Claims Consultant – Puerto Rico & Southeast Hospital/Physicians & Surgeons (Bilingual)

MedPro Group; Indiana (PA); Remote; USD 100,000 - 150,000; Full time

Job summary

Join MedPro Group as a Claims Consultant, where you will manage healthcare claims while ensuring excellent client service. The ideal candidate should possess strong bilingual communication skills and extensive claims experience. This role offers competitive compensation and a supportive work environment focused on integrity and teamwork.

Benefits

Medical, vision, and dental insurance options

401(k) with company match

Short-term and long-term disability insurance

Life and accident insurance

Qualifications

• Five years of claim experience, preferably in healthcare liability.
• Bilingual in Spanish and English.
• Adjuster's license or ability to obtain shortly.

Responsibilities

• Manage claims and suits against policyholders.
• Interpret and resolve coverage issues.
• Negotiate settlements and provide client service.

Skills

Communication skills

Negotiating skills

Education

J.D. (preferred)

Bachelor's degree (if relevant experience)

Job description

Meet MedPro Group. We’re an industry-leading Berkshire Hathaway insurance company with a passion for our clients and our team. We are hundreds of professionals with varied backgrounds and experience levels who came together to achieve one goal: protecting those who have made it their mission to serve and care for others. Never considered the insurance industry before? We think you should.

We are seeking a bilingual Claims Consultant who will cover Hospital, Physicians & Surgeons claims in Puerto Rico and the Southeast region. The ideal candidate would be located within the Southeast United States.

In this role, you will…

• Confirm coverage and then manage claims and suits brought against policyholders.
• Interpret, analyze, and resolve coverage issues.
• Select legal counsel.
• Manage the litigation with outside counsel.
• Manage litigation costs, both fees and expenses.
• Post reserves for both loss and ALE.
• Resolve cases, via settlement, dismissal or trial.
• Negotiate.
• Provide service to insureds, assist where possible in sales and retention efforts of sales force.
• Perform other activities required of a front line claims person.

We are looking for candidates with…

• Excellent written and verbal communication skills in both Spanish and English languages.
• Minimum of five years of claim experience, preferably healthcare liability or other professional liability claims.
• J.D. (preferred), but will consider a Bachelor's degree if the candidate possesses other, pertinent industry experience.
• Strong negotiating skills.
• Adjuster's license (or ability to obtain within 90 days) may be required.
  

Why MedPro?

MedPro Group’s mission is built on a century-old legacy of protecting those who protect others. From our roots in our hometown of Fort Wayne, Indiana, we've worked diligently to become the nation's premier healthcare liability coverage provider, currently insuring more than 250,000 customers. With that growth, we've built a significant presence in all 50 states. Our team works across the country to provide the best strategies to mitigate risk and preserve the reputations of those who have entrusted their good name to us. That passion – built on a foundation of a culture that values uncompromised integrity, obsessive client focus, great teamwork, and a long-term mindset – make MedPro a preferred employer that many call their career home.

General:MedPro Group is an Equal Opportunity Employer.The annual gross base salary range is $100,000 to $150,000. This range anticipates the low and high end of the salary for this position. Actual salaries will vary and are based on factors such as a candidate’s qualifications, skills and competencies. Salary is one component of MedPro’s total compensation and benefits package, which includes medical, vision and dental insurance options, life and accident insurance, 401(k), and short-term and long-term disability insurance. For a more detailed overview, visit our careers website at www.medpro.com/careers. #LI-Remote#LI-EH1