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Sourcing - Complex Claims Specialist, Miscellaneous Medical Facilities Professional Liability
5 days agoWhat's your preference?
Job Description
- Req#: 74578
Employer Industry: Insurance
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work in a collaborative environment with autonomy to influence outcomes and policy
- Competitive salary and benefits package
- Chance to shape claim strategy on high-severity matters
- Engage with a diverse range of clinical resources and expert consultants
What to Expect (Job Responsibilities):
- Manage MMF Professional Liability Claims from first notice through resolution, including investigation and negotiation
- Perform advanced coverage analysis and prepare clear coverage opinions
- Document claims thoroughly using the Claims Management System and manage follow-up actions
- Oversee litigation, retain outside defense counsel, and control budgets
- Collaborate with underwriting, reinsurance, and regulatory teams on claims strategy and reporting
What is Required (Qualifications):
- Minimum 7 years of claims/legal experience with substantive MMF Professional Liability claim handling
- Advanced knowledge of professional liability coverage interpretation and complex coverage issues
- Strong litigation management experience, including oversight of defense counsel and cost control
- Practical understanding of clinical issues related to Long Term Care and relevant regulations
- Bachelor's degree required; advanced degree is a plus
How to Stand Out (Preferred Qualifications):
- Experience managing high-severity, multi-claimant or regulatory matters
- Proven analytical and negotiation skills
- Strong written and verbal communication skills with the ability to present complex information
#Insurance #ClaimsManagement #CareerGrowth #ProfessionalDevelopment #DiversityAndInclusion
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