Back to the roster

Cyber Claims Specialist- Complex

Remote Full-time Hiring now

Responsible for conducting investigations, setting adequate reserves, monitoring, documenting, and settling/closing claims in an expeditious and economical manner within the established authority limits for the line of business. Analyzes, investigates, and evaluates the loss to determine coverage and claim disposition. Utilizes CMS to document claims and to diary future events or follow-up. Within prescribed settlement authority, establishes appropriate reserves for both indemnity and expense and reviews on a regular basis to ensure adequacy. Makes recommendations to set reserves at appropriate level for claims outside of authority level. Prepares comprehensive reports as required. Identifies and communicates specific claim trends and account and/or policy issues to management and underwriting. Manages the litigation process through the retention of counsel. Adheres to the line of business litigation guidelines to include budget, bill review and payment. Pro-actively manages the case resolution process. Actively participates in mediations and arbitrations, as well as negotiation discussions within limit of settlement authority. Participates in the claims audit process. Provides claims marketing services by meeting with brokers, risk managers and reinsurers. As required, maintains insurance adjuster licenses.Must have Cyber/Media/Tech Liability Experience Bachelors' and/or advanced degree 7 + years claims/legal experience, with at least 2 years within a technical specialty preferred Advanced knowledge of claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge Functional knowledge of law and insurance regulations in various jurisdictions Demonstrated advanced verbal and written communications skills Demonstrated advanced analytical, decision making and negotiation skills Apply tot his job Apply To this Job

Related roles

Account Payable Associate

Remote Full-time

California Claims Professional Adjuster - REMOTE

Remote Full-time

Commercial Claims Quality & Performance Analyst III - Remote

Remote Full-time

Field Property Claims Adjuster: Seattle, WA

Remote Full-time

Medical Reviewer III – Medicare, DRG

Remote Full-time

Entry-Level Medicare Insurance Agent – Training Provided | Remote & Flexible Schedule (Great First Job Opportunity) | Neighbor's Reliance | Handshake

Remote Full-time

Medicare Sales Agent (Remote) - TN

Remote Full-time

Claims Adjuster- Property Damage

Remote Full-time

Claims Tech Specialist - Remote

Remote Full-time

Insurance Eligibility (Remote)

Remote Full-time

Director, Demand Marketing job at Cengage Learning in OH

Remote Full-time

Experienced Remote Call Center Specialist – Customer Service Representative

Remote Full-time

Neuroscience Hospital Specialist - Dayton, OH

Remote Full-time

Experienced Full Stack Data Entry Specialist – Customer Support & Help Desk Operations

Remote Full-time

Experienced Customer Support Representative – Resolution Coordinator at arenaflex

Remote Full-time

Project Manager (REF5521W)

Remote Full-time

Experienced Data Entry Clerk – Entry Level Position at arenaflex

Remote Full-time

AI Staff Software Engineer

Remote Full-time

Experienced Customer Service Chat Agent – Online Amazon Customer Support – Part-Time Opportunity at arenaflex

Remote Full-time

Senior Credentialing, Licensing, and Provider Operations Coordinator

Remote Full-time