Claims Counsel/Examiner - HOPA (Filled)

Royer Thompson Management & Human Resources Consulting; Dartmouth; On-site; CAD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a Claims Counsel/Examiner to manage claims for healthcare organizations. This pivotal role involves analyzing claims, collaborating with external experts, and developing risk management initiatives. The ideal candidate will have a strong legal background in insurance defence or claims examination, excellent communication skills, and a proactive approach to problem-solving. Join a dynamic team dedicated to supporting healthcare entities and enhancing risk management strategies. This is an exciting opportunity to make a meaningful impact in the healthcare insurance sector while working in a collaborative environment.

Qualifications

• Minimum 4 years of legal practice in insurance defence or claims examination.
• Strong analytical skills and ability to develop resolution strategies.

Responsibilities

• Manage the defence of claims against healthcare organizations.
• Analyze claims data and deliver targeted risk management initiatives.

Skills

Insurance Defence

Medical Malpractice

Professional Liability

Healthcare Law

Claims Examination

Analytical Skills

Interpersonal Skills

Communication Skills

Organizational Skills

Presentation Skills

Education

Juris Doctor (JD) or equivalent

Job description

Established in 1992, Health Organizations Protective Association (HOPA) is a leading insurance reciprocal dedicated to supporting the insurance and risk management needs of healthcare entities across Nova Scotia. Fueled by the mantra “the reciprocal advantage” HOPA provides an insurance program that goes beyond insurance placement by maintaining a vibrant relationship with its members to deliver comprehensive claims and risk management services tailored to the unique needs of its Subscribers.

Reporting to the Chief Executive Officer, the Claims Counsel/Examiner plays a crucial role in managing the defence of claims against HOPA’s subscribing healthcare organizations. The Claims Counsel/Examiner will conduct a thorough analysis of claims, assess claim merit, review precedent conditions for resolution, ensure proper documentation and communicate effectively with Subscriber organizations. The Claims Counsel/Examiner will collaborate closely with external counsel and experts when necessary to mitigate exposure and achieve successful outcomes. In addition to claim management, the Claims Counsel/Examiner will assist in collecting and analyzing claims data to deliver targeted risk management initiatives to member organizations.

The ideal candidate for this position will have a minimum of 4 years of legal practice focusing on insurance defence, and/or medical malpractice, professional liability or healthcare law, or minimum of 4 year claims examination experience in property & casualty and/or professional liability. Demonstrating a strong ability to analyze complex situations and develop strategies for interest-based resolution, they will also possess a natural curiosity, staying up to date with industry trends and developments. Excellent interpersonal skills and effective communication abilities are essential for collaborating with internal and external stakeholders. Strong organizational skills are necessary for prioritizing tasks and meeting deadlines successfully. The preferred candidate will exhibit a proactive approach to their work, thrive in a team environment, demonstrate initiative, deliver compelling presentations, and leverage technology to enhance their work.

To learn more about Health Organizations Protective Association please visit: https://www.hopa-advantage.ca/

Please submit your resume and interest online by clicking “Apply.” For further information about this opportunity, please contact Erica Armstrong in confidence at [e-mail] or 902-500-2982.