Claims Consultant - Healthcare Professionals

About the role

Confirm coverage and then manage claims and suits brought against policyholders. Interpret, analyze, and resolve coverage issues. Select legal counsel. Manage the litigation with outside counsel. Manage litigation costs, both fees and expenses. Post reserves for both loss and ALE. Resolve cases, via settlement, dismissal or trial. Negotiate. Provide service to insureds, assist where possible in sales and retention efforts of sales force.

Responsibilities

• Confirm coverage and manage claims and suits brought against policyholders.
• Analyze and resolve coverage issues.
• Select and manage legal counsel.
• Manage litigation with outside counsel.
• Control and manage litigation costs, including fees and expenses.
• Post reserves for both loss and ALE.
• Resolve cases through settlement, dismissal, or trial.
• Negotiate with parties involved.
• Provide service to insureds and assist in sales and retention efforts.
• Perform other activities required of a front-line claims person.

Requirements

• J.D. (preferred), but Bachelor's degree with relevant industry experience may be considered.
• Minimum of five years of claim experience and/or litigation experience, preferably in healthcare liability or other professional liability claims.
• Strong negotiating and coverage evaluation skills.
• Adjuster's license (or ability to obtain within 90 days) may be required.

Qualifications

Not specified.

Skills

Not specified.

Benefits

Medical, vision, and dental insurance options. Life and accident insurance. 401(k). Short-term and long-term disability insurance.

Pay

The annual gross base salary range is $90,000 to $150,000. Actual salaries vary based on qualifications, skills, and competencies.

Schedule

Not specified.