Senior Claim Representative - Accident and Health

Job Summary

A company is looking for a Senior Claim Representative - Accident and Health (Remote).

Key Responsibilities

• Handles and resolves complex specialty claims, conducting investigations to assess coverage, liability, and damages
• Determines exposure, establishes reserves, and directs activities of internal and external resources as needed
• Negotiates settlement values and provides recommendations for claims exceeding authority levels

Required Qualifications, Training, and Education

• Bachelor's degree or equivalent experience required
• Minimum 2-6 years of progressively complex specialty claims experience
• Experience with UIM, UM, PIP, or MedPay desired
• Experience in Bodily Injury Claim Resolution
• Strong negotiation skills