Claims Specialist

• Analyze and manage complex or technically challenging general liability claims from inception through resolution
• Conduct investigations to determine liability, damages, and claim exposure
• Develop and execute strategic claim action plans
• Assess liability and negotiate settlements within assigned authority limits
• Calculate, establish, and maintain claim reserves
• Authorize and process claim payments and adjustments within delegated authority
• Ensure compliance with laws, regulations, and client-specific requirements
• Prepare and submit required state filings within statutory deadlines
• Report claims to excess carriers and respond to information or direction requests
• Manage litigated claims in collaboration with defense counsel and external partners
• Coordinate vendor referrals for investigations, medical reviews, surveillance, and litigation management
• Use cost-containment strategies and vendor partnerships to reduce claim costs
• Pursue and manage claim recoveries, including subrogation and applicable offsets
• Communicate proactively with claimants, clients, attorneys, and stakeholders
• Build and maintain client relationships through professional and responsive service
• Accurately document and code claim files
• Escalate complex issues and high-exposure matters to leadership
• Perform other duties as assigned

Claims Specialist jobs in Rhode Island

Claims Examiner – Auto, General Liability, Bodily Injury