Complex Claims Specialist

A company is looking for a Complex Claims Specialist responsible for investigating, evaluating, negotiating, and settling complex claims.

Key Responsibilities

Conduct initial policy coverage reviews and claim investigations to assess liability and damages

Negotiate claims to resolution and present settlement recommendations to management

Handle high complexity claims, including fatality and pedestrian losses, while ensuring compliance with state regulations

Required Qualifications

Bachelor's degree

Six to eight years of experience in handling complex claims

Completion of appropriate insurance designation

Training in Medical Terminology

Documented history of successfully managing high exposure claims