JOB DESCRIPTION

The REH TPA-Oversight Claim Specialist is responsible for investigating and settling claims while ensuring a high level of customer service and claim file quality while providing oversight and guidance to our TPA partners.

This is a hybrid opportunity, 3 days in the office and 2 days remote in one the following locations: Whitehouse Station, NJ, Jersey City, NJ, Philadelphia, PA, Wilmington, DE or Chatsworth, CA.

Duties include, but are not limited to:

• Provides outstanding customer service and works well with the insured, broker and TPA in the adjustment of casualty and auto risks.
• 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 closely monitors assignments to experts and defense counsel.
• Evaluates information on coverage, liability, and damages to determine the extent of exposure to the insured and the company.
• 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.

QUALIFICATIONS

Bachelor's

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