Claims Specialist

**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.