Junior Associate Claims position focusing on processing and evaluating claims at Carelon Global Solutions. Working with a team to ensure high quality and productivity standards.
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Hybrid Senior Error & Omissions Claims Specialist – E&O, EPLI Claims
Posted 2 months ago
About the role
- Senior Error & Omissions Claims Specialist responsible for handling E&O and EPLI claims. Working on a multistate basis with direct handling and negotiation responsibilities.
Responsibilities
- Investigating, evaluating, negotiating, and resolving E&O and EPLI claims with and without litigation on a multistate basis.
- Initiate investigations and conduct direct handling of Errors and Omissions and Employment Practices Liability claims.
- Assign and direct attorneys and adjusters.
- Analyze coverage and legal issues.
- Evaluate liability and damages both in the claim against the insured and in the underlying loss that precipitated the claim.
- Establish timely, realistic reserves and settlement values.
- Prepare file and other department or company mandated reports.
- Issue reservation of rights letters, excess advice letters and recommend disclaimers or voidance.
- Negotiate settlements while maintaining current knowledge of applicable state law and court decisions.
- Interface with the Underwriters, H. O. Claim staff, insureds, claimants, attorneys, and adjusters.
- Communicate developments in assigned states to staff via Supervisor/Manager.
- Perform other duties as assigned and conform with all corporate policies and procedures.
Requirements
- Four year degree or JD preferred; or equivalent experience.
- 4-8 years of claims experience demonstrating expertise in underlying coverages preferred.
- Broad background in litigated matters preferred.
- Licensing Required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims. Licensing must be obtained within the timeframe set forth by the Company and must be maintained as needed throughout your employment.
Benefits
- Medical and Prescription Drug Benefit
- Dental Benefit
- Vision Benefit
- Life Insurance and Disability Benefits
- 401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results)
- Health Savings Account (HSA)
- Flexible Spending Accounts
- Tuition Assistance, Training, and Professional Designations
- Company-Paid Family Leave
- Adoption/Surrogacy Assistance Benefit
- Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance
- Student Loan Refinancing Services
- Care.com Membership with Back-up Care, Senior Solutions
- Business Travel Accident Insurance
- Matching Gifts program
- Paid Volunteer Day
- Employee Referral Award Program
- Wellness programs
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