Claims Specialist Job at ProAssurance
An exciting opportunity exists to join the ProAssurance family of companies!
We are a specialty writer of professional liability, products liability and workers' compensation insurance. With approximately 1,000 team members operating in all 50 states, we are well-positioned to offer career opportunities to individuals interested in professional growth.
This position supports our healthcare professional liability line of business. Preference is for this position to be fully remote and based in Texas.
We are seeking candidates with previous healthcare professional liability claims experience to fill this position.
The primary responsibility of the Claims Specialist position is to provide direction and guidance throughout the life of the claim. The Claims Specialist directs the management of claims including claims investigation, coverage analysis, monitoring of defense counsel activities, control of legal expenses, reserving, and providing technical expertise throughout the life of the claim file.
Essential Duties and Responsibilities:
- 35% - Participate in review processes to evaluate liability, case value, and reserving functions and manage total claims cost. Ensures proper file documentation of assigned files by complying with company and state requirements.
- 20% - Directs defense counsel with regard to settlement values, defense tactics and strategies per department guidelines. Maintains communication with supervisor, defense counsel, and client. Review and approval of reasonable legal expenses and fees associated with the claim file, and negotiate adjustment of charges when appropriate. Participate in selection of expert witnesses when appropriate.
- 20% - Represent the Company by attending trials, settlement conferences, mediations, and insured meetings. Recommend settlement strategies when necessary.
- 15% - Responsible for preparing reports for management by collecting, analyzing, and summarizing claim information. Keep apprised of changes in the law and court procedures affecting claims in jurisdictions supervised.
- 5% - Participate in negotiations when appropriate.
Secondary Responsibilities:
- 5% - Perform special projects as directed by management.
Qualifications:
- Bachelor's degree required. Advanced degree or certification in the medical, legal or insurance field preferred.
- Minimum two years’ experience in the legal or medical field, with a high degree of specialized and technical competence.
- Professional liability experience preferred.
- Extensive travel may be required.
- Willingness and ability to be available beyond normal business hours.
- Excellent interpersonal communications and negotiation skills.
- Strong analytical skills in order to analyze and interpret information.
- Proven leadership, communication, and writing skills, strong interpersonal, and relationship management expertise.
- Excellent organizational skills and the ability to handle multiple tasks effectively.
- Proficiency in Microsoft Office applications; ability to learn new computer software applications.
- Ability to attend business functions and present a positive image of the Company.
- Valid driver’s license required.
Position Salary Range
$60,353.00 - $99,593.00
Exact compensation may vary based on skills, experience, and location.
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