What are the responsibilities and job description for the Claims Specialist position at Complete Staffing Solutions?
Position Summary
This position will report to the Senior Claims Manager and will be responsible for overseeing the day-to-day management of property and casualty claims by ensuring timely and accurate processing of claims and maintaining compliance with company policies and regulatory requirements.
Responsibilities
Preferred Education: Bachelor’s degree in risk management & insurance, finance, accounting, criminal justice, or business administration
Minimum Experience: 8-12 years of US casualty (general liability, workers compensation, auto liability and excess liability) claims management experience within a company (risk management department, insurance broker, insurance carrier or third-party claims administrator); experience with large retention or self-insured insurance programs; familiarity with workers’ compensation statutes
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This position will report to the Senior Claims Manager and will be responsible for overseeing the day-to-day management of property and casualty claims by ensuring timely and accurate processing of claims and maintaining compliance with company policies and regulatory requirements.
Responsibilities
- Progressive experience managing Property and Casualty claims including providing oversight to TPA’s in managing claim investigations, settlements, and litigation discovery responses
- Perform claim reviews to evaluate quality and adherence to established company standards
- Identify claims for settlements and adequacy of case reserves; prepare draft settlement requests as assigned
- Collaborate with HR and Benefits Department’s on return-to-work matters
- Collaborate with Safety, Legal and other departments on claim-related matters
- Assist in gathering claims data to report on trends and loss control recommendations
- Assist in development of claims management procedures
- Perform other duties or special projects as assigned
- Must be able to perform the essential functions of this position with or without reasonable accommodation.
Preferred Education: Bachelor’s degree in risk management & insurance, finance, accounting, criminal justice, or business administration
Minimum Experience: 8-12 years of US casualty (general liability, workers compensation, auto liability and excess liability) claims management experience within a company (risk management department, insurance broker, insurance carrier or third-party claims administrator); experience with large retention or self-insured insurance programs; familiarity with workers’ compensation statutes
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