Healthcare Claims Counsel: Coverage & Litigation

MedPro Group; Northern (KY); Hybrid; USD 90,000 - 150,000; Full time

Benefits offered by this job

Medical, vision and dental insurance

Life and accident insurance

401(k)

Short-term and long-term disability

Job summary

MedPro Group, an industry-leading Berkshire Hathaway insurance company, is seeking a seasoned claims professional for the Physicians & Surgeons team, focusing on the Midwest Region.

In this role you will confirm coverage, manage claims and suits, interpret coverage issues, select counsel, and oversee litigation and costs. Excellent communication and negotiation skills are essential. This position supports insureds and collaborates across the sales force.

Qualifications

• Minimum of five years of claim handling experience, preferably healthcare liability, professional liability or other liability claims.
• J.D. (preferred), but may consider less, if the candidate possesses other, pertinent industry experience.
• Excellent communication skills.
• Strong negotiation skills.

Responsibilities

• 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.

Skills

Communication skills

Negotiation

Education

J.D. (preferred)

Job description

MedPro Group, an industry-leading Berkshire Hathaway insurance company, is seeking a seasoned claims professional for the Physicians & Surgeons team, focusing on the Midwest Region.

In this role you will confirm coverage, manage claims and suits, interpret coverage issues, select counsel, and oversee litigation and costs. Excellent communication and negotiation skills are essential. This position supports insureds and collaborates across the sales force.