Medical Malpractice Claims Specialist

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

Education (and/or equivalent experience) required.

Salary Range

• $88,710 - $119,715 . Compensation 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. Salary may include additional geographic differential for employees working in higher-cost labor markets, including states such as New York and California