Senior Claims Consultant - Healthcare (Remote)
: Job Details :


Senior Claims Consultant - Healthcare (Remote)

Tekwissen

Job Location : New Bedford,MA, USA

Posted on : 2025-09-26T15:16:15Z

Job Description :

Job Title: Senior Claims Consultant – Healthcare (Remote)

Work Location: Worcester, MA 01653

Job Type: Temporary Assignment

Work Type: Remote role anywhere in the U.S., prefers EST location.

Duration: 5 Months

Pay Rate: $48.00-$55.00/hr

Overview:

TekWissen is a global workforce management provider headquartered in Ann Arbor, Michigan that offers strategic talent solutions to our clients world-wide.

Job Description

Position summary:

  • Fully responsible for the investigation, evaluation, negotiation, and resolution of specialty claims which are the most complex in coverage and represent the company's largest damage exposures.
  • The claims could originate anywhere in the country and often require field consultation or field investigation and providing a high level of technical oversight to many professionals throughout the country.
  • Specialty claims will be primarily focused on elder care facilities and medical negligence and additional medical malpractice.

Responsibilities/Essential Functions

  • Must possess or secure and maintain appropriate state adjuster license(s) and continuing education credits.
  • May be involved in the oversight of technical work of other Liability Adjusters.
  • Will be involved in the direct handling of our most complex claims.
  • Interpret and execute strategies of higher-level management.
  • Accountable for making decisions that impact the short-term and long-term results of the company.
  • Work with product management to enhance Line of Business loss results.

Position Requirements:

  • 8+ years professional liability experience.
  • Bachelor's degree or equivalent experience.
  • Dedicated to meeting the expectations and requirements of internal and external customers.
  • Makes decisions in an informed confident and timely manner.
  • Maintains constructive working relationships despite differing perspectives.
  • Strong organizational and time management skills.
  • Ability to negotiate skillfully in difficult situations with both internal and external groups.
  • Demonstrates ability to win concessions without damaging relationships.
  • Demonstrates strong written and verbal communication skills.
  • Promotes and facilitates free and open communication.
  • Understanding of applicable statutes regulations and case law.
  • Thinks critically and anticipates, recognizes, identifies and develops solutions to problems in a timely manner.
  • Easily adapts to new or different changing situations requirements or priorities.
  • Cultivates an environment of teamwork and collaboration.
  • Operates with latitude for un-reviewed action or decision.
  • Proficient in MS Office Excel Word Internet etc.
  • Proficient using Claims systems

TekWissen Group is an equal opportunity employer supporting workforce diversity.

Apply Now!

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