Senior Claims Consultant

Curi; Philadelphia (Philadelphia County); Remote; USD 90,000 - 120,000; Full time

Job summary

A leading advisory firm is seeking a Senior Claims Consultant to manage and investigate claims for insured physicians and medical providers. This remote role requires strong communication skills and 8+ years of relevant experience in claims management, offering a dynamic environment with opportunities for professional growth.

Benefits

Comprehensive health benefits

401(k) with employer match

Flexible time off

Education assistance

Annual bonus opportunity

13 paid holidays annually

Qualifications

• Minimum of 8 years of claims experience required.
• Bodily injury claims experience is a plus.
• Must obtain applicable adjusters license(s) within three months.

Responsibilities

• Coordinate the defense of insured physicians, hospitals, and medical providers.
• Perform coverage analysis and manage claims.
• Negotiate claim settlements at mediation or directly with plaintiff counsel.

Skills

Communication

Organization

Critical Thinking

Customer Service

Problem Solving

Education

Bachelor's Degree

JD

RN or BSN

Tools

Microsoft Office Suite

Job description

Title

Senior Claims Consultant

Location

Remote in Pennsylvania, New Jersey or New York

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 are looking for a dynamic team player with strong communication skills to join our Claims Department as a Senior Claims Consultant. In this role, you will help us coordinate the defense of our insured physicians, hospitals and/or medical providers. 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.

Key Responsibilities

• 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 in developing 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
• Strong work ethic and self-motivated
• Excellent customer service skills
• Strong computer skills - experience with eOasis and OnBase is a plus
• Proficiency with Microsoft Office Suite
• Alignment with Company's core values: accountability, curiosity, inclusivity, service heart and teamwork

Qualifications

Required Education and Experience

• Bachelor's Degree with a minimum of 8 years of claims experience (bodily injury claims experience a plus); OR
• JD with a minimum of 8 years of claims experience (bodily injury claims experience a plus) and/or medical malpractice defense experience; OR
• RN or BSN with a minimum of 8 years of clinical experience plus a minimum of 8 years of claims experience
• Must obtain applicable adjusters license(s) by state within three months of start date

Preferred Education and Experience

• 5-10 years of medical malpractice claims and/or medical malpractice defense experience

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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