About the role
- Manage to conclusion assigned inventory of medical professional and general liability claim files
- Maintain a culture of positivity, respect, supportiveness, collaboration, patience, accountability, and excellence
- Develop and maintain strong and collaborative client relationships
- Establish prompt contact on all new losses within 24 hours of receipt of the claim
- Thoroughly investigate all claims and document ongoing case facts and relevant information necessary for establishing liability and damages
- Direct, manage and control the litigation process for nationwide programs
- Assure that all assigned claims are maintained on an active 30–45-day diary
- Obtain consultant and/or expert reviews for early evaluation
Requirements
- JD and/or RN preferred
- Bachelor’s degree from a four-year college or university
- At least seven years of related experience and/or training
- High degree of claims handling expertise, including at least five years managing medical professional liability cases
- Proficiency in Word, Excel, Outlook, PowerPoint, RMIS software, RingCentral, Zoom, TEAMS, WebEx, GoToMeeting
- Fluent spoken and written English required
- In-house IT with advanced technology and integrated claims management model
- In-house Special Investigations Unit (SIU)
- In-house Training
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims handlingmedical professional liabilityinvestigationlitigation managementdocumentationcase management
Soft skills
collaborationcommunicationaccountabilitypositivitysupportivenesspatienceexcellence