Remote Medical Malpractice Coverage & Compliance Specialist

Commonwealth of Pennsylvania; Harrisburg (Dauphin County); Hybride; USD 48 000 - 58 000; Plein temps

Avantages offerts par ce poste

Telework options

Résumé du poste

Commonwealth of Pennsylvania in Harrisburg seeks a Medical Malpractice Coverage Specialist who analyzes coverage information, ensures submissions meet program requirements, and provides guidance to insurance professionals. The role includes reviewing payments, maintaining records, and supporting process improvements within the Insurance, Administration, and Coverage Compliance Division.

The position emphasizes strong analytical skills, attention to detail, and the ability to work collaboratively

Qualifications

• Three years of experience in reviewing and examining medical malpractice insurance filings, forms, or policies.
• Two years of college or business school or equivalent training.

Responsabilités

• Coverage Review: Analyze insurance coverage information and determine whether submissions meet program requirements
• Payment Evaluation: Review funds received on behalf of health care providers as well as track credits and debits for accuracy
• Compliance Support: Identify potential compliance concerns and report findings to appropriate program staff
• Technical Guidance: Assist insurance professionals with reporting requirements, coverage transactions, and system processes
• Records Management: Maintain coverage and compliance records using agency systems and document management tools
• Process Improvement: Support procedure reviews, prepare reports, and contribute to special projects and presentations

Formation

Three years of experience in reviewing and examining medical malpractice insurance filings, forms, or policies

Two years of college or business school

Description du poste

Commonwealth of Pennsylvania in Harrisburg seeks a Medical Malpractice Coverage Specialist who analyzes coverage information, ensures submissions meet program requirements, and provides guidance to insurance professionals. The role includes reviewing payments, maintaining records, and supporting process improvements within the Insurance, Administration, and Coverage Compliance Division.

The position emphasizes strong analytical skills, attention to detail, and the ability to work collaboratively