Healthcare Professional Liability Claims Expert

Ultipro; Clive (IA); On-site; USD 65,000 - 90,000; Full time

Job summary

Ultipro is seeking a claims professional to manage professional liability claims for insured health care providers and facilities. The role involves intake, investigation, and resolution of claims to achieve timely, fair, and cost-effective outcomes.

Responsibilities include communicating with policyholders, lawyers, and experts; drafting letters; and handling settlements and related financials. Licensure within 90 days is preferred, with 3–5 years of claims experience in professional liability.

Qualifications

• Education: College degree with insurance certifications such as AIC, SCLA, and CPCU preferred. Valid applicable adjuster licensure or ability to become licensed within 90 days.
• 3-5 years claims-handling experience, with emphasis on professional liability claims preferred.
• Knowledge of medical and legal terminologies and concepts; ability to read and interpret policy language.

Responsibilities

• Answering phone calls in claims queues and documenting all calls in claims notes.
• Handling professional liability and administrative claims, including claim intake, review, and settlement directives.
• Drafting claim letters and reservation of rights letters with policy language citations.
• Completing financial transactions, including settlement payments and defense/expert bill payments.
• Attending court appearances and mediations as required.
• Other duties as assigned.

Skills

Negotiation

Time management

Verbal communication

Written communication

Policy interpretation

Medical terminology

Legal terminology

Attention to detail

Reading comprehension

Education

Bachelor's degree

Insurance certifications (AIC/SCLA/CPCU)

Job description

Ultipro is seeking a claims professional to manage professional liability claims for insured health care providers and facilities. The role involves intake, investigation, and resolution of claims to achieve timely, fair, and cost-effective outcomes.

Responsibilities include communicating with policyholders, lawyers, and experts; drafting letters; and handling settlements and related financials. Licensure within 90 days is preferred, with 3–5 years of claims experience in professional liability.