Key Facts

Remote From:

Full time

Mid-level (2-5 years)

English

Hard Skills

Claims And Litigation Management Liability Law Casualty Insurance Addiction Recovery Risk Analysis Office Equipment Damage Assessments Subrogation Co-Counseling Client Services

Other Skills

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Computer Literacy
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Professionalism
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Communication
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Time Management
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Teamwork
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Detail Oriented

Roles & Responsibilities

Experience handling professional liability claims, including Errors & Omissions and Nursing Home Professional Liability.
Ability to oversee outside investigative services and coordinate with clients, client counsel, and investigative teams.
Strong analytical skills for determining reserves, loss exposure, and settlement strategy, and for preparing loss reports.
Excellent written and verbal communication skills with claimants, their legal representatives, and client stakeholders.

Requirements:

Review, process, and conclude assigned claims including investigation and evaluation of complex Professional Liability – Errors and Omissions as well as Nursing Home Professional Liability claims.
Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to advance the claim to conclusion.
Maintain an ongoing diary and document all correspondence, reports, discussions, and decisions in the claim file.
Prepare Loss Reports providing a thorough analysis of liability and damages, assess reserves and settlement recommendations, and initiate subrogation or risk transfer efforts where applicable.

TRISTAR Insurance Group

Insurance

About TRISTAR Insurance Group

TRISTAR began as an insurance program manager and medical malpractice claims administrator in 1987. Workers compensation claims management services were added in our offerings in 1989, and the Company was renamed TRISTAR Risk Management in 1995. As managed care and benefits administration services were added to our offerings, the organization grew into TRISTAR. We are the largest privately held third party claims administrator in United States. We empower more than 1,000+ professionals in offices throughout the United States, focusing business operations in three divisions: property casualty claims management, benefits administration, and managed care services. We are true to our values of RESPECT, INTEGRITY, TRUST, and EXCELLENCE, making the right choices both financially and ethically. At TRISTAR we strive to create an environment of respect, wherein all of us are encouraged to learn and to grow, to provide exceptional service to our clients and in turn to enjoy the satisfaction that comes from a job well done. We believe that to provide real service, we must contribute something which cannot be bought or measured with money: sincerity and integrity. At TRISTAR, you help create a world in which together we "transform risk into opportunity".

Company type: SME

Industry: Insurance

Founded: 2018

Company size: 501 - 1000

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Job description

SUMMARY: Responsible for the prompt review of policy information including all relevant endorsements and schedules to determine coverage for loss and injury. Conduct an efficient claim examination and investigation leading to the final resolution of professional liability claims including matters in litigation. Frequent contact and interaction with involved parties including claimants and their legal representatives will be required. Recommendations regarding loss exposure and associated reserve and settlement strategy will be effectively communicated to the client.

DUTIES AND RESPONSIBILITIES:

Review, process, and conclude assigned claims including investigation and evaluation of complex Professional Liability – Errors and Omissions as well as Nursing Home Professional Liability Casualty Claims.
Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to advance the claim to conclusion.
Maintain an ongoing diary.
Continually assess exposure and evaluate accurate reserves and settlement recommendations.
Prepare Loss Reports providing a thorough analysis of liability and damages.
Where applicable, determine if subrogation and/or risk transfer exists and initiate recovery efforts at the direction of the client.
Document all correspondence, reports, discussions, and decisions in the claim file record.
Provide outstanding service to the client.
Assist Supervisors and the Claim Department with requested tasks or special projects.
Other duties as assigned