Claims Attorney

State Volunteer Mutual Insurance Company•Brentwood, TN

3d•Hybrid

About The Position

We’re seeking a Claims Attorney to join our Claims department. Reporting to the Assistant Vice President of Claims, this role is part of a collaborative team that includes fellow attorneys, Medical Legal Assistants, and Medical Information Consultants. This is a full-time, hybrid position based at our Brentwood corporate office, with working hours Monday through Friday, 8:00 a.m. to 5:00 p.m. General Functions Responsible for supervision and evaluation of assigned medical malpractice and related claims, including establishing and maintaining reserves sufficient to cover potential claim exposure. Major Duties and Responsibilities (Essential Functions) To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. In partnership with department mentors, responsibilities include: Review and become familiar with SVMIC medical professional liability insurance policy and pertinent case law and statutes applicable to medical professional liability claims. Review selected claim files for training and building knowledge and skills. Communicate and collaborate with others in the Company to learn SVMIC’s culture, values and vision along with technical aspects of the position. Communicate with policyholders and others related to claim and risk management concerns or medical legal inquiries during SVMIC business hours and as business needs require. Initially manage minimal but gradually increasing number of files. Learn and implement techniques for successful claims handling and documentation. Actively seek input from department mentors. Establish, investigate, document, reserve, evaluate and resolve professional liability and other claims. Prepare select claims for internal review by Claims Management Committee. Collaborate with MIS Consultants as needed. Communicate and collaborate with retained defense attorneys during the course of investigations, claims and lawsuits. Evaluate file management, communications and work product of defense attorneys during the defense of claims and litigation. Review and process defense firm and other invoices. Prepare for and participate in negotiations, including alternative dispute resolution, such as mediations. May prepare, design, and present internal and external presentations for other departments or policyholders. May be requested to write articles as needed for risk education publications and participate in presentations for policyholders. Explore and potentially obtain certifications or licenses in other jurisdictions if required to manage claims in that jurisdiction. Meet or exceed supervisor’s expectations for productivity, quality, continuous improvement, and goal accomplishment. Contribute to SVMIC’s success by identifying opportunities and making recommendations that may lead to improved processes. Regular and predictable on-site attendance required. Ability to work remotely as business needs dictate. Available to travel by various means (this includes air travel), as business needs dictate. Complete special projects and other duties assigned.

Requirements

Effective interpersonal skills.
The ability to work independently and recognize when and how to effectively collaborate with others.
Excellent public speaking and negotiation skills.
Proficient with Microsoft Suite of Products and a variety of software programs.
Highly focused with excellent analytical and critical thinking skills.
Ability to efficiently manage multiple, complex projects.
Ability to research, read, comprehend, analyze, apply, and distill large amounts of complex information into useful tools, presentations, and/or conversations.
Doctorate Degree (J.D)
Minimum 2 years of experience in the practice of law.
Valid License to practice in the state of Tennessee
Valid Driver’s License
May be required to obtain certification or license in other jurisdictions if required to manage claims in that jurisdiction

Responsibilities

Review and become familiar with SVMIC medical professional liability insurance policy and pertinent case law and statutes applicable to medical professional liability claims.
Review selected claim files for training and building knowledge and skills.
Communicate and collaborate with others in the Company to learn SVMIC’s culture, values and vision along with technical aspects of the position.
Communicate with policyholders and others related to claim and risk management concerns or medical legal inquiries during SVMIC business hours and as business needs require.
Initially manage minimal but gradually increasing number of files.
Learn and implement techniques for successful claims handling and documentation.
Actively seek input from department mentors.
Establish, investigate, document, reserve, evaluate and resolve professional liability and other claims.
Prepare select claims for internal review by Claims Management Committee.
Collaborate with MIS Consultants as needed.
Communicate and collaborate with retained defense attorneys during the course of investigations, claims and lawsuits.
Evaluate file management, communications and work product of defense attorneys during the defense of claims and litigation.
Review and process defense firm and other invoices.
Prepare for and participate in negotiations, including alternative dispute resolution, such as mediations.
May prepare, design, and present internal and external presentations for other departments or policyholders.
May be requested to write articles as needed for risk education publications and participate in presentations for policyholders.
Explore and potentially obtain certifications or licenses in other jurisdictions if required to manage claims in that jurisdiction.
Meet or exceed supervisor’s expectations for productivity, quality, continuous improvement, and goal accomplishment.
Contribute to SVMIC’s success by identifying opportunities and making recommendations that may lead to improved processes.
Regular and predictable on-site attendance required.
Ability to work remotely as business needs dictate.
Available to travel by various means (this includes air travel), as business needs dictate.
Complete special projects and other duties assigned.