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Technical Claims Specialist

Denver

Job Description Job Description Technical Claims Specialist

Denver, CO

A well-respected Insurance Carrier is seeking a qualified and experienced Technical Claims Specialist to join our dynamic team.

As a Technical Claims Specialist, you will play a crucial role in managing and resolving a variety of commercial claims, including general liability, property, Inland Marine, automobile bodily injury, property damage, and potentially worker's compensation claims.

If you have a strong background in claims handling, exceptional communication skills, and a commitment to delivering excellent service, we invite you to apply for this exciting opportunity.

Key Responsibilities: Handle, negotiate, and resolve first and third-party commercial claims, ensuring compliance with company policies and state regulations.

Conduct thorough investigations, maintaining constant communication with customers and relevant internal and external stakeholders.

Document all key activities, contacts, and statements, including comprehensive outlines of claim requirements.

Demonstrate proficiency in medical terminology, treatment, and injury descriptions.

Recognize and assess potential damage related to injuries.

Manage the claim authorization process and complete loss investigations using appropriate techniques.

Evaluate compensability and exposure, identifying subrogation opportunities and suspicious claims.

Prepare accurate and timely reports and state filings as required.

Establish and maintain accurate reserves, adhering to state regulatory compliance requirements.

Verify, analyze, and apply coverage correctly.

Develop negotiation strategies for claims resolution, considering state compliance and company policies.

Create resolution plans based on a thorough analysis of facts, defenses, compensability, and statutory/case law.

Keep policyholders, underwriting, and agents informed of file status and other relevant matters.

Participate in presentations, meetings, or visits related to claims resolution, service, or technical issues.

Stay updated with relevant continuing education requirements.

Candidate Qualifications Sought: Minimum of 7 years of multi-line claims experience.

Current Texas claims adjuster license required; additional licenses are a plus.

Preferred experience in handling claims across multiple jurisdictions.

Familiarity with Contractual Risk Transfer concepts and anti-indemnity laws.

Strong attention to detail and accuracy in documentation and data management.

Excellent written and verbal communication skills, with a strong ability to listen effectively.

Adept at resolving differences in opinions and misunderstandings through open discussion.

Demonstrates accountability for actions and holds self and others responsible to organizational standards.

Exceptional organizational skills and the ability to prioritize work effectively.

Join our client’s team and make a significant impact in the field of claims management. If you meet the qualifications and are ready to take on this challenging and rewarding role, we encourage you to apply today.

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