Senior Claims Consultant
New
P
Physicians InsuranceMedical liability insurance
Senior Claims Consultant (Remote)Full-TimeSenior
SalaryThe salary range for this position is $97,200 to $156,200. This position is also eligible for an annual company bonus at an incentive target level of 10%.
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Job Details
- Experience
- Five plus years of professional medical liability including hospital professional liability claims experience
- Required Skills
- Microsoft OfficeNegotiation
Requirements
- Bachelor’s degree or equivalent experience.
- Five-plus years of professional medical liability claims experience, including hospital professional liability.
- Strong knowledge of claim evaluation, litigation management, coverage, reserving, negotiation, settlement strategy, and regulatory requirements.
- Ability to independently assess complex claims and develop supported recommendations.
- Ability to manage competing priorities and follow through on commitments.
- Strong interpersonal, verbal, and written communication skills, including the ability to present to large or small groups.
- Demonstrated technical ability with Microsoft Office, ShareFile, and Adobe Acrobat Pro.
- Multi-state adjuster’s licenses preferred, or ability to procure them as requested.
- Ability to travel as needed based on location, Member needs, or Court requirements, including to the company office for in-person events twice a year.
Responsibilities
- Manage complex medical professional liability claims from investigation through resolution within delegated authority.
- Communicate with Members and provide service at key claim stages, including assessments, strategy development, depositions, expert reviews, mediations, and trials.
- Collaborate with internal departments, defense counsel, experts, other insurers, and brokers.
- Investigate claims through medical record review, expert consultation, and evaluation of liability, causation, damages, and venue.
- Develop and execute claim strategies, identify priorities, and complete timely follow-up.
- Direct defense counsel and evaluate litigation strategy, recommendations, progress, and expenses.
- Establish and reassess reserves, documenting exposure evaluations and changes.
- Develop settlement strategies, obtain necessary consent and authority, and negotiate resolutions.
- Escalate coverage concerns, significant exposure changes, settlement demands, and critical deadlines; maintain claim documentation.
- Prepare reports and Claims Committee presentations with supported recommendations.
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