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The job in short
Complex claims handling.
Details
- Found
- 22 d ago · posted 2026-10-01
- Location as listed
- Roslyn, NY, US
- Role
- Insurance / Claims / Underwriting
- Source
- The company’s own careers site
Full description
**This role is onsite at our Roslyn, NY, Rochester, NY, or Hamilton, NJ office, with the option for a hybrid schedule after the training period. **
General Summary: A Complex Claims Specialist will possess experience in handling complex medical liability claims, while demonstrating a strong client service focus.
Essential Duties & Responsibilities:
• Follow standard claims protocols for documentation, coverage verification, and file management
• Maintain accurate and organized claims files, suggesting improvements as necessary.
• Manage significant client relationships for claims department, collaborate with underwriting on marketing.
• Investigate and document most significant exposures, setting appropriate indemnity and expense reserves
• Develop resolutions strategy and lead negotiations and bring matters to a close
• Attend trials and mediations when necessary
• Adhere to industry Best Practices for effective claim management
• Mentor staff through formal and informal training and development; demonstrate extensive technical expertise to guide and support less experienced claims professionals
• Ensure exceptional data integrity
• Actively manage defense council and partner on litigation strategy
• Proactive communication with insureds, other departments and claim leadership
• Perform additional duties and responsibilities as assigned
Education & Qualifications:
• Bachelor’s degree or JD required
• Six years’ claims handling experience required; medical professional liability strongly preferred
• NY adjusters license required within the first 6 - 12 months of employment
• Strong analytical and problem-solving skills with attention to detail
• Demonstrate solid and concise business writing proficiency
• Exhibit strong oral communication skills to include presenting information clearly and effectively to diverse audiences
• Ability to work independently as well as assume a mentorship role within a team. Act as a strong example and resource for less experienced colleagues
• Strong ethical judgement and a commitment to maintaining confidentiality
• Must be able to work on site
• Travel required as needed; may include overnight travel
The actual compensation for this position will be determined by experience and other factors permitted by law.
Insurance / Claims / Underwriting jobs in the United States · All PRIMMA LLC jobs