What are the responsibilities and job description for the Claims Specialist position at Primma, LLC?
**This role is onsite at our Roslyn, NY or Rochester, NY office, with the option for a hybrid schedule after the training period. **
General Summary: A Claims Specialist will utilize their experience in medical liability claim handling to investigate, evaluate, and resolve high exposure claims while demonstrating a strong commitment to exceptional client service.
Essential Duties & Responsibilities:
- Follow standard claims protocols for documentation, coverage verification, and file management
- Maintain accurate and organized claims files, suggesting improvements as necessary
- Assist in client relationship management, collaborate with underwriting on marketing
- Investigate and document most significant exposures, setting appropriate indemnity and expense reserves
- Develop resolutions strategy and participate in negotiations to bring matters to a close
- Attend trials and mediations when necessary
- Adhere to industry Best Practices for effective claim management
- Mentor staff through formal and informal training and development; demonstrate strong technical knowledge to guide and support less experienced claims professionals
- Ensure exceptional data integrity
- Actively manage defense council and partner on litigation strategy
- Proactive communication with insureds, other departments and claim leadership
- Perform additional duties and responsibilities as assigned
Education & Qualifications:
- Bachelor’s degree or JD required
- Five years’ claims handling experience required; medical professional liability preferred
- NY adjusters license required within the first 6 - 12 months of employment
- Strong analytical and problem-solving skills with attention to detail
- Demonstrate solid and concise business writing proficiency
- Exhibit strong oral communication skills to include presenting information clearly and effectively to diverse audiences
- Ability to work independently as well as collaboratively within a team. Set a strong example for less experienced colleagues
- Strong ethical judgement and a commitment to maintaining confidentiality
- Must be able to work on site
- Travel required as needed; may include overnight travel
The actual compensation for this position will be determined by experience and other factors permitted by law.
