Senior Claims Specialist
Core
Senior Claims Specialist managing complex, disputed, and high-value life/health insurance claims, providing strategic claims management plans, guidance, and coaching to reinsured portfolios.
Role type
Senior IC claims specialist (life/health insurance)
Builds
Strategic claims management plans, guidance, and coaching for reinsured portfolios
Domain
Reinsurance / Life & Health Insurance
Deliverable
client delivery
Required skills
Complex claims analysis, policy/contract interpretation, dispute resolution, regulatory analysis, stakeholder negotiation, fraud assessment, litigation process knowledge
Preferred skills
Thought leadership in legal/claims topics, regulatory initiative contribution, industry presentation delivery
Technologies
None stated
Responsibilities
Assess life claims via financial/medical/occupational evidence; manage reinsured claim portfolios with strategic plans; liaise with clients on complex disputed claims; lead discussions on sensitive claims matters; develop commutation strategies; provide expert coverage advice on morbidity/mortality; contribute to industry thought leadership groups
Seniority
Senior, hands-on IC with strategic oversight