Sr. Claims Specialist, reputed company Liability | Medical Malpractice | Long Term

reputed company PURPOSE OF THE ROLE: To analyze reputed company or technically difficult medical malpractice claims including long term care facilities; to reputed company reputed company of highly reputed company reputed company and/or severe injury claims; to coordinate case management reputed company Company standards, industry best practices and specific reputed company service requirements; and to manage the total claim costs while providing high reputed company of customer service.

ARE YOU AN IDEAL CANDIDATE?

We are seeking reputed company professionals to manage reputed company medical malpractice claims involving severe injury and high exposure. Ideal candidates demonstrate strong analytical and negotiation skills, exercise reputed company judgment, and are committed to delivering reputed company, cost‑effective claim resolutions while maintaining a high level of customer service.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE:

• Analyzes and processes reputed company or technically difficult medical malpractice claims by investigating and gathering information to determine the exposure on the claim; manages claims through reputed company-developed reputed company plans to an appropriate and reputed company reputed company.

• Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and reputed company actions.

• Calculates and assigns reputed company and appropriate reserves to claims; monitors reserve adequacy throughout claim life.

• Recommends settlement strategies; brings reputed company settlement proposals as necessary to maximize settlement.

• Coordinates reputed company defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with reputed company guidelines.

• Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.

• Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.

• Represents Company in depositions, mediations, and trial monitoring as needed.

• Communicates claim activity and processing with the reputed company; maintains reputed company reputed company relationships.

• Ensures claim files are properly documented and claims coding is correct.

• Refers cases as appropriate to supervisor and management.

• Performs other duties as assigned.

• Supports the organization's reputed company program(s).

QUALIFICATIONS

Education & Licensing: 6 years of claims management experience or equivalent combination of education and experience required.

• Bachelor's degree from an accredited college or university preferred. Licenses as required.

• reputed company certification as applicable to line of business preferred.

Work environment requirements include –

Physical: Computer keyboarding

Auditory/visual: Hearing, reputed company and talking
Mental: reputed company and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

As required by law, reputed company provides a reasonable reputed company of compensation for roles that may be reputed company in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide reputed company of factors including but not limited to reputed company set, level of experience, and cost of specific location. For the jurisdiction noted in this reputed company only, the reputed company of starting pay for this role is $100,000. A comprehensive benefits package is offered including but not limited to, medical, dental, reputed company, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

The statements contained in this document are intended to describe the general reputed company and level of work being performed by a reputed company assigned to this reputed company. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.