Senior Claims Specialist - Denver, CO

The Jonus Group • Atlanta, GA

12h

About The Position

The Senior Claims Specialist role involves managing complex claims proactively and efficiently. The position requires leveraging analytical, problem-solving, and communication expertise to resolve claims while ensuring compliance with policies, procedures, and regulatory standards.

Requirements

• Bachelor’s degree or equivalent experience in insurance, business, or a related field.
• Minimum of 5 years of claims handling experience, particularly within a complex or specialized claim environment.
• Strong knowledge of insurance policies, claims processes, and state-specific regulations.
• Exceptional communication skills, both written and verbal, with the ability to explain complex concepts clearly and concisely.
• Proven ability to negotiate settlements and resolve conflicts effectively.
• Robust analytical and problem-solving skills, with keen attention to detail.
• Adept at using claims management software and other relevant tools.
• Demonstrated ability to manage multiple priorities and meet deadlines in a fast-paced environment.

Nice To Haves

• Professional certification (e.g., CPCU, AIC) is a plus.

Responsibilities

• Handle a wide range of complex claims, including but not limited to property, liability, or specialty claims.
• Investigate, evaluate, and resolve claims efficiently while maintaining attention to detail and accuracy.
• Communicate with customers, vendors, and internal stakeholders to ensure clear and timely updates throughout the claims process.
• Negotiate settlements in accordance with company policies, ensuring fair and equitable outcomes for all stakeholders.
• Analyze documentation, including contracts and reports, to determine coverage and liability.
• Stay up-to-date with regulations, litigation trends, and industry standards to comply with legal and compliance requirements.
• Provide mentorship and guidance to junior claims specialists, fostering professional growth within the team.
• Collaborate with cross-functional teams to identify and implement process improvements that enhance overall efficiency and service quality.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level