Senior Resolution Specialist (Claims)

Arthur J Gallagher & Co. Tampa , FL 33602

Posted 2 months ago

At Gallagher Bassett Services, Inc. (GB) we are constantly seeking skilled professionals who are up for a challenge and take exceptional performance to heart. The professionals we hire help us maintain our reputation as one of the most progressive property/casualty third party claims service organizations in our industry and throughout the world. Gallagher Bassett provides services to Fortune 1000 companies throughout 100 offices worldwide. For the past several years GB has ranked among the largest TPA's by Business Insurance Magazine and was also a recipient of the Business Insurance Readers' Choice award for "Best Third Party Claims Administrator." If you're looking for a professional career with an industry leader then you have come to the right place. Wherever your interests lie, we're sure you will agree on one thing: our continued prosperity hinges on our greatest resource --- our people.

Position Summary:

Analyzes coverage and settles moderately complex claims in one or more of Gallagher Bassett's specialty claims areas. Generally, incumbent does not work on workers compensation claims.

Essential Duties & Responsibilities:

  • Able to manage the full-life cycle of all assigned claims files.

  • Analyzes coverage and determines defense obligations.

  • Under minimal supervision, conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans.

  • Creates reservation of rights and coverage denial letters.

  • Negotiates settlements with clients, client attorneys, and Public Adjusters.

  • Interacts extensively with various parties involved in the claims process, and may recommend retaining the advice of outside experts as necessary.

  • Prepares reserve and settlement authority requests for client and carrier approval.

  • May act as a client advocate with carriers to ensure proper claims handling, including any necessary scoping, estimating, and addressing of coverage.

  • Has a solid understanding of claims processing and the insurance brokerage business.

  • Has a basic understanding of the terminology and case law associated with their specialized claims niche/industry.

  • Handles claims consistent with clients' and corporate policies, procedures and "best practices" and also in accordance with any statutory, regulatory and ethical requirements.

  • Incumbents at this level should be able to work at full case load capacity.

Required:

  • High school diploma.

  • 5 or more years related claims experience required.

  • Prior experience working within the applicable specialty claims area or demonstrated ability to handle unique/challenging claims issues.

  • Appropriately licensed and/or certified in all states in which claims are being handled.

  • Knowledge of accepted industry standards and practices.

  • Computer experience with related claims and business software

Desired:

  • Bachelor's Degree

  • Two or more years of prior experience adjusting claims in applicable specialty area preferred.

Work Traits:

  • Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.

  • Analytical skill necessary to make decisions and resolve issues inherent in handling of claims.

  • Ability to successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation.

U.S. Eligibility Requirements:

  • Interested candidates must submit an application and resume/CV online to be considered

  • Must be 18 years of age or older

  • Must be willing to submit to a background investigation; any offer of employment is conditioned upon the successful completion of a background investigation

  • Must have unrestricted work authorization to work in the United States. For U.S. employment opportunities, Gallagher hires U.S. citizens, permanent residents, asylees, refugees, and temporary residents. Temporary residence does not include those with non-immigrant work authorization (F, J, H or L visas), such as students in practical training status. Exceptions to these requirements will be determined based on shortage of qualified candidates with a particular skill. Gallagher will require proof of work authorization

  • Must be willing to execute Gallagher's Employee Agreement or Confidentiality and Non-Disclosure Agreement which requires, among other things, post-employment obligations relating to non-solicitation, confidentiality and non-disclosure

Gallagher offers competitive salaries and benefits, including: medical/dental/vision plans, life and accident insurance, 401(K), employee stock purchase plan, educational expense reimbursement, employee assistance program, flexible work hours (availability varies by office and job function) training programs, matching gift program, and more.

Gallagher believes that all persons are entitled to equal employment opportunity and does not discriminate against nor favor any applicant because of race, color, religion, sex, age, veteran status, disability, national origin, or any other legally protected status. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant with a disability, unless the accommodation would impose an undue hardship on the operation of our business.


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VIEW JOBS 9/20/2018 12:00:00 AM 2018-12-19T00:00 At Gallagher Bassett Services, Inc. (GB) we are constantly seeking skilled professionals who are up for a challenge and take exceptional performance to heart. The professionals we hire help us maintain our reputation as one of the most progressive property/casualty third party claims service organizations in our industry and throughout the world. Gallagher Bassett provides services to Fortune 1000 companies throughout 100 offices worldwide. For the past several years GB has ranked among the largest TPA's by Business Insurance Magazine and was also a recipient of the Business Insurance Readers' Choice award for "Best Third Party Claims Administrator." If you're looking for a professional career with an industry leader then you have come to the right place. Wherever your interests lie, we're sure you will agree on one thing: our continued prosperity hinges on our greatest resource --- our people. Position Summary: Analyzes coverage and settles moderately complex claims in one or more of Gallagher Bassett's specialty claims areas. Generally, incumbent does not work on workers compensation claims. Essential Duties & Responsibilities: * Able to manage the full-life cycle of all assigned claims files. * Analyzes coverage and determines defense obligations. * Under minimal supervision, conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans. * Creates reservation of rights and coverage denial letters. * Negotiates settlements with clients, client attorneys, and Public Adjusters. * Interacts extensively with various parties involved in the claims process, and may recommend retaining the advice of outside experts as necessary. * Prepares reserve and settlement authority requests for client and carrier approval. * May act as a client advocate with carriers to ensure proper claims handling, including any necessary scoping, estimating, and addressing of coverage. * Has a solid understanding of claims processing and the insurance brokerage business. * Has a basic understanding of the terminology and case law associated with their specialized claims niche/industry. * Handles claims consistent with clients' and corporate policies, procedures and "best practices" and also in accordance with any statutory, regulatory and ethical requirements. * Incumbents at this level should be able to work at full case load capacity. Required: * High school diploma. * 5 or more years related claims experience required. * Prior experience working within the applicable specialty claims area or demonstrated ability to handle unique/challenging claims issues. * Appropriately licensed and/or certified in all states in which claims are being handled. * Knowledge of accepted industry standards and practices. * Computer experience with related claims and business software Desired: * Bachelor's Degree * Two or more years of prior experience adjusting claims in applicable specialty area preferred. Work Traits: * Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. * Analytical skill necessary to make decisions and resolve issues inherent in handling of claims. * Ability to successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation. U.S. Eligibility Requirements: * Interested candidates must submit an application and resume/CV online to be considered * Must be 18 years of age or older * Must be willing to submit to a background investigation; any offer of employment is conditioned upon the successful completion of a background investigation * Must have unrestricted work authorization to work in the United States. For U.S. employment opportunities, Gallagher hires U.S. citizens, permanent residents, asylees, refugees, and temporary residents. Temporary residence does not include those with non-immigrant work authorization (F, J, H or L visas), such as students in practical training status. Exceptions to these requirements will be determined based on shortage of qualified candidates with a particular skill. Gallagher will require proof of work authorization * Must be willing to execute Gallagher's Employee Agreement or Confidentiality and Non-Disclosure Agreement which requires, among other things, post-employment obligations relating to non-solicitation, confidentiality and non-disclosure Gallagher offers competitive salaries and benefits, including: medical/dental/vision plans, life and accident insurance, 401(K), employee stock purchase plan, educational expense reimbursement, employee assistance program, flexible work hours (availability varies by office and job function) training programs, matching gift program, and more. Gallagher believes that all persons are entitled to equal employment opportunity and does not discriminate against nor favor any applicant because of race, color, religion, sex, age, veteran status, disability, national origin, or any other legally protected status. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant with a disability, unless the accommodation would impose an undue hardship on the operation of our business. Gallagher Bassett NZ Ltd Tampa FL

Senior Resolution Specialist (Claims)

Arthur J Gallagher & Co.