Claims Consultant - Oklahoma Physicians & Surgeons

MedPro GroupOklahoma City, OK
Hybrid

About The Position

MedPro Group, an industry-leading Berkshire Hathaway insurance company, is seeking a Claims Consultant for their Physicians & Surgeons team in Oklahoma City, OK. This role involves managing professional liability claims and suits against policyholders, reviewing medical malpractice policies to confirm coverage, and interpreting/analyzing coverage issues. The consultant will select and manage outside legal counsel, oversee litigation costs, post reserves, and resolve cases through settlement, dismissal, or trial. Additionally, the position requires negotiation skills and providing service to insureds, assisting with sales and retention efforts, and performing other duties typical of a front-line claims professional.

Requirements

  • Minimum of five years of claim experience, preferably medical malpractice, professional liability or other liability claims.
  • Negotiation/Mediation experience.
  • JD (preferred) or Bachelor's degree along with pertinent industry experience.
  • Adjuster's license (or ability to obtain within 90 days) may be required.

Nice To Haves

  • JD (preferred)

Responsibilities

  • Review medical malpractice policies to confirm coverage.
  • Manage professional liability claims and suits brought against policyholders.
  • Interpret, analyze, and resolve coverage issues.
  • Select legal counsel.
  • Manage the litigation with outside counsel.
  • Manage litigation costs, both fees and expenses.
  • Post reserves for both loss and ALE.
  • Resolve cases, via settlement, dismissal or trial.
  • Negotiate.
  • Provide service to insureds, assist where possible in sales and retention efforts of sales force.
  • Perform other activities required of a front line claims person.

Benefits

  • medical, vision and dental insurance options
  • life and accident insurance
  • 401(k)
  • short-term and long-term disability insurance
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