Medical Malpractice Claims Specialist

The Doctors Company; United States; Remote; USD 101,000 - 119,000; Full time

Job summary

A leading company in the insurance industry is seeking a Medical Malpractice Claims Specialist to independently manage claims for physician members. This remote or hybrid role requires strong negotiation skills and a background in medical malpractice claims, offering a competitive salary and comprehensive benefits.

Benefits

Health, dental, and vision insurance

401(k) and Roth IRA with company match

Vacation, sick, and personal days

Paid holidays

Life and travel insurance

Learning opportunities

Business casual environment

Qualifications

• 3-5 years of medical malpractice or claims-related experience required.
• Bachelor’s degree or equivalent experience required.
• Juris Doctorate preferred.

Responsibilities

• Independently manages medical malpractice claims for assigned members.
• Develops a plan of action on assigned cases in conjunction with defense counsel.
• Attends mediations, settlement conferences, arbitrations, and trials as necessary.

Skills

Negotiation

Claims Management

Risk Analysis

Education

Bachelor’s degree

Juris Doctorate

Job description

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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, with the preferred location in the Midwest.

The Claims Specialist independently and proactively manages medical malpractice claims for assigned members. Monitors and reviews all new claims for designated members and establishes a plan of action to achieve favorable resolutions. Attends and facilitates member meetings and claim reviews. Reviews and recommends appropriate case reserves. Negotiates settlements when appropriate, attends trials, and provides insights and analysis. Acts as a trusted resource and partner with physician members.

Responsibilities

1. Completes initial coverage analysis
2. Develops a plan of action on assigned cases in conjunction with defense counsel and supervisor
3. Interviews insureds within performance standards/guidelines
4. Consults with external stakeholders (insured, claimant, defense attorney, plaintiff attorney) to optimize investigation and discovery results
5. Interfaces with insured members to provide ongoing support and disclosure of investigation results
6. Recommends assignment of litigated matters to appropriate defense panel members
7. Partners with defense counsel for optimal outcomes on all cases
8. Monitors and approves fees and expenses within authority
9. Evaluates facts, allegations, liability, and damages, maintaining appropriate case reserves
10. Recommends resolution courses to regional leadership based on investigations
11. Attends mediations, settlement conferences, arbitrations, and trials as necessary
12. Provides risk/benefit analysis to members
13. Supports members throughout the claim lifecycle up to and through trial
14. Performs other duties as assigned

Education and Experience

• Bachelor’s degree or equivalent experience required
• Juris Doctorate preferred
• 3-5 years of medical malpractice or claims-related experience

Salary Range

$101,990 - $118,989. Compensation varies based on skills, knowledge, and education, considering factors such as specialized skills and educational background.

Benefits

• Health, dental, and vision insurance
• Health care tax-free spending accounts with company match
• 401(k) and Roth IRA with company match, plus catch-up plans
• Vacation, sick, and personal days (increases with tenure)
• Paid holidays
• Life and travel insurance
• Tax-free commuter benefits
• Learning opportunities (online and in-person)
• Career growth options
• Business casual environment
• Volunteer time off
• Matching donations to nonprofits
• Participation in non-profit events

About The Doctors Company

The nation’s largest physician-owned medical malpractice insurer, founded and led by physicians, committed to advancing and protecting good medicine. Certified by Great Place to Work.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Healthcare Provider
• Industry: Insurance