Senior Claims Consultant

Curi; Grand Rapids (MI); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a Senior Claims Consultant to join their dynamic team. This role involves investigating and managing claims for insured physicians, requiring strong analytical and communication skills. You will work with minimal supervision on complex cases, ensuring effective case management and negotiation of settlements. This position offers the opportunity to make a significant impact in the medical field, advocating for physicians while ensuring compliance and effective claims resolution. Join a collaborative environment that values integrity, curiosity, and teamwork, and be part of a mission that strengthens care and mitigates risk.

Benefits

Comprehensive Health Benefits

Education Assistance

401(k) with Employer Match

Flexible Time Off

Annual Bonus Opportunity

Paid Holidays

Qualifications

• 3+ years of claims experience, preferably in medical malpractice.
• Must obtain applicable adjusters license(s) within 3 months.

Responsibilities

• Investigate and manage claims, providing coverage analysis.
• Negotiate claim settlements and issue denials as appropriate.

Skills

Insurance Concepts

Organizational Skills

Communication Skills

Critical Thinking

Self-Motivation

Education

Bachelor's Degree or JD

Job description

TITLE

Senior Claims Consultant

LOCATION

Remote in Wisconsin and Michigan

About Us

Curi is a full-service advisory firm that serves physicians and medical practices. Equal parts fierce physician advocates, smart business leaders, and thoughtful partners, Curi's advisory, capital, and insurance offerings deliver valued advice that is grounded in client priorities and elevated by their outcomes. From data-driven advisory services to private wealth offerings to tailored medical malpractice insurance solutions and beyond, we deliver performance that is time-tested and trusted-in medicine, business, and life.

The Role

We're looking for a dynamic team player to join our Claims Department as a Senior Claims Consultant. In this role, you will help us coordinate the defense of our insured physicians. You will be responsible for investigating and managing claims, including, but not limited to, speaking with insureds and claimants, providing coverage analysis, assigning and working with defense counsel to ensure proper case management, establishing appropriate reserves, and negotiating resolution or issuing denials as appropriate.

As a Senior Claims Consultant, you will handle a more complex caseload and work with minimal supervision.

This Senior Claims Consultant will reside in Michigan, Wisconsin, or neighboring states in the Midwest region. Applicants must be currently located in or willing to relocate to this area, as frequent in-person meetings or regional travel will be required.

Key Result Areas

• Act as first point-of-contact for insureds regarding general claim questions and reporting of claims.
• Perform coverage analysis and prepare reservation of rights/declination letters when appropriate.
• Work with defense counsel to develop the case to include expert support and case strategy.
• Obtain expert reviews and conduct independent investigations when no defense counsel is assigned.
• Maintain cases on diary to ensure proper file management, evaluation, strategy, and timely reserve recommendations.
• Keep current running notes to reflect file development and ensure proper data is maintained in the claims management system.
• Negotiate claim settlements at mediation or directly with plaintiff counsel as indicated, or issue denials to claimant/claimant attorney as appropriate.
• Attend first suit meetings, mediation, and trials.
• Attend and participate in Claims Review Committee meetings to provide strategy on claims file management.
• Willingness to travel up to 33% of the time.

Key Skills

• Solid understanding of basic insurance concepts, including coverage, policy language, liability, negligence, and damages
• Strong organizational skills and ability to manage multiple tasks simultaneously.
• Effective written and oral communication skills
• Ability to think critically and resolve problems of varying complexity.
• Ability to perform with minimal supervision.
• Self-motivated with a strong work ethic
• Willingness to work flexible work hours depending on the physician's availability to meet with the Claims team.

Key Qualifications

• Bachelor's Degree and/or JD with a minimum of three years of claims experience (bodily injury claims experience a plus) and/or medical malpractice defense
• Must obtain applicable adjusters license(s) by state within 3 months of start date.
• 5-10 years of medical malpractice claims and/or medical malpractice defense experience preferred.

Our Vision: To be the trusted partner in medicine, business, and life.

Our Mission: By providing valued advice and support, we help strengthen care, mitigate risk, and build financial futures to enhance the lives of those we serve.

Our Values:

ACCOUNTABILITY: We are driven to act, work with integrity, and deliver results.

CURIOSITY: We ask and listen, stay curious, and are eager
to learn.

TEAMWORK: We build strong relationships, celebrate success, and partner for greater impact.

INCLUSION: We respect, recognize, and encourage the differences that make us stronger-we are better together.

SERVICE COMMITMENT: We demonstrate an unwavering commitment to our clients, business partners, teammates, and communities.

Our Benefits

Curi offers eligible team members and their dependents comprehensive health benefits, including medical, dental, vision, and life insurance.Other benefits for eligible team members include education assistance, annual bonus opportunity, 401(k) and employer match, short-term disability, long-term disability, flexible time off, and 13 paid holidays annually.

Predictive Index Assessment

As part of our interview and selection process, we ask candidates to complete both a behavioral assessment and a cognitive assessment conducted by Predictive Index. These assessments assist the interview team in evaluating how candidates' behavioral traits and cognitive abilities align with the specific requirements of the role.

Please note that these assessments are only one component of our selection process and do not solely determine a candidate's eligibility for the position.

To proceed, please click the link below to complete a six-minute, scientifically validated behavioral assessment, as well as a cognitive assessment. The cognitive assessment measures general cognitive ability and helps us understand how quickly candidates can learn and adapt to the role.

https://assessment.predictiveindex.com/bo/CP4D/claimsconsultantlink

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