Senior Claims Specialist, Veterinary Claims
Sedgwick
full-time
Posted on:
Location Type: Remote
Location: Remote • Arizona, Florida, Missouri, Oklahoma, Texas • 🇺🇸 United States
Visit company websiteJob Level
Senior
About the role
- Analyze complex veterinary claims and provide resolution of highly complex nature and/or severe injury claims
- Coordinate case management within Company standards
- Manage total claim costs while providing high levels of customer service
- Conduct investigations and provide reports on new events, claims and legal actions
- Negotiate claim settlements up to designated authority level
- Calculate, assign and monitor reserves throughout the claim life
- Recommend settlement strategies and coordinate legal defense
- Identify and investigate for possible fraud, recovery, and case management opportunities
- Communicate claim activity with clients and maintain professional relationships
- Ensure claim files are properly documented and claims coding is correct
- Delegate work and mentor assigned staff
Requirements
- Bachelor's degree from an accredited college or university preferred
- Licenses as required
- Six (6) years of claims management experience or equivalent combination of education and experience required
- In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of-business handled
- Excellent oral and written communication, including presentation skills
- PC literate, including Microsoft Office products
- Analytical and interpretive skills
- Strong organizational skills
- Excellent negotiation skills
- Good interpersonal skills
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
Benefits
- Health insurance
- 401(k)
- Paid time off
- Flexible work arrangements
- Professional development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims managementnegotiationinvestigationclaims codingcase managementfraud investigationsettlement strategiesreport writingcost managementmedical malpractice insurance principles
Soft skills
communicationorganizational skillsinterpersonal skillsanalytical skillspresentation skillsteamworkmentoringcustomer servicedelegationperformance competencies
Certifications
Bachelor's degreelicenses as required