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Corporate Claims Consultant

PMA Companies
Remote, USA
Full-time
Senior · 5+ years experience
Remote
Discovered 5 days ago

Full Job Posting

Responsibilities

  • Provide technical oversight for unbundled claims assigned to TPA partners inclusive of reserve and settlement authority in excess of TPA discretionary authority limits.
  • Provide overflow support to bundled claims handled by PMAIC field claims inclusive of reserve and settlement authority in excess of field authority
  • Direct handle an assigned pending of corporately established liability files
  • Provide support to various compliance related activities relative to TPA's
  • Support Quality Assurance processes to assess quality of work product, identify improvement opportunities and foster discussions that are focused on solutions to enhance results.
  • Develops, communicates and ensures compliance with corporate policies and procedures. Leads project teams focused on resolving corporate claims issues.
  • Assesses staff training needs and conducts training focused on improving performance.
  • Demonstrate commitment to Company’s Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.
  • #LI-Remote

Qualifications

  • Bachelor's' degree or 5 or more years of equivalent work experience in an insurance related industry required.
  • Extensive knowledge of insurance contracts and adjusting techniques. Familiarity with medical terminology.
  • Demonstrated leadership, coaching, and teamwork skills.
  • Advanced skills in applying sound judgment/analysis, decision making/problem solving, planning and organization and negotiation.
  • Demonstrated customer service and collaboration skills.
  • Excellent verbal and written communication skills.
  • Computer literacy, including working knowledge of MS Office Product Suite, i.e. Word, Excel, PowerPoint.
  • Previous supervisory experience, Chartered Property Casualty Insurance (CPCU) and Associate in Claims (AIC), or similar professional designation, desired.

Alternate Location(s)

  • Tampa, FL, USA; Atlanta, GA, USA; Baltimore, MD, USA; Mount Laurel, NJ, USA; De Witt, NY, USA; Blue Bell, PA, USA; Glen Allen, VA

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