Senior Complex Claims Advisor | Remote Direct Hire Work from Home

Insurance Placement Solutions has an immediate opening for a Senior Complex Claims Advisor with our client. As a member of our client’s claims team, utilize your knowledge of casualty claims to act as the subject matter expert by providing guidance to team members ensuring consistency in resolving matters optimally. The Complex Claims Advisor will be responsible for creating a culture of continual quality improvement destined to elevate overall claims handling.

Senior Complex Claims Advisor Responsibilities

• Proactively and strategically manages a complex claim inventory by assessing highly complex claims issues, utilizing jurisdictional expertise, providing oversight, and helping direct the handling to achieve the best possible resolution.
• Assists the claims team as their subject matter expert to assist in addition to lines of business and key jurisdictions on complex claim issues.
• Uses knowledge of all aspects of claims handling in evaluating exposure; recommends and directs action plans for issue or case resolution.
• Articulates and documents clear and concise file notes to allow stakeholders to understand the issues and path to resolution.
• Facilitates roundtables with groups/teams; engages appropriate internal and external resources as needed.
• Provides technical leadership on and maintains co-ownership of complex claim issues; creates a culture of continual quality improvement through further influence.
• Assists in the evaluation and development of policies and procedures.
• Mentors and provides guidance to the complex claim consultants and complex claim analysts.
• Leads calibration exercises ensuring consistency through the exchange of ideas and strategies.

Experience

• 10+ years of casualty claims experience or equivalent combination of education and experience required to include:
  • 5 – 7 years of experience handling complex claims
• Experience in negotiation, mediation, arbitration, or ADR skills on higher-value complex claims
• Supervisory experience is preferred
• California claims experience is required

Licensing and Designations

• Licenses as required for specific jurisdictions
• Industry designation preferred

Education

• Bachelor’s degree from an accredited college or university preferred
• California law degree preferred

About Insurance Placement Solutions

IPS is an insurance staffing and recruiting firm dedicated to the insurance industry, including general liability claims jobs in the New York area. Our services are designed to be a resource for clients to gain access to high-caliber talent. Many of our clients do not have the dedicated manpower to quickly fill their temporary, temporary to hire, or direct hire vacancies. That is where we come in. Our clients are able to utilize our services to maintain business-as-usual during unforeseen interruptions and fluctuating business needs. Plus, our candidates benefit from gaining backdoor access to highly sought-after positions with top companies in the industry.

Tagged as: California Claims Jobs, claims advisor, remote claims jobs