Date Posted: 08/11/2023
Hiring Organization: Rose International
Position Number: 448022
Job Title: Complex Claims Advisor Sr
Job Location: Remote, USA
Employment Type: Permanent
Min Hourly Rate($): 60.00
Max Hourly Rate($): 62.00
Must Have Skills/Attributes: Analytical Skills, Claims, Computer Literacy
Job Description
- **Only those lawfully authorized to work in the designated country associated with the position will be considered.**
- **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**
Job Title: Complex Claims Advisor Sr
Remote Role
Direct Hire/Permanent Role
Description:
• To act as a department subject matter expert by providing guidance to the complex claims team to ensure consistency resolving matters optimally while creating a culture of continual quality improvement destined to elevate the overall claim handling to benefit our stakeholders; to ensure the consistency in the developed targeted solutions, and technical guidance and oversight provided to claims team.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
• Proactively and strategically manages a complex claim inventory by assessing highly complex claims issues, utilizing jurisdictional expertise, providing oversight, and helping direct the handling to achieve the best possible resolution.
• Assists the claims team as their subject matter expert to assist in addition to lines of business and key jurisdictions on complex claim issues.
• Uses knowledge of all aspects of claims handling in evaluating exposure; recommends and directs action plans for issue or case resolution.
• Articulates and documents clear and concise file notes to allow stakeholders to understand the issues and path to resolution.
• Facilitates roundtables with groups/teams; engages appropriate internal and external resources as needed.
• Provides technical leadership on and maintains co-ownership of complex claim issues; creates a culture of continual quality improvement through further influence.
• Assists in the evaluation and development of policies and procedures.
• Mentors and provides guidance to the complex claim consultants and complex claim analysts.
• Leads calibration exercises ensuring consistency through the exchange of ideas and strategies.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
• Performs other duties as assigned.
• Supports the organization''s quality program(s).
Education & Licensing
• Law Degree preferred in California.
• Bachelor''s degree from an accredited college or university preferred. Industry designation(s) preferred. Licenses as required for specific jurisdictions.
Experience
• Ten (10) years of casualty claims experience or equivalent combination of education and experience required to include five (5) to seven (7) years of experience handling complex claims and experience in negotiation, mediation, arbitration or ADR skills on higher value complex claims. Supervisory experience preferred. Specific jurisdictional expertise required.
Skills & Knowledge
• Knowledge of California Laws
• California Claims experience
• Ability to obtain and maintain appropriate licensing
• Leadership/management/motivational skills
• Analytical and interpretive skills
• Ability to manage claims across multiple jurisdictions
• Excellent oral and written communication skills
• PC literate, including Microsoft Office products
• Ability to work in a team environment
• Ability to meet or exceed Service Expectations
Benefits:
For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.
California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.
Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.
If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.
Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).
I am very happy with the Rose International, and the professionalism of the employees.
Robin, Consultant
My on-boarding with Rose was outstanding. The packets of information, the process, and great attention to detail each person gave me allowed me to get started quickly.I appreciated each person's friendly and helpful attitude.
Diana, Consultant
The interactions that I have had with your representatives have always been prompt and very professional. I am very pleased and impressed with your company and services.
Sioe, Consultant
It was great working for Rose International. Everyone was extremely helpful.
Rosann, Consultant
As a contractor, I have to say that Rose International was by far the best agency I have worked for.
Q'testdalir, Consultant
EMPLOYEE COMMENTS