims for management liability, cyber and professional liability. Serves as a subject matter expert, ensuring accurate handling and resolution of specialty claims while supporting best practices across the team. Your Impact Lead the handling of complex and high-severity claims involving: Directors & Officers (D&O) Liability; Employment Practices Liability (EPL); Fiduciary Liability; Crime/Fidelity; Professional Liability / Errors & Omissions (E&O); Cyber. Review claim notices, demand letters, subpoenas, regulatory investigations, and lawsuits to identify potential insurance coverage. Report new matters under all applicable policies and assist client with preservation of insurance rights. Develop and execute claim strategies designed to maximize policyholder recovery. Coordinate and manage communications among clients, insurers, defense counsel, coverage counsel,...

CANDIDATES MUST HAVE NY CLAIMS EXPERIENCE The Claim Specialist I - IV investigates, evaluates, negotiates, and resolves lost time claims within settlement and reserving authority up to stated maximum. (Supervisor will determine actual individual authority up to the stated maximum). Based on experience and proven ability, an expanded and more difficult caseload will be expected, requiring a lesser degree of supervision. Principal Duties and Responsibilities 1. Communicates with insureds, injured workers, agents, brokers, witnesses, attorneys, loss prevention, and underwriters to obtain and relate necessary information to determine coverage/compensability, facts of loss, and degree of liability/exposure. Maintains contact throughout the life of the file as needed. 2. Administers the delivery of timely, appropriate and accurate indemnity and medical benefits. 3. Evaluates claim exposure, negotiate and resolve claims. Works closely with defense counsel on litigated cases and...