The Doctors Company · 1 day ago

Claims Specialist

United States

Full-time

Remote

Mid Level

$96K/yr - $119K/yr

3+ years exp

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Insurance

Comp. & Benefits

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Responsibilities

Completes initial coverage analysis

Develops a plan of action on assigned cases in conjunction with defense counsel and supervisor

Interview insureds within performance standards/guidelines

Consults with external stakeholders (insured, claimant, defense attorney, plaintiff attorney) to optimize results of the overall investigation and discovery process

Interfaces with insured member to provide ongoing support and disclosure of investigation results to keep the member fully informed

Makes recommendation for assignment of litigated matters to appropriate defense panel members

Partners with defense counsel for optimum outcome on all assigned cases

Monitors and approves fees and expenses within authority

Evaluates facts, allegations, liability and damages issues and maintains appropriate case reserves

Recommends the proper course of resolution to regional leadership based on the investigation and discovery

Attends mediations, settlement conferences, arbitrations, and trials as necessary

Provides risk/benefit analysis to the member

Supports the member throughout the life of the claim file up to and through trial

Other duties as assigned

Qualification

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Medical malpractice claimsClaims managementRisk/benefit analysisJuris DoctorateClaims-related experience