Senior Claims Representative

Job Summary

A company is looking for a Senior Claim Representative - Accident and Health (Hybrid or Remote).

Key Responsibilities

• Conducts investigations to determine coverage, liability, and damages for complex claims
• Establishes reserves, adjusts claims as needed, and directs internal and external resources
• Negotiates settlement values and provides recommendations for claims exceeding authority level

Required Qualifications

• Bachelor's degree or equivalent experience required
• Minimum 3-5 years of progressively complex specialty claims experience