Complex Claims Specialist

Complex Claims SpecialistThis 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 managementMaintain 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 reservesDevelop resolutions strategy and lead negotiations and bring matters to a closeAttend trials and mediations when necessaryAdhere to industry Best Practices for effective claim managementMentor staff through formal and informal training and development; demonstrate extensive technical expertise to guide and support less experienced claims professionalsEnsure exceptional data integrityActively manage defense council and partner on litigation strategyProactive communication with insureds, other departments and claim leadershipPerform additional duties and responsibilities as assignedEducation & Qualifications:Bachelor's degree or JD requiredSix years' claims handling experience required; medical professional liability strongly preferredNY adjusters license required within the first 6 - 12 months of employmentStrong analytical and problem-solving skills with attention to detailDemonstrate solid and concise business writing proficiencyExhibit strong oral communication skills to include presenting information clearly and effectively to diverse audiencesAbility to work independently as well as assume a mentorship role within a team. Act as a strong example and resource for less experienced colleaguesStrong ethical judgement and a commitment to maintaining confidentialityMust be able to work on siteTravel required as needed; may include overnight travelThe actual compensation for this position will be determined by experience and other factors permitted by law.