Claims Specialist – Medical Professional Liability
ProAssurance
full-time
Posted on:
Location Type: Remote
Location: Colorado • Montana • United States
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Salary
💰 $76,208 - $125,756 per year
About the role
- 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
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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims investigationcoverage analysisliability evaluationcase value assessmentlegal expense controlreserving functionsreport preparationnegotiationsettlement strategyexpert witness selection
Soft Skills
interpersonal skillscommunication skillsnegotiation skillsanalytical skillsleadership skillswriting skillsrelationship managementorganizational skillsmulti-taskingtechnical expertise
Certifications
Bachelor's degreeadvanced degree in medical fieldadvanced degree in legal fieldadvanced degree in insurance field