ProSelect Insurance Company is looking for a Senior Claim Consultant to provide complete claim loss services for our policyholders. In this role, you will investigate, evaluate, and resolve MPL and General Liability claims that vary in complexity and severity.
What You'll Do
- Interview insureds, claimants, witnesses, and other parties to assess liability exposure.
- Document investigation results, negotiations, and maintain timely file reports.
- Secure necessary records and prepare case evaluations.
- Determine and implement negotiation strategies and settle claims within your authority.
- Adjust reserves within authority and make recommendations to Manager/Director for amounts above your level.
- Evaluate cases for disposition and seek settlement authority when needed.
- Direct and monitor the activities of defense counsel.
- Monitor trials and attend pre-trial proceedings, mediations, and arbitrations as required.
- Identify significant Risk Management or Underwriting issues and direct them to the appropriate department.
- Communicate with various stakeholders and consult relevant records to investigate claims.
- Analyze losses to determine if insurance coverage applies.
- Maintain a working knowledge of policy forms and confirm coverage for the date of loss.
What We're Looking For
- A Bachelor's degree from a four-year college or university.
- Knowledge of medical, legal, and insurance terminology.
- A current driver's license.
- Strong written and oral communication skills and comfort making presentations to staff and insureds.
- Training in contract and policy review and application.
- Ability to read, analyze, and interpret insurance policies, professional journals, and regulations.
- Ability to write reports, business correspondence, and technical case summaries.
- Ability to effectively present information and answer questions from managers, insureds, agents, and attorneys.
- Skill in synthesizing complex information, researching data, and designing workflows.
- Ability to design and generate creative solutions.
- Experience with Microsoft Word, Excel, and PowerPoint.
- Able to work with minimal supervision on a day-to-day basis.
Nice to Have
- An R.N. or J.D. with 5 years’ experience in clinical nursing and/or 5 years of claims experience dealing with serious bodily injury.
Technical Stack
- Microsoft Word
- Microsoft Excel
- Microsoft PowerPoint
Team & Environment
You will report to a Manager/Director. ProSelect fosters a caring, customer-focused culture with passionate team members.
Benefits & Compensation
- Compensation range: $103,000 - $140,000
ProSelect Insurance Company is an equal opportunity employer.
