The Senior Litigation Specialist’s job function includes efficiently and effectively handling advanced-level, primarily litigated, commercial third-party general liability losses in a “paperless” environment. An ability to communicate both verbally and in written form in a prompt, courteous and professional manner is essential.
The Complex General Liability Claims Specialist will evaluate coverage issues and risk transfer opportunities as well as ensuring appropriate investigation of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, and proper negotiation strategy is employed. This position reports to a line of business executive.
The Senior Investigator supports the Program Integrity Manager and department investigators, assisting with developing, implementing, and performing fraud, waste, and abuse related auditing and monitoring activities. This includes identifying, investigating, and correcting fraudulent, wasteful, and/or abusive billing and coding practices. In addition, this role coordinates recovery of overpayments related to fraudulent and/or abusive billing and coding practices; and providing education related to coding, medical record documentation requirements.
As a Claims Compliance Process Supervisor, you will be responsible for reviewing and reporting on the adherence to compliance requirements for all claims adjusting groups at Kin. This role will require an individual who can lead a team of compliance specialists to identify compliance and quality trends and communicate them clearly and convincingly to the rest of the organization. A deep understanding of homeowner’s insurance claims is a must.