Senior Claims Specialist

Senior Claims Specialist

As a Senior Claims Specialist, you will manage 3rd party claims, providing technical guidance, support analytics, and liaise with TPAs, legal, and clients in the claims review process. You will be specifically responsible for managing and overseeing claims in captive insurance programs. Captive insurance refers to a form of self-insurance where a company creates its own insurance company to cover its risks. In this role, you will work closely with clients, insurance brokers, and underwriters to ensure timely and accurate claims handling.

Your Impact:

• Review and assess claims submitted by clients within captive insurance programs.
• Investigate and gather necessary information to determine the validity of claims.
• Collaborate with internal teams, external vendors, and legal counsel to resolve complex claims issues.
• Negotiate settlements and manage claims payments in accordance with policy terms and conditions.
• Provide guidance and support to junior claims specialists in handling claims effectively.
• Monitor claims trends and provide recommendations for process improvements to enhance efficiency and customer satisfaction.
• Maintain accurate claims records and documentation in compliance with regulatory requirements.

Successful Candidates Will Have:

• Bachelor's degree in Insurance, Risk Management, Business Administration, or related field.
• Minimum of 5 years of experience in claims management, preferably in captive insurance or a related industry.
• Strong knowledge of insurance policies, coverage terms, and claims handling procedures.
• Excellent analytical and problem-solving skills with attention to detail.
• Effective communication and negotiation skills to interact with various stakeholders.
• Ability to work independently and prioritize tasks in a fast-paced environment.
• Professional certifications such as CPCU, AIC, or ARM are a plus.

Risk Strategies is the 9th largest privately held US brokerage firm offering comprehensive risk management advice, insurance and reinsurance placement for property & casualty, employee benefits, private client services, as well as consulting services and financial & wealth solutions. With more than 30 specialty practices, the firm serves commercial companies, nonprofits, public entities, and individuals, and has access to all major insurance markets. Risk Strategies has over 100 offices and 5,300 employees across the US and Canada.

Industry recognition includes being named a Best Places to Work in Insurance for five consecutive years (2018-2022) and to the Inc. 5000 list as one of America's Fastest Growing Private Companies. Risk Strategies is committed to being good stewards for our company, culture, and communities by having a strong focus on Environmental, Social, and Governance issues.

Risk Strategies is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics.