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Complex Claims Specialist I

Metis
Posted 11 days ago
Location

Wabun, VA, US

Salary

$60,000 - $75,000 per year

Contract type

Full Time

Health Insurance
Disability Insurance

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Metis/Risk Management Programs is searching for a Complex Claims Specialist I to join our Legal Team. 

Metis is a Roanoke-owned and operated company that provides third-party administrative services for self-insurance risk pools, along with operational support and other innovative solutions for Metis subsidiaries. We are known for exceptional service, forward-thinking solutions, and strong relationships with our members.


You’ll Do Things Like: 

  • Determine coverage under public entity risk policies, including retained limits and excess of loss policies, reinsurance contracts, and facultative contracts. 
  • Prepare coverage letters and communicate decisions to insureds, third-party administrators, and brokers.
  • Support claims operations, including claim entry, evaluation, adjudication, payment, and client service.
  • Evaluate complex litigated claims for risk exposure and settlement potential within policy limits; negotiate settlements and resolve claims.


This is not a comprehensive list of activities, duties, or responsibilities required for this job. Activities, duties, or responsibilities may change at any time. 


Minimum Qualifications: 

  • College degree required. 
  • Strong computer skills required. 
  • Experience as a paralegal or legal assistant in an insurance defense firm, or experience handling casualty claims for public entities, preferred. 
  • Advanced knowledge of casualty claims investigation, coverage evaluation, resolution strategy, negotiation, litigation management, claims evaluation, and the insurance legal framework preferred. 


What We Offer:

  • Comprehensive benefits package, including 401(k) with 200% match up to 6%.
  • Affordable health insurance premiums with wellness incentives.
  • HSA with annual company contribution of $500.
  • Company-paid individual dental, short-term disability, and long-term disability insurance.
  • 11 paid holidays.
  • Generous vacation and sick time.


Expected hiring salary range is $60,0000 to $75,000 annually. Actual offer will be based on a variety of factors including qualifications, credentials, education, and experience.


Metis is a tobacco-free workplace (does not apply to West Virginia).




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