Remote Medical Malpractice Claims Specialist – Region II

The Doctors Company; Michigan, United States, Northern America, Americas; 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