Complex Claims Specialist- Medical Malpractice
The James Allen Companies Inc.
General Summary: Responsible for direct management of claims handling including but not limited to; coverage verification, investigation, reserving, negotiation, litigation management, including trial monitoring and resolution of the departments largest and most complex claims.
Responsibilities:
- Directly manage the most complex and high exposure claims of the company
- Preform coverage verification, claim investigation, reserving and disposition of significant claims.
- Manage all aspects of claim including litigation management, trial monitoring and reporting.
- Negotiate claim settlements directly or through attorneys within approved settlement authority
- Demonstrate effective teamwork, model appropriate behavior provide informal support for colleagues.
- Continually seek opportunities to increase individual knowledge base and skills and teach as appropriate.
- Attend trials, mediations when necessary
- Maintain regular and prompt communication with all external and internal business partners.
- Maintain close working relationship with defense counsel in the management of Litigation including but not limited to disposition strategy throughout the life of the claim.
- Ensure counsel is working within prescribed budget and defense counsel guidelines.
- Participate in departmental projects as requested.
- Other duties as assigned
Education & Qualifications:
- Four Year college degree required, attorney preferred.
- Demonstrated direct claim handling experience; 7-10 years preferred. Medical professional liability claims management experience required.
- Excellent oral and written communication skills required.
- Ability to professionally present to both a large audience and one on one.
- Strong organizational and time management skills.
- Maintain high degree of confidentiality.