Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.
Brown & Brown is seeking a Dental Claims Specialist to join our growing team!
The Dental Claims Specialist will investigate and manage dental malpractice and regulatory claims for business clients, including coverage analysis, defense coordination, and settlement; remote position.
- Investigate /evaluate claims involving Dental Malpractice brought against our dental business clients , which also include State Regulatory and/or licensing Board Complaints in accordance with established procedures, policy coverages and applicable state laws and regulations regarding claims handling. This is a remote from home opportunity.
- Conduct and/or coordinate investigations of reported matters to evaluate coverage, liability and damages, secure appropriate documentation pertaining to the reported matter, and prepare the claim/matter for disposition with appropriate regard for cost containment.
- Maintain diary of upcoming actions/events and take appropriate action in a timely manner.
- Act as primary liaison to the insured with respect to a claim.
- Establish timely and accurate reserves for each claim file and review and adjust reserves as appropriate.
- Coordinate defense of litigated claims, including retaining defense counsel from approved panel counsel (or obtaining supervisory and/or carrier authority to retain off-panel counsel). Audit, revise and pay bills related to defense of claims.
- Settle claims within authority granted by the EVP, Head of Healthcare Claims, Claims Director, Claims Supervisor and/or insurance carrier, as appropriate. Follow status of claims to settlement, trial or other disposition. Attend important trials, arbitrations and mediations as appropriate and as approved by the EVP, Head of Healthcare Claims, Claims Director and/or carrier.
- Maintain accurate and complete files with respect to all activities relating to each claim file.
- Assist and cooperate in all internal and external audits conducted with respect to the Department’s operations.
- Notify the Underwriting Department of questionable risks. Draft claim summaries to assist Underwriters when requested.
- Initiate deductible collection activity as appropriate to ensure prompt and sufficient recovery of monies due.
- Identify claim files for closure.
- If directed, fill in for other Claim personnel absent from the office.
Skills & Experience to be Successful:
- Four-year college degree.
- Working knowledge of insurance claim handling processes and procedures.
- Working knowledge of legal principles of liability and damages, as well as legal procedures and the workings of legal institutions.
- Must possess appropriate insurance adjusting license(s) as needed.
Pay Range
$85k - $95k Annual
The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role.
Teammate Benefits & Total Well-Being
We go beyond standard benefits, focusing on the total well-being of our teammates, including:
- Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
- Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
- Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services
- Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more.
Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations.
The Power To Be Yourself
As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.