Medical Malpractice Claims Specialist
The Doctors Company
11h ago
0$93k - $123kOtherUnited Stateshimalayas
Claims-SpecialistMedical-Malpractice-ClaimsClaims-ManagementInsurance-ClaimsRisk-ManagementMedical-Claims-SpecialistMedical-Insurance-Claims-SpecialistMedical-Legal-SpecialistHealthcare-Claims-SpecialistMedical-Claims-RepresentativeHealth-Claims-SpecialistMid-level
Job Description
The Doctors Company is seeking an experienced Claims Specialist for our Region II team. This is a remote or hybrid opportunity, depending on the final candidate’s location from the company's office, with the preferred location in New York, New Jersey, or New England states. The Claims Specialist independently and pro-actively manages the medical malpractice claims for assigned members. Monitors and reviews all new claims for designated members and establishes a plan of action to achieve a favorable claim resolution. Attends and facilitates member meetings and claim reviews. Reviews and recommends appropriate case reserves. Negotiates settlements when appropriate and attends trial and provides insights and analysis. Advocates, consults, and serves as a trusted resource and partner with physician members.Responsibilities:Completes initial coverage analysisDevelops a plan of action on assigned cases in conjunction with defense counsel and supervisor Interview insureds within performance standards/guidelinesConsults with external stakeholders (insured, claimant, defense attorney, plaintiff attorney) to optimize results of the overall investigation and discovery processInterfaces with insured member to provide ongoing support and disclosure of investigation results to keep the member fully informedMakes recommendation for assignment of litigated matters to appropriate defense panel membersPartners with defense counsel for optimum outcome on all assigned casesMonitors and approves fees and expenses within authorityEvaluates facts, allegations, liability and damages issues and maintains appropriate case reservesRecommends the proper course of resolution to regional leadership based on the investigation and discovery Attends mediations, settlement conferences, arbitrations, and trials as necessaryProvides risk/benefit analysis to the member Supports the member throughout the life of the claim file up to and through trialOther duties as assignedEducation (and/or equivalent experience) required.Bachelor’s degree or equivalent combination of education and experience required.Juris Doctorate preferred.Three to five (3-5) years of medical malpractice or equivalent claims-related experience.Salary Range: $93,378 - 122,559Compensation varies based on skills, knowledge, and education. We consider factors such as specialized skills, depth of knowledge in the field, and educational background to ensure fair and competitive pay.BenefitsWe offer competitive compensation, incentive bonus plans, outstanding career opportunities, an exceptional work environment, and an impressive benefits package, which starts with medical, family and bereavement leave; same-sex domestic partner benefits; short- and long-term disability programs; and an employee assistance program. There's more: Health, dental, and vision insuranceHealth care tax-free spending accounts with a company match401(k) and Roth IRA with company match, as well as catch-up plans for bothVacation days, sick days, and paid personal days each calendar year (with vacation increases based on length of service)Paid holidays each calendar yearLife and travel insuranceTax-free commuter benefitsIn-person and online learning opportunitiesCross-function career opportunitiesBusiness casual work environmentTime off to volunteerMatching donations to qualifying nonprofit organizationsCompany-sponsored participation at non-profit eventsAbout The Doctors CompanyThe Doctors Company is the nation’s largest physician-owned medical malpractice insurer. Founded and led by physicians, we are committed to advancing, protecting, and rewarding the practice of good medicine.The Doctors Company is proud to be Certified™ by Great Place to Work®.Originally posted on Himalayas
