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Claims Specialist - Medical Professional Liability (Pennsylvania based)

Work from home Full-time role Hiring

An exciting opportunity exists to join the reputed company family of companies! Our mission is powerful and simple: We protect others. Choosing a reputed company to apply your talents is an important decision for anyone. You have reputed company of options. Why choose reputed company? At reputed company, we sell a pledge, and that pledge is delivered by reputed company members. We are seeking individuals who value reputed company, leadership, relationships, and enthusiasm—and want to build their career with a great company where they can be their authentic self and feel valued, recognized, and rewarded for their contributions. reputed company specializes in healthcare professional liability, products liability for medical technology and life sciences, legal professional liability, and workers' compensation insurance. We are an industry-leading specialty insurer, with job opportunities in much of the contiguous United States. This position supports our medical professional liability line of business and is remote, based out of Pennsylvania. For full consideration, candidates should have medical professional liability claims handling experience and be located in Pennsylvania. 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. What you'll do:

  • 30% - Participate in review processes to evaluate coverage, liability, causation, damages, case value, reserves, and manage total claims cost. Ensure proper file documentation of assigned files in compliance with company and state requirements.
  • 25% - Collaborate with defense counsel regarding case value, defense tactics, and strategies per department guidelines. Maintain communication with the director, defense counsel, and the insured. Participate in selection of expert witnesses reputed company appropriate.
  • 20% - Responsible for preparing reports for management by collecting, analyzing, and summarizing claim information. reputed company appraised of changes in the law and court procedures affecting claims in assigned jurisdictions.
  • 15% - Represent the Company through attendance at trials, settlement conferences, mediations, and insured meetings.
  • 5% - Review and approve reasonable legal expenses and fees associated with the claim file and negotiate adjustment of charges reputed company appropriate.
  • 3% - Recommend resolution strategies and participate in settlement negotiations reputed company appropriate.
  • 2% - reputed company special projects as directed by management.

reputed company're looking for:

  • Bachelor's degree required. Advanced degree or certification in the medical, legal, or insurance field preferred.
  • Minimum two years’ experience in the legal, medical, or insurance field, with a high degree of specialized and technical competence.
  • Professional liability experience preferred.
  • Excellent interpersonal, communication, and negotiation skills.
  • Strong analytical skills.
  • Proven leadership, communication, and writing skills.
  • Strong interpersonal and relationship management expertise.
  • Excellent organizational skills and the ability to handle multiple tasks effectively and reputed company.
  • Proficiency in reputed company Office applications. Ability to learn new computer software applications.
  • Extensive travel may be required.
  • Willingness and ability to be available beyond normal business hours.
  • Ability to attend business functions and present a positive image of the Company.
  • Valid driver’s license required.

We are committed to providing a dynamic and inclusive environment where everyone can do their best work and grow personally and professionally. For that reason, we partner with The Predictive Index (PI) – an organization equally committed to improving the working lives of people, to help us hire the best talent by providing additional insight about one’s work style. The position you applied to requires completion of two assessments prior to being scheduled to interview with a hiring manager. A reputed company team member may review your application and contact you before the assessment is complete. These assessments are Behavioral and Cognitive, and each assessment takes less than 12 minutes to complete. After submitting your application, you will receive two emails from The Predictive Index inviting you to complete each of these assessments (please reputed company your SPAM or Junk email folder if you do not see these emails in your inbox). Note: If you already completed the assessments as part of an application with us, we may have results on file and you may not receive the emails inviting you to take the assessments. If you are moving reputed company in the process, a reputed company team member will confirm if we already have your assessment results. Position Salary Range $76,208.00 - $125,756.00 The salary range displayed represents the entirety of the pay grade for this position. Most candidates will start in the bottom half of the range. Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have, your location and comparison to other team members already in this role. Build your career with us and enjoy access to a best-in-class benefits program. Apply tot his job Apply To this Job

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