{"id":4310564,"url":"https://alion.io/job/phmic-complex-claims-specialist-professional-general-liability","title":"Complex Claims Specialist-Professional & General Liability","company":{"id":2217264,"name":"Phmic","domain":"phmic.com","url":"https://alion.io/company/phmic","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":null,"truth_index":null},"role":"Finance","role_family":"Finance","seniority":null,"employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"posting_text","remote_working_hours":null,"hiring_geo_confidence":"inferred","locations":[],"countries":[],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":96000,"max":120000,"currency":"USD","period":"year","gross":null,"usd_annual":120000},"salary_estimate":null,"experience_years_min":null,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Microsoft Office","optional":false}],"status":"live","first_seen_at":"2026-11-14T07:31:08Z","employer_posted_date":null,"last_verified_at":"2026-11-14T07:31:08Z","board_verified":false,"closed_at":null,"days_open":0,"trust":{"level":"not_scored","repost_count":null,"flags":[],"days_open":0},"description":"This a Full Remote job, the offer is available from: United States, Iowa (USA)\nPharmacists Mutual Insurance Group has an opening for a professional and general liability Claims Specialist This position will investigate, evaluate, reserve, negotiate, and resolve assigned claims in accordance with Company guidelines. The Claims Specialist will provide timely, professional claim handling and superior customer service.\nClaims Specialist - Professional and General Liability\nThis position is responsible for handling complex litigated and non-litigated liability cases with the highest level of exposure. This is a multi-line role and requires experience in professional liability, general liability and various other lines. The Specialist will provide oversight, consulting, training resources, and serve as a technical resource to the claims staff and other internal customers/partners. \nEssential Functions\nEssential functions may include, but are not limited to the following:\nProvides superior customer service and ensures file quality, timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case. \nDirectly investigates each claim through prompt contact with appropriate internal and/or external resources and experts to determine the extent of liability, damages, and contribution potential. \nInterviews witnesses and takes statements as necessary. \nUtilizes diary management system to ensure that all claims are handled timely and documents any rationale for departure from applicable protocols and methods.\nAttends and/or presents at roundtables/authority discussions for collaboration of technical expertise. \nResponsible for prompt and proper resolution/closure of all claims within delegated authority using developed creative resolution strategies or alternate means of resolution. \nNegotiates disposition of claims with insureds and claimants or their legal representatives. \nTracks and controls legal and adjusting expenses to ensure cost-effective resolution. \nAttends mediations, arbitrations, pre-trials, trials and all other legal proceedings as needed.\nManages files through the selection and direction of counsel in accordance with our litigation guidelines. \nEvaluates all claims for recovery potential; assists in recovery efforts and/or engages and directs Company resources for recovery efforts.\nServes as a subject matter expert within the unit. \nProvides coaching and file oversight for others.\nAssists manager with quality control audits.\nKnowledge, Skills and Abilities\nUnderstand principles and practices of insurance claims.\nUnderstand complex policy and contract coverage.\nManage, negotiate and resolve claims.\nAbility and flexibility to work longer hours when workload fluctuations occur. \nResearch and stay up-to-date with trends and changes in the claims/insurance industry. \nCommunicate effectively with others (oral and written).\nFollow oral and written directions.\nAnalyze complex issues and make critical decisions.\nMaintain records, prepare reports and correspondence related to the work.\nDemonstrate excellent writing skills, professional English usage, spelling, grammar, vocabulary and punctuation.\nInterpret and apply laws, rules and regulations.\nDetermines when to escalate concerns to the appropriate level of management.\nWork effectively with others in a team environment.\nEstablish and maintain effective working relationships with those contacted in the course of work.\nContribute effectively to the accomplishment of team or work unit goals, objectives and activities.\nExcellent customer service skills. \nAbility to organize and prioritize work.\nWork independently and demonstrate drive and initiative.\nAbility to manage and resolve multiple high-exposure claims simultaneously.\nAbility to meet definite deadlines and deal with pressure situations.\nCollect, interpret, and input data efficiently and accurately. \nUse claims management related software efficiently and effectively.\nUse Microsoft Office programs efficiently and effectively.","description_format":"text","description_chars":4064,"description_truncated":false,"requirements":{"experience_years_min":null,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":[],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Property & Casualty Insurance"],"lifecycle":[{"event":"open","at":"2026-11-14T11:58:17Z"}],"visa":[],"liveness":{"score":86,"band":"hot","label":"Hiring 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