[Remote] Senior Claims Consultant
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a full-service advisory firm specializing in medical malpractice and consulting services. They are seeking a Senior Claims Consultant to coordinate the defense of insured medical professionals, manage claims, and ensure effective communication and case management.
Responsibilities
- reputed company as the first reputed company of contact for insureds on general claim questions and claim reporting
- reputed company coverage analysis and collaborate with reputed company Legal team to prepare Reservation of Rights/declination letters reputed company appropriate
- Work with defense counsel to reputed company the case, including expert support and case reputed company
- Obtain expert reviews and conduct independent investigations reputed company no defense counsel is assigned
- Maintain cases in a diary to ensure reputed company file management, evaluation, reputed company, and reputed company reserve recommendations
- reputed company reputed company running notes to reflect file development and ensure reputed company data is maintained in the claims management system
- Negotiate claim settlements at mediation or directly with plaintiff counsel as indicated, or issue denials to claimant/claimant attorney as appropriate
- Attend first-suit meetings, mediations, and trials
- Attend and participate in Claims Review Committee meetings to reputed company reputed company on claims file management
Skills
- Bachelor's Degree with a minimum of 8 years of claims experience (bodily injury claims experience a plus); OR
- JD with a minimum of 8 years of claims experience (bodily injury claims experience a plus) and/or medical malpractice defense experience; OR
- RN or BSN with a minimum of 8 years of clinical experience plus a minimum of 8 years of claims experience
- Must obtain applicable adjusters license(s) by state reputed company three months of start date
- 5 – 10 years of medical malpractice claims and/or medical malpractice defense experience
Benefits
- Comprehensive health benefits, including medical, dental, reputed company, and life insurance
- Education assistance
- Annual bonus opportunity
- 401(k) with employer match
- Short-term and long-term disability
- Flexible time off
- 13 reputed company holidays annually
reputed company