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Form of workJob Description
Investigate, analyze, and determine the extent of insurance company's liability concerning personal, casualty, or property loss or damages, and attempt to effect settlement with claimants. Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information. Calculate benefit payments and approve payment of claims within a certain monetary limit.
1. Type of claims experience required:
a. Casualty Claims – GL, Auto, WC
2. Are there any specific certifications or education:
a. No Certifications, Bachelor’s Degree in Risk / Insurance / Finance / Business Administration
3. Will they be working remotely or onsite at your client and where is the location:
a. Remote work; company is located in Rosemont, IL
4. Additional job details below:
a. Oversee third-party claims administrator (TPA) in the administration of workers compensation, and, occasionally, auto liability, and general/product liability claims. Will include interaction with in-house and outside counsel, internal stakeholders and third-party vendors.
ii. Conduct claim audits and claim reviews. Communicate audit results to management and TPA. Identify and implement process to address any areas of improvement from audit findings.
iii. Collaborate with internal stakeholders when risk and claim questions arise and work to build legal team’s reputation and trust within the organization with responsiveness and professionalism.
iv. Collaborate with internal stakeholders when risk and claim questions arise and work to build legal team’s reputation and trust within the organization with responsiveness and professionalism.
v. Conduct quarterly webcasts on pertinent topics for internal stakeholders and claim adjusters. Coordinate subject matter experts to speak on the selected topics.
5. Top three skillsets required:
a. Strong financial acumen
b. Trend analysis
c. TPA Management
6. Top three soft skills this person will need:
a. Strong communication skills
b. Strong organization & prioritization
c. Can operate independently
