Senior Claims Specialist - Accident & Health

Job description

Primary Details Time Type: Full time Worker Type: Employee: Senior Claims Specialist - Accident & Health Location: USA – Countrywide: Work Arrangement: If local to an office - Hybrid, The salary range for this role is: $88,000-165,000K Your New Role: The purpose of this role is to provide exceptional claims service to customers by managing complex claims effectively. This includes assessing policy coverage, investigating, evaluating, and negotiating intricate claims, collaborating with suppliers and stakeholders, and offering senior technical guidance and support. Responsibilities: - Provide technical guidance and analysis for complex and high-value claims. - Assist in implementing and maintaining claims management strategies. - Maintain comprehensive knowledge of insurance guidelines and policies. - Build and maintain relationships with stakeholders. - Manage a portfolio of complex or high-value claims. - Act as an escalation point for customer complaints. - Provide senior technical expertise and mentoring for team development. - Engage with the team to encourage partner relationships. - Support process improvement through negotiation and dispute resolution. Work Experience: Quali...