Senior Resolution Specialist

Full Time
Los Angeles, CA 90071
Posted
Job description
About Us:
Gallagher Bassett is the world’s premier provider of risk and claims management services. We believe that – with proper management – a world of risk becomes a world of possibilities. It becomes a world where businesses and organizations are freed to do what they do best. To build. To serve. To move forward. Knowing the responsibilities of today and their people are being cared for.

So wherever opportunity and need come next in this world, Gallagher Bassett is there. From Walla Walla, Washington to Wallaroo, South Australia. More than 5,000 of the most dedicated professionals backed by the industry’s most powerful technology. Each with a single and powerful purpose: To GUIDE those suffering a loss to the best outcomes for their health and financial wellbeing. To GUARD our clients’ assets as the trusted stewards of their risk and claims management programs. To GO BEYOND expectations in the continuous pursuit of a better way.

Responsibilities: Analyzes coverage and settles moderately complex claims in one or more of Gallagher Bassett's specialty claims areas. Generally, incumbent does not work on workers compensation claims. Able to manage the full-life cycle of all assigned claims files. Analyzes coverage and determines defense obligations. Under minimal supervision, conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans. Creates reservation of rights and coverage denial letters. Negotiates settlements with clients, client attorneys, and Public Adjusters. Interacts extensively with various parties involved in the claims process, and may recommend retaining the advice of outside experts as necessary. Prepares reserve and settlement authority requests for client and carrier approval. May act as a client advocate with carriers to ensure proper claims handling, including any necessary scoping, estimating, and addressing of coverage. Has a solid understanding of claims processing and the insurance brokerage business. Has a basic understanding of the terminology and case law associated with their specialized claims niche/industry. Handles claims consistent with clients' and corporate policies, procedures and best practices and also in accordance with any statutory, regulatory and ethical requirements. Incumbents at this level should be able to work at full case load capacity. Qualifications: Required: High school diploma and 5 years related claims experience required. Prior experience working within the applicable specialty claims area or demonstrated ability to handle unique/challenging claims issues. Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements. Knowledge of accepted industry standards and practices. Computer experience with related claims and business software.

Preferred: Bachelor's Degree highly preferred. Two or more years of prior experience adjusting claims in applicable specialty area preferred.

Behaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. Analytical skill necessary to make decisions and resolve issues inherent in handling of claims. Ability to successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation. Additional Information:

Click Here to review our U.S. Eligibility Requirements

We offer competitive salaries and benefits, including: medical/dental/vision plans, life and accident insurance, 401(K), employee stock purchase plan, educational expense reimbursement, employee assistance program, flexible work hours (availability varies by office and job function), training programs, matching gift program, and more.

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