Claims Specialist

Profile

Claims Specialist

The candidate: Investigates cases from initial contact to resolution including research, analysis and synthesis of all medical facts; prepares concise reports; assign attorney(s) and secures consultant reviews; directs and monitors attorney work product and executes recommendations regarding case resolution. Confirms coverage and resolves coverage issues in collaboration with Claims Management. Evaluates liability and damage information to establish consistent and appropriate indemnity and ALAE reserves. Provides required documentation. Communicates with reinsurers and other involved parties in monitoring and resolving cases as appropriate. Approves bills and controls expense functions. Monitors trial activities and negotiates settlements within given authority, including direct negotiation with plaintiffs and plaintiff attorneys. Serves as a primary contact for ongoing customer communications and services regarding claim related matters. Prepares and presents appropriate cases for all internal reviews. Attends trial-related activities including, but not limited to, arbitrations, mediations, settlement conferences, pre-trial conferences and trials. Assists with various Team and Departmental projects as needed. Minimum Bachelor’s degree or commensurate experience is required. Florida Class 20 all lines adjuster’s license preferred. JD Degree preferred. 10+ years or more experience in claims handling/investigation preferred. Bad faith and extra contractural experience preferred. Prior hands on claims experience in Florida and Georgia preferred.

Company info

Norcal Mutual Insurance Company Inc.
4651 Salisbury Road Suite 410
Jacksonville
Florida
United States 32256
Website : https://www.norcal-group.com/