
Senior Consultant, MD Claims
Posted 21 hours ago

Posted 21 hours ago
This is a fully remote position, open to applicants in United States.
• Investigate and verify facts regarding loss for the most intricate automobile accidents.
• Assess coverage, liability, and damages.
• Adjust and negotiate claims within the established limits of authority.
• Mentor and guide junior staff members.
• Manage complex claims related to liability, coverage, property damage, casualty, and personal injury.
• Recognize vehicle components and evaluate potential property damage.
• Identify customer needs and implement suitable customer service techniques.
• Assess potential for subrogation or fraud and determine the handling method.
• Utilize advanced knowledge of company and industry insurance policies and organizational dynamics.
• Suggest process enhancements.
• Independently manage complex auto claim investigations with increased authority.
• Review, evaluate, and negotiate moderate to complex or catastrophic injury claims as necessary.
• Experience with direct claim ownership, including complex liability and coverage investigations, property damage claims, and casualty claims.
• Strong comprehension of claims quality standards, auditing practices, and industry best practices.
• Experience in coaching and developing others; prior leadership or mentoring experience is highly preferred.
• Excellent communication and influencing abilities.
• Consultative mindset and dedication to operational excellence.
• Active insurance license holders must terminate all existing appointments prior to onboarding and cannot hold external appointments during employment.
• Applicants with a resident producer license must formally surrender it when directed by the licensing team.
• Authorization to work in the United States; the company does not sponsor work visas.
• A dedicated, private workspace free from distractions when working remotely.
• Reliable internet connection with minimum speeds of 50 MB download and 5 MB upload.
• Base salary ranging from $70,100.00 to $110,400.00 annually.
• Incentive pay opportunities, such as commissions or bonuses, if applicable.
• Comprehensive technology setup, which includes a laptop, monitors, headset, keyboard, and mouse.
• Monthly connectivity reimbursement to help mitigate internet expenses.
• Option for a work-from-home arrangement.
CVS Health
Healthcare Provider Solutions, Inc.
Main Line Talent Group
Mercor
Get handpicked remote jobs straight to your inbox weekly.