Claims Manager Diedre Moire Corp.
Detroit, MI29 days ago
- $120,000–$150,000 Per Year
- Full-time
Highlights
This role requires a strong claims professional who can independently investigate, evaluate, negotiate, and resolve complex claims while providing exceptional service to insureds, claimants, and business partners. We are seeking an experienced Claims Specialist III to manage a portfolio of professional liability and medical malpractice claims in a fully remote environment.
Numbers & Facts
| Location | Troy, MI (Remote) |
| Industry | Staffing/Employment Agencies |
| Company Size | 2,500 to 4,999 employees |
| Year Founded | 1978 |
| Website | https://epitec.com/ |
Description
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Claims Specialist III
By / September 10, 2026
- Type: Contract
- Job #106760
Claims Specialist III
Location: Remote (U.S.)
Pay Rate: $55.00/hour
About the Opportunity
We are seeking an experienced Claims Specialist III to manage a portfolio of professional liability and medical malpractice claims in a fully remote environment. This role requires a strong claims professional who can independently investigate, evaluate, negotiate, and resolve complex claims while providing exceptional service to insureds, claimants, and business partners.
Key Responsibilities
- Manage moderate to high-exposure professional liability and medical malpractice claims from initial notice through resolution.
- Review policy coverage, assess liability, establish reserves, and develop claim resolution strategies.
- Conduct investigations by gathering statements, reviewing documentation, and collaborating with experts and legal counsel.
- Negotiate settlements and authorize claim payments within designated authority limits.
- Maintain accurate claim documentation and ensure compliance with company and regulatory guidelines.
- Partner with internal and external stakeholders to drive timely, quality claim outcomes.
- Identify potential fraud, recovery, and subrogation opportunities as appropriate.
- Provide mentorship and guidance to less experienced claim professionals when needed.
Required Qualifications
- Bachelor's degree or equivalent combination of education and experience.
- Minimum 4 years of claims handling experience.
- Strong understanding of commercial insurance, policy interpretation, coverage analysis, and claim practices.
- Demonstrated investigative, analytical, and critical thinking skills.
- Experience negotiating claim settlements.
- Excellent verbal and written communication skills.
- Strong organizational skills with the ability to manage a high-volume workload.
- Proficiency with Microsoft Office and business applications.
- Ability to obtain and maintain an Insurance Adjuster License if required.
Preferred Qualifications
- Medical malpractice and/or professional liability claims experience.
- Experience independently managing a large volume of claims.
- CPCU or other insurance industry designations.
Benefits
- Fully remote work environment
- Competitive hourly compensation
- Opportunity for contract extension based on business needs
- Exposure to complex and high-impact claim matters
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Benefits
Professional Development, 401K, Employee Referral Program, Life Insurance
About Company
Epitec is a leading staffing and recruiting services company with a mission to make staffing personal. We go beyond traditional hiring by truly understanding our candidates and matching them with the perfect opportunities. We offer competitive compensation, career growth, and support throughout the entire process. Working with top Fortune 500 companies, we are recognized for our excellence with numerous awards, including Best & Brightest and diversity recognitions. At Epitec, we're redefining the future of employment.