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677276 Senior Claim Specialist

Attention:  Have you been out of work and looking for a job to re-enter?  We want to talk to you!  Workers re-entering, ie, military, stay a home parent, caring for elderly, anyone that has been out of the work force and wants to re-enter!  Spread the word!! 


Pros2Plan, a Spinnaker Company, has been retained by a large Insurance company to hire for the position of a Senior Claim Specialist


This push is to hire workers re-entering the work force.  Position would be a Temp-To-Hire/Perm position and preference would be to hire workers re-entering the work force.


Location: Alpharetta, GA

Duration: Temp to Permanent

Bill Rate/ Salary: Open

Travel Required:No
Location:Alpharetta, GA
Position Type:Contract
Desired Education Level:BS

Key Objective:

Responsible for investigating; settling high exposure, high risk Employment Practices Claims.  Insure high level of customer service and claim file quality.


Major Duties & Responsibilities:


Duties may include, but are not limited to:

  • Confirms coverage of claims by reviewing policies and documents submitted in support of claims.
  • Analyzes coverage and communicates coverage positions, as warranted, under direction of supervisor and coverage unit.
  • Conducts, coordinates, and directs investigation into loss facts and extent of third-party damages.
  • Directs and monitors assignments to experts and underlying defense counsel.
  • Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure.
  • Sets reserves within authority or makes claim recommendations concerning reserve changes to supervisor.
  • Reports to reinsurers and facilitates the prompt collection of reinsurance on those matters where they are accountable.
  • Travels to conferences, mediations, and trials as necessary.

Minimum Requirements:


  • Ability to handle demanding caseload of claims pertaining to Employment Practices Liability and provide business support.
  • Approximately 5+ years claims and/or legal experience in the EPL area including evaluating and resolving complex matters.
  • Law degree preferred.
  • Excellent verbal and writing skills.

Responsibilities Include:


  • Identifying and evaluating coverage issues, preparing comprehensive coverage letters and analysis, retaining and managing coverage counsel through trial, and developing and managing strategy for complex coverage litigation.
  • Evaluating exposure through an in-depth analysis of legal and factual issues, retaining and managing litigation counsel through trial, developing and managing strategy for complex litigation;
  • Attending arbitrations, mediations, trials. 
  • Developing resolution strategies and negotiating settlements.
  • Presenting litigation strategy for complex litigation to senior claims management and underwriting staff
  • Support business leaders on an as needed basis on various claim and underwriting related issues and marketing meetings.

Ideal Candidate Will Have:


  • Ability to work independently and assimilate learning materials on many different subjects from various sources.
  • Excellent interpersonal communications and negotiation skills.
  • Ability to deal with customers in a professional manner.
  • Authoritative knowledge of Client's coverage, products, services, and liabilities.
  • Ability to self-motivate and self-start.
  • Ability to make independent decisions using ACE best practices for guidance.
  • Excellent verbal and written communication skills.
  • Strong interpersonal, negotiation and customer service skills.
  • Capable of dealing with highly visible and demanding customers.
  • Must be able to effectively work in a team environment.