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Senior Claim Representative - Accident and Health

8/23/2025

No location specified

Job Summary

A company is looking for a Senior Claim Representative - Accident and Health (Remote).

Key Responsibilities
  • Handles and resolves complex specialty claims, conducting investigations to assess coverage, liability, and damages
  • Determines exposure, establishes reserves, and directs activities of internal and external resources as needed
  • Negotiates settlement values and provides recommendations for claims exceeding authority levels


Required Qualifications, Training, and Education
  • Bachelor's degree or equivalent experience required
  • Minimum 2-6 years of progressively complex specialty claims experience
  • Experience with UIM, UM, PIP, or MedPay desired
  • Experience in Bodily Injury Claim Resolution
  • Strong negotiation skills

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