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About the Role

This role involves managing a portfolio of complex Employment Practice Liability claims, focusing on EEOC charges. Responsibilities include acknowledging incoming charges, assigning them to attorneys, and monitoring their progress to closure. The role requires strong organizational skills to handle a significant volume of claims and may involve discussing settlements. There is potential for growth into handling litigated claims for high performers.

Responsibilities

Manages an inventory of complex Employment Practice Liability claims requiring specialized technical expertise and coordination.
Verifies policy coverage, conducts investigations, and develops resolution strategies.
Authorizes disbursements within authority limits.
Ensures exceptional customer service by managing all aspects of the claim.
Interacts professionally and effectively to achieve quality and cycle time standards.
Provides timely updates and responds promptly to inquiries and requests for information.
Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language.
Partners with coverage counsel on complex matters and estimates potential claim valuation.
Follows company claim handling protocols.
Leads focused investigation to determine compensability, liability, and covered damages.
Gathers pertinent information, such as contracts or other documents.
Takes recorded statements from customers, claimants, injured workers, and witnesses.
Works with experts or other parties as necessary to verify claim facts.
Resolves claims by collaborating with internal and external business partners.
Develops, owns, and executes a claim resolution strategy.
Manages timely and adequate reserves.
Collaborates with coverage experts.
Negotiates complex settlements.
Partners with counsel to manage complex litigation.
Authorizes payments within scope of authority.
Establishes and manages claim budgets by achieving timely claim resolution.
Selects and actively oversees appropriate resources.
Authorizes expense payments and delivers high-quality service efficiently.
Evaluates facts of the claim to realize and address subrogation/salvage opportunities or potential fraud occurrences.
Makes referrals to appropriate Claim, Recovery, or SIU resources for further investigation.
Manages each claim to ensure company protocols are followed, work is accurate and timely.
Ensures all files are properly documented and claims are resolved and paid timely.
Keeps senior leadership informed of significant risks and losses by completing loss summaries.
Identifies claims for oversight/watch lists and prepares succinct summaries for senior management.
Communicate with other attorneys and brokers.
Handle 2 to 3 new claims a day, with a potential of 150 total claims at one time.
Acknowledge and assign council to approximately 10 claims per week.

Requirements

Must be very organized and can handle significant volume.
Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly.
Demonstrated analytical and investigative mindset with critical thinking skills.
Ability to make sound business decisions.
Ability to effectively evaluate and resolve ambiguous, complex and challenging business problems.
Strong work ethic, with demonstrated time management and organizational skills.
Ability to work in a fast-paced environment at high levels of productivity.
Demonstrated ability to negotiate complex settlements.
Experience interpreting complex specialty insurance policies and coverage.
Ability to manage multiple and shifting priorities in a fast-paced and challenging environment.
Knowledge of Microsoft Office Suite and ability to learn business-related software.
Demonstrated ability to value diverse opinions and ideas.

Skills

claims processing
insurance claim
negotiation skills
litigation skills
insurance license
Guidewire
Communication with attorneys and brokers
Organization and volume handling
Analytical and investigative mindset
Critical thinking
Sound business decision-making
Evaluating and resolving complex business problems
Time management
Working in a fast-paced environment
High productivity
Interpreting complex specialty insurance policies and coverage
Managing multiple and shifting priorities
Microsoft Office Suite
Learning business-related software
Valuing diverse opinions and ideas

Location

New York, NY

Work Type

Contract
Fully remote

Experience Level

Claims Consultant

Salary/Compensations

$38.46 - $52.88/hr

Benefits

Medical, dental & vision
Critical Illness, Accident, and Hospital
401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
Life Insurance (Voluntary Life & AD&D for the employee and dependents)
Short and long-term disability
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)

About the Company

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

Equal Opportunity

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.