Senior Claims Specialist - Health

About the role

The Senior Claims Specialist on the Healthcare team plays a critical role in our growing Claims Department and will be responsible for directing all aspects of file handling on both in-house and third-party administered claims. This role offers growth opportunity in technical handling and professional development.

Responsibilities

• Thorough investigation and assessment of claims related to healthcare, damages, pursuit of recoveries and subrogation/contribution opportunities.
• Demonstrate an in-depth understanding of coverage issues, policy forms, contracts, regulatory requirements, and changing legal landscape for specialty line claims.
• Proactively and promptly manage claims, considering all aspects with a strategic vision for optimal claim outcome.
• Continually evaluate claims to set appropriate, timely reserves over the life of the claim to reflect changes in exposure.
• Demonstrate strong technical claims proficiency through consistent execution of best claim practices.
• Strategically coordinate and manage outside counsel and vendors to obtain optimal claim outcome.
• Present high exposure claims to Claims Leadership and Key Stakeholders.
• Collaborate with internal and external business partners for client meetings, product development and improvement, and account audits.
• Look for ways to improve claim efficiencies and outcomes (innovative mindset).

Qualifications

• Bachelor’s degree required. Law degree preferred.
• 7 years plus experience in handling specialty claims.
• Experience in handling Life Sciences and/or Allied Health claims preferred.
• Detail-oriented, adaptable, and strategic in decision-making.
• Understanding of technical claims proficiency and execution of best claim practices.
• Ability to work independently, multi-task, and remain self-motivated in a fast-paced environment.
• Strong organizational skills and time management of claims desk.
• Strong business acumen and ability to collaborate with other departments and vendors.
• Customer-service and relationship oriented.
• Innovative, dynamic and growth mindset.
• Good verbal and writing skills for internal and external communication, presentations and reporting.
• Good analytical thinking, advocacy and negotiation skills.
• Willingness to travel for mediations, settlement conferences, and client or account meetings (up to 25%).

Benefits

• Maintain valid adjusters’ license(s) in states assigned or an ability to obtain same.
• Salary range: $101,700 - $155,900, plus opportunity for company bonus based upon a percentage of eligible pay.
• Company-provided benefits include health insurance coverage, prescription drug coverage, vision and dental insurance plans, life and disability insurance, 401k match, retirement savings plan, paid holidays and PTO, and a variety of health and wellness programs.
• Additional benefits include tuition assistance, educational achievement bonuses, a corporate matching gifts program, and volunteer time off.
• Employees also enjoy a robust 401k plan with up to a 5% employer match, and a retirement savings plan that is 100% company funded.
• At Munich Re, we are committed to fostering an inclusive culture and providing equal opportunity for all employees.