Senior Claims Manager: Medical Malpractice & Litigation

Coverys, Inc.; United States; À distance; USD 132 000 - 179 000; Plein temps

Avantages offerts par ce poste

Benefits from day 1

Company matching donations

Professional development opportunities

Résumé du poste

Coverys, Inc. in the United States seeks a Manager, Claims to lead the claims management for the professional staff, overseeing reserves, file handling, and cost-effective disposition by defense counsel.

The role guides staff performance and training, ensuring timely reporting and adherence to policy. The position requires a BA and 8 years of malpractice or heavy bodily injury claims experience, with at least 3 years in supervision.

Qualifications

• Bachelor's degree from four-year college or university.
• Minimum 3 years of supervisory/management experience.
• Broad knowledge of medicine and familiarity with legal concepts and trends in litigation.

Responsabilités

• Analyze and verify insurance coverage for claims brought against policyholders.
• Assure timeliness and adequacy of reserves on claim files, approve or recommend adjustments.
• Assign losses to claim staff for disposition of claims.
• Evaluate liability, damages and causation and approve settlements up to approved limit of authority.
• Advise Claims leadership on claims status and attend Reserve & Settlement Committee Meetings as necessary.
• Ensure timely reporting to the Reserve and Settlement Committee.
• Determine work procedures, manage work schedules, and expedite work flow.
• Maintain existing and develop new claims policies and procedures to improve the overall function of the department.
• Interact with other departments as necessary to help facilitate and coordinate services to our insured and clients.
• Conduct quarterly audits of consultant case files and ensure that file management guide protocols are current and reflective of proper claim handling practices.
• Monitor staff to identify and implement training needs and ensure compliance with the Company claims handling requirements.
• Track and monitor results, recommend improvements and participate in departmental strategic planning.
• Manage assigned staff to include performance evaluations, time off, time card review, recognition and disciplinary issues.
• May monitor trials as necessary.
• As directed, assist Claims leadership in the development of claims related marketing strategies and tools for client retention and new business cultivation.

Connaissances

Supervisory experience

Medical malpractice knowledge

Legal concepts familiarity

Insurance contracts knowledge

Formation

Bachelor's degree

Nursing/legal education a plus

Description du poste

Coverys, Inc. in the United States seeks a Manager, Claims to lead the claims management for the professional staff, overseeing reserves, file handling, and cost-effective disposition by defense counsel.

The role guides staff performance and training, ensuring timely reporting and adherence to policy. The position requires a BA and 8 years of malpractice or heavy bodily injury claims experience, with at least 3 years in supervision.