Medical Malpractice Claims Specialist

The Doctors Company; Northern (KY); Hybrid; USD 89,000 - 120,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

401(k) and Roth IRA with company match

Vacation, sick and personal days

Paid holidays

Life and travel insurance

Tax-free commuter benefits

Learning opportunities (in-person and

Company-sponsored learning

Job summary

The Doctors Company is seeking an experienced Claims Specialist for our Region II team. This is a remote or hybrid opportunity, depending on the final candidate’s location from the company's office, preferably in the states of Michigan, Indiana, or Illinois.

The Claims Specialist independently and pro-actively manages the medical malpractice claims for assigned members. Monitors and reviews all new claims for designated members and establishes a plan of action to achieve a favorable claim

Qualifications

• Bachelor’s degree or equivalent combination of education and experience required.
• Juris Doctorate preferred.
• Three to five (3-5) years of medical malpractice or equivalent claims-related experience.

Responsibilities

• Completes initial coverage analysis.
• Develops a plan of action on assigned cases in conjunction with defense counsel and supervisor.
• Interviews insureds within performance standards/guidelines.
• Consults with external stakeholders to optimize results of the overall investigation and discovery process.
• Interfaces with insured member to provide ongoing support and disclosure of investigation results to keep the member fully informed.
• Makes recommendation for assignment of litigated matters to appropriate defense panel members.
• Partners with defense counsel for optimum outcome on all assigned cases.
• Monitors and approves fees and expenses within authority.
• Evaluates facts, allegations, liability and damages issues and maintains appropriate case reserves.
• Recommends the proper course of resolution to regional leadership based on the investigation and discovery.
• Attends mediations, settlement conferences, arbitrations, and trials as necessary.
• Provides risk/benefit analysis to the member.
• Supports the member throughout the life of the claim file up to and through trial.
• Other duties as assigned.

Education

Bachelor's degree or equivalent

Juris Doctorate preferred

Job description

The Doctors Company is seeking an experienced Claims Specialist for our Region II team. This is a remote or hybrid opportunity, depending on the final candidate’s location from the company's office, preferably in the states of Michigan, Indiana, or Illinois.

The Claims Specialist independently and pro-actively manages the medical malpractice claims for assigned members. Monitors and reviews all new claims for designated members and establishes a plan of action to achieve a favorable claim resolution. Attends and facilitates member meetings and claim reviews. Reviews and recommends appropriate case reserves. Negotiates settlements when appropriate and attends trial and provides insights and analysis. Advocates, consults, and serves as a trusted resource and partner with physician members.

Responsibilities:

• Completes initial coverage analysis
• Develops a plan of action on assigned cases in conjunction with defense counsel and supervisor
• Interview insureds within performance standards/guidelines
• Consults with external stakeholders (insured, claimant, defense attorney, plaintiff attorney) to optimize results of the overall investigation and discovery process
• Interfaces with insured member to provide ongoing support and disclosure of investigation results to keep the member fully informed
• Makes recommendation for assignment of litigated matters to appropriate defense panel members
• Partners with defense counsel for optimum outcome on all assigned cases
• Monitors and approves fees and expenses within authority
• Evaluates facts, allegations, liability and damages issues and maintains appropriate case reserves
• Recommends the proper course of resolution to regional leadership based on the investigation and discovery
• Attends mediations, settlement conferences, arbitrations, and trials as necessary
• Provides risk/benefit analysis to the member
• Supports the member throughout the life of the claim file up to and through trial
• Other duties as assigned
• Bachelor’s degree or equivalent combination of education and experience required.
• Juris Doctorate preferred.
• Three to five (3-5) years of medical malpractice or equivalent claims-related experience.

Salary Range: $88,710 - $119,715. Compensation varies based on skills, knowledge, and education. We consider factors such as specialized skills, depth of knowledge in the field, and educational background to ensure fair and competitive pay. Salary may include additional geographic differential for employees working in higher-cost labor markets, including states such as New York and California

We offer competitive compensation, incentive bonus plans, outstanding career opportunities, an exceptional work environment, and an impressive benefits package, which starts with medical, family and bereavement leave; same-sex domestic partner benefits; short- and long-term disability programs; and an employee assistance program. There's more:

• Health, dental, and vision insurance
• Health care tax‑free spending accounts with a company match
• 401(k) and Roth IRA with company match, as well as catch‑up plans for both
• Vacation days, sick days, and paid personal days each calendar year (with vacation increases based on length of service)
• Paid holidays each calendar year
• Life and travel insurance
• Tax‑free commuter benefits
• In‑person and online learning opportunities
• Cross‑function career opportunities
• Business casual work environment
• Time off to volunteer
• Matching donations to qualifying nonprofit organizations
• Company‑sponsored participation at non‑profit events

About The Doctors Company

The Doctors Company is the nation’s largest physician‑owned medical malpractice insurer. Founded and led by physicians, we are committed to advancing, protecting, and rewarding the practice of good medicine.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.