Claims Resolution Specialist

Jobtailor; Baton Rouge (LA); On-site; USD 42,000 - 65,000; Full time

Job summary

Jobtailor in Baton Rouge, LA, is seeking a Claims Specialist to manage an inventory of claims, evaluate compensability and liability, and conduct investigations to confirm coverage and damages. You will work to determine and negotiate settlements within your authority and participate in arbitrations or mediations as needed.

You will communicate complex coverage information to insureds and external partners, authorize timely payments, and maintain detailed claim files.

Qualifications

• Bachelor’s degree or equivalent experience.
• 6 months of property and casualty claims handling experience preferred.
• Knowledge of insurance policies, coverage, and claims handling procedures.
• Regulatory knowledge and ability to work within assigned authority.

Responsibilities

• Manage an inventory of claims to evaluate compensability and liability.
• Conduct claim investigations to confirm coverage and determine liability, compensability, and damages.
• Determine and potentially negotiate claim settlements and reserves within prescribed authority.
• Attend arbitrations, mediations, depositions, or trials as needed.
• Communicate routine to moderately complex coverage and settlement information to insureds, claimants, and external partners.
• Authorize payments within assigned authority limits and ensure timely payment.
• Maintain accurate and detailed claim files, including correspondence, reports, and settlement agreements.
• Perform other duties as assigned.

Skills

Claims Handling

Negotiation Skills

Analytical Skills

Interpersonal Skills

Time Management

Education

Bachelor’s Degree in Business Administration / Risk Management and Insurance / Finance

Job description

Jobtailor in Baton Rouge, LA, is seeking a Claims Specialist to manage an inventory of claims, evaluate compensability and liability, and conduct investigations to confirm coverage and damages. You will work to determine and negotiate settlements within your authority and participate in arbitrations or mediations as needed.

You will communicate complex coverage information to insureds and external partners, authorize timely payments, and maintain detailed claim files.