Environmental Claims Specialist
Telecommuter IL
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Job Description Summary
To analyze complex or technically difficult environmental claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
- Analyzes and processes complex or technically difficult environmental liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
- Conducts or assigns full investigation to include complete coverage review and provides report of investigation pertaining to new events, claims and legal actions.
- Analyzes applicable complex liability insurance coverage and policies
- Negotiates claim settlement up to designated authority level.
- Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.
- Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.
- Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.
- Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.
- Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.
- Represents Company in depositions, mediations, and trial monitoring as needed.
- Communicates claim activity and processing with the ā¦
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Telecommuter
Benefits/Perks401k and matching Career growth Comprehensive benefits Comprehensive benefits package Dental Disability Employee assistance Flexibility Flexible Spending Health savings account Inclusive environment Life Insurance Medical PTO Support for mental and physical needs Vision
Tasks- Conduct investigations
- Coordinate case management
- Maintain client relationships
- Manage claims resolution
- Monitor claim costs
- Negotiate settlements
- Travel as required
Analysis Analytical Case Management Claims coding Claims management Client relationship management Coding Communication Compliance Cost Containment Customer service Disability Discretion Flexibility Fraud Investigation Insurance Insurance principles Interpersonal Interpretive Investigation Liability Liability Claims Liability insurance Management Mentoring Microsoft Office Microsoft Office products Monitoring Negotiation Organizational PC literate Performance competencies Presentation Recovery Settlement strategies Strategic vendor partnerships Subrogation Troubleshooting Written communication
Experience10 years
Education Certifications TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9