Claims Specialist – Medical Professional Liability

Claims SpecialistClaims SpecialistFull TimeRemoteTeam 501-1,000Since 1976H1B No SponsorCompany SiteLinkedIn

Location

Colorado + 4 moreAll locations: Colorado, New Mexico, Oklahoma, Missouri, Texas

Posted

3 days ago

Salary

$76.2K - $125.8K / year

Bachelor Degree2 yrs expEnglish

Job Description

• Provide direction and guidance throughout the life of the claim • Direct the management of claims including claims investigation, coverage analysis, monitoring of defense counsel activities, control of legal expenses, reserving, and providing technical expertise • Participate in review processes to evaluate liability, case value, and reserving functions and manage total claims cost • Ensures proper file documentation of assigned files by complying with company and state requirements • Directs defense counsel with regard to settlement values, defense tactics and strategies per department guidelines • Maintains communication with supervisor, defense counsel, and client • Review and approval of reasonable legal expenses and fees associated with the claim file and negotiate adjustment of charges when appropriate • Participate in selection of expert witnesses when appropriate • Represent the Company by attending trials, settlement conferences, mediations, and insured meetings • Recommend settlement strategies when necessary • Responsible for preparing reports for management by collecting, analyzing, and summarizing claim information • Keep apprised of changes in the law and court procedures affecting claims in jurisdictions supervised • Participate in negotiations when appropriate • Perform special projects as directed by management

Job Requirements

  • Bachelor's degree required
  • Advanced degree or certification in the medical, legal, or insurance field preferred
  • Minimum two years’ experience in the legal, medical, or insurance field
  • Professional liability experience
  • Excellent interpersonal, communication, and negotiation skills
  • Strong analytical skills
  • Proven leadership, communication, and writing skills
  • Strong interpersonal and relationship management expertise
  • Excellent organizational skills and the ability to handle multiple tasks effectively and efficiently
  • Proficiency in Microsoft Office applications
  • Ability to learn new computer software applications
  • Valid driver’s license required.

Benefits

  • Access to a best-in-class benefits program

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