Remote Medical Malpractice Claims Specialist & Advocate

The Doctors Company; East Lansing (MI); 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 days, sick days, and paid лич

Life and travel insurance

Tax-free commuter benefits

In-person and online learning

Matching donations to nonprofit orgs

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 new claims, develops action plans, negotiates settlements when needed, and provides risk/benefit analysis and trusted

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.
• Interview 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.

Skills

Medical malpractice claims experience

Negotiation

Risk analysis

Case management

Education

Bachelor’s degree

Juris Doctorate (JD)

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 new claims, develops action plans, negotiates settlements when needed, and provides risk/benefit analysis and trusted