Zurich NA Senior Medical Healthcare Claims Specialist in Jersey City, New Jersey

Senior Medical Healthcare Claims Specialist

Description

Zurichis currently seeking a Senior Medical Healthcare Claims Specialist to join ourteam.

Inthis role, you will handle claims against Healthcare Institutions andProfessionals including Medical Malpractice and General Liability claims ofmoderate to high value and complexity. Under limited direction, you will ensurethat claims are handled in the most efficient, effective way while delivering acustomer-centric claims service requiring specialized knowledge of a medicalnature. You will evaluate and decide coverage, assign counsel, investigateliability and damages, direct litigation and negotiate the resolution of claimson both primary and excess files.

To be successful in this role, you need to develop strong customer and brokerrelationships on account based business through timely and effectivecommunication. This is a market-facing position and requires significant directcontact with all areas of healthcare administration including insureds'internal claims and risk personnel, their internal and external counsel andsenior executive staff.

Additionally, you will work closely with Underwriting, Actuarial and RiskManagement on claims review as part of the renewal process and submission forprospective insureds.

Thisposition will be located in Jersey City.

Approximately10% business travel may be required.

BasicQualifications:

  • Juris Doctor and 5 or more years of experience in the Claimsor Litigation areaOR

  • Bachelor’s Degree and 6 or more years of experience in theClaims or Litigation areaOR

  • High School Diploma or Equivalent and 8 or more years ofexperience in the Claims or Litigation areaAND

  • Must obtain and maintain required adjuster license(s)

  • Knowledge of the insurance industry, claims and the insurancelegal and regulatory environment

  • Knowledge of the legal statutes and procedures

  • Knowledge and skill of claims handling

  • Negotiation experience

  • Customer service experience

  • Experience with Microsoft

PreferredQualifications:

  • 7 or more years of claims handling experience with 2 or moreyears in Healthcare or medical malpractice

  • Ability to obtain and maintain required adjuster license

  • Analytical skills

  • Strong communication skills

  • Ability to multi-task and adapt to a changing environment

  • Organization and time management skills

  • Ability to work independently

  • Experience collaborating across work groups

  • Ability to effectively present information to LOB manager,claimants and customers

  • AIC, SCLA, CPCU designations

Imagine working for a company that truly cares about their employees, customers, stakeholders, and communities they serve.

Imagine working for a values-driven organization that has the ambition and desire to be the best global insurance provider in the world.

Zurich is that place where 55,000 employees across approximately 200 countries and territories are all focused on helping people and helping companies protect what is truly most important to them. We are a values-driven organization that takes pride in the work that we do every day and we have the ambition to be the best global insurer in the world.

EOE disability/vets

Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission.

Primary Location: United States-New Jersey-Jersey City

Schedule Full-time

Travel Yes, 10 % of the Time

Relocation Available No

Job Posting 08/06/18

Unposting Date Ongoing

Req ID: 1800068T

It is the Policy of Zurich in North America, as an equal opportunity employer, to attract and retain the best-qualified individuals available, without regard to race/ethnicity, color, religion, gender expression, genetic information, national origin, sex, gender identity, sexual orientation, marital status, age, disability or protected veteran status.