Demo

Sr Claim Examiner-Liability

Paladin Consulting
Dallas, TX Full Time
POSTED ON 3/5/2025
AVAILABLE BEFORE 6/4/2025

Description :

  • Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
  • Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel.
  • Analyzes claims activity and prepares reports for clients / carriers and management.
  • Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.
  • Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits.
  • Develops subrogation and third party recovery potential and follows reclaim procedures.
  • Analyzes claims activities and prepares reports for clients, carriers and / or management. Participates in claim reviews.

Skills :

  • Ability to work independently while assimilating various technical subjects.
  • Strong written and oral communication, negotiation and presentation skills.
  • Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.
  • Effective advanced interpersonal skills to effectively interact with all levels of interna and external clients.
  • Required :
  • LITIGATION
  • PRESENTATION SKILLS
  • PROBLEM SOLVING
  • CLAIMS
  • Additional :

  • TECHNICAL CLAIMS
  • PAYMENTS
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