Job Description

Job Description

Pay: $155,000.00 - $175,000.00 per year

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Job Type: Full-time

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Job description:

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Seeking experienced claim professional to supervise our Litigation Managers who handle medical

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professional (hospital, allied professional, long-term care) and general liability claims of moderate to high severity. Ensure staff compliance with company standards, industry best practices and maintain service excellence. This position is a blend of supervision and direct claim handling responsibilities.

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Position’s Functions and Responsibilities:

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• Provides supervision and guidance to our experienced adjusting staff
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• Must have medical liability including long-term care professional liability claim handling experience
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• Review and analyze policy coverage, including drafting of coverage denials and reservation of rights letters
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• Establish timely and accurate expense and indemnity reserves
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• Investigate and evaluate liability and damages:
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• Conduct witness interviews, inclusive of on-site visits
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• Identify, obtain, and analyze documentation including, but not limited to, medical records, medical bills, contracts, photo & video evidence, state health surveys
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• Retain experts as indicated
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• Determine and evaluate liability, damages, settlement values, verdict ranges and percent chance to win
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• Coordinate and manage litigation:
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• Manage defense counsel
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• Develop and implement a litigation plan of action & budget
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• Review, analyze and process vendor invoices
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• Prepare comprehensive reports
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• Claims Committee/Client presentations
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Experience and Education Requirements:

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• Bachelor’s Degree or equivalent work experience
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• Claim supervision experience preferred
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• Medical malpractice and general liability claim handling experience, or related field experience
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• Claims Adjuster license preferred
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Skills and Knowledge:

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• Strong knowledge of the legal environment and litigation process
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• Knowledge of insurance industry compliance requirements
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• Strong analytical and decision-making skills
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• Strong negotiation skills
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• Strong communication skills, both written and verbal
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• Demonstrate ownership attitude and client-centric response to all tasks
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• Organizational and time management skills
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• Working knowledge of Microsoft Office applications (Word, Excel & Outlook)
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Work Environment:

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• Home office (work from home)
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• Travel as required to conduct on-site investigations and attend mediations, arbitrations, trials and client meetings
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• Professional appearance and demeanor
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Pay Transparency:

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The base salary range for this full-time position is $155,000 to $175,000 plus bonus potential and benefits including generous PTO, health/dental/vision/life insurance, and a retirement savings account with company match/contribution.

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Job Tags

Full time, Work experience placement, Work at office, Home office

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