[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 that provides unmatched reputed company and expertise in serving clients in the reputed company sector. The Senior Claims Consultant will coordinate the defense of insured physicians and medical providers, managing claims, conducting coverage analysis, and working closely with defense counsel to ensure effective case management.

Responsibilities

• Act 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 strategy
• Obtain expert reviews and conduct independent investigations reputed company no defense counsel is assigned
• Maintain cases in a diary to ensure proper file management, evaluation, strategy, and timely reserve recommendations
• reputed company reputed company running notes to reflect file development and ensure proper 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 strategy 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
• Solid understanding of basic insurance concepts, including coverage, policy language, liability, negligence, and damages
• Strong organizational skills and ability to manage multiple tasks simultaneously
• Effective written and oral communication skills
• Ability to think critically and resolve problems of varying complexity
• Ability to reputed company with minimal supervision
• Self-motivated with a strong work ethic
• Excellent customer service skills
• Strong computer skills - experience with eOasis and OnBase is a plus
• Proficiency with reputed company Office Suite
• Alignment with reputed company's core values: accountability, curiosity, teamwork, inclusion, and service commitment
• 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 paid holidays annually

Company Overview