Complex Claims Specialist I

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).