Medical Malpractice Claims Specialist

Responsibilities

• Completes initial coverage analysis
• Develops a plan of action on assigned cases in conjunction with defense counsel and supervisor
• Interviews 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

Requirements

• Bachelor’s degree or equivalent combination of education and experience required
• Juris Doctorate preferred
• Three to five (3-5) years of medical malpractice or equivalent claims-related experience

Qualifications

• Experience managing medical malpractice claims
• Ability to negotiate settlements
• Knowledge of medical malpractice law
• Strong communication and interpersonal skills
• Ability to manage multiple tasks and prioritize effectively

Skills

• Medical malpractice claims management
• Negotiation and settlement skills
• Legal research and analysis
• Interpersonal and communication skills
• Project management

Benefits

• Competitive compensation
• Incentive bonus plans
• Outstanding career opportunities
• Exceptional work environment
• Impressive benefits package including medical, dental, vision insurance, health care tax-free spending accounts, short- and long-term disability programs, and an employee assistance program
• Additional benefits such as vacation days, sick days, and paid personal days, as well as paid holidays, life and travel insurance, tax-free commuter benefits, in-person and online learning opportunities, cross-function career opportunities, business casual work environment, time off to volunteer, matching donations to qualifying nonprofit organizations, and company-sponsored participation at non-profit events

About The Doctors Company

The Doctors Company is the nation’s largest physician-owned medical malpractice insurer. Founded and led by physicians, we are committed to advancing, protecting, and rewarding the practice of good medicine. The Doctors Company is proud to be Certified™ by Great Place to Work®.