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Sr. Claims Specialist | Medical Malpractice (PL) | Remote, Florida
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Job Description
- Req#: R67426
Employer Industry: Insurance and Risk Management
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Recognized as one of America's Greatest Workplaces by Newsweek
- Flexible remote work opportunity
- Supportive and caring company culture that promotes work-life balance
- Potential to make a significant impact on clients facing complex claims
What to Expect (Job Responsibilities):
- Analyze and process complex medical malpractice claims, developing action plans for timely resolution
- Conduct investigations and provide detailed reports on claims and legal actions
- Negotiate claim settlements within designated authority levels
- Coordinate legal defense and manage relationships with attorneys to ensure compliance with client guidelines
- Identify and investigate opportunities for fraud, recovery, and cost management
What is Required (Qualifications):
- Bachelor's degree from an accredited college or university preferred
- Minimum of six (6) years of claims management experience or equivalent combination of education and experience required
- In-depth knowledge of medical malpractice insurance principles and laws
- Excellent oral and written communication skills, including presentation abilities
- Strong analytical, organizational, and negotiation skills
How to Stand Out (Preferred Qualifications):
- Professional certification applicable to the line of business preferred
- Experience with medical management practices and Social Security application procedures related to claims
#Insurance #ClaimsManagement #RemoteWork #CareerGrowth #NegotiationSkills
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