Claims Specialist, Healthcare Professional Liability

Vantage Risk Companies • Chicago, IL

15d • $110,000 - $150,000 • Remote

About The Position

At Vantage Healthcare Professional Liability Claims Specialists provides complete claim management and loss mitigation services for policyholders on a dedicated account basis. This role independently investigates, evaluates, and manages the disposition of Healthcare Professional Liability claims of varying complexity and severity across multiple product types and markets. Additionally, the role supports the Underwriting Business Unit by liaising with account and broker/agent representatives, providing frequent, in-depth exposure analysis to senior leadership, and participating in marketing efforts at industry events and conferences. The mission of the Vantage Claims team is to add creativity to tech-enabled efficiency and robust analytics to address risks others avoid. This role reports to our Head of Healthcare Claims and is a remote opportunity for the appropriate candidate.

Requirements

• Bachelor’s Degree required, J.D. preferred or equivalent professional experience.
• Minimum of three (3) to five (5) years of experience handling and managing Healthcare Professional Liability claims.
• Ability to obtain and maintain required insurance adjuster licenses within 90 days.
• Significant experience demonstrating technical, operations, and management skills in claims.
• Experience in collaborating with internal stakeholders such as underwriters and actuaries.
• Proven ability to implement claims handling efficiencies and develop a personal skill set.
• Strong interpersonal skills ability to effectively communicate and work independently is essential.
• High positivity, integrity, and dependability with a strong sense of urgency and results-driven orientation.
• Developed problem-solving and analytical skills.
• Ability to process and adapt to change in a rapid growth new-company environment. Vantage associates are expected to be curious, thrifty, and resourceful to manage through the unknowns of growing a specialty (re)insurance business from the ground up.

Responsibilities

• Evaluates, reserves, and manages Healthcare professional liability claims to resolution, including oversight of all phases of litigation related to primary and excess facilities, physician practice groups, specialized practices, and long-term care.
• Reviews coverage, drafts coverage letters, and communicates coverage positions to insureds, brokers, and agents as necessary.
• Communicates regularly with insureds and internal and external stakeholders regarding individual claim development and strategy.
• Provides superior customer service to and proactively builds strong relationships with all appropriate representatives of assigned accounts, including their internal leadership, brokers, and agents, to maximize the competitive advantage derived from the Vantage Claims value proposition.
• Implements Vantage Claims Best Practices for proper and consistent claim handling performance, compliance, and achievement of business goals and drives efficient and proactive litigation defense strategies by effectively managing retained counsel.
• Thoroughly, clearly, and thoughtfully, documents claim files with all relevant factual and evaluative information in compliance with company policies, best practices and applicable regulatory authority where necessary.
• Demonstrates superior subject matter knowledge and negotiation skills to affect appropriate claim outcomes through direct negotiation and utilizing alternative dispute resolution as necessary.
• Proactively drives claim development and seeks creative ways to achieve optimal results on every file.
• Implements Vantage reserving and reporting protocols to avoid unexpected developments and outcomes.
• Identifies issues and trends within their accounts and the Healthcare market and regularly communicate those to insureds, Vantage Claims leadership, Underwriting partners, and actuaries.
• Follows all escalation and reporting protocols as required under appropriate circumstances for cases with significant potential exposure.
• Attends marketing, account renewal, and reinsurance meetings as appropriate to communicate the Vantage claims handling philosophy and value proposition.
• Unfailingly treats all internal and external stakeholders and business partners respectfully and consistently demonstrates a positive attitude and collegial approach to their work.
• In sum, the Vantage Healthcare Claims Team services a rapidly growing national line of business charged with providing best-in-class technical claims services to its customers through deep subject matter expertise, significant industry experience, and data-driven and technology-enabled solutions; Vantage Claims Specialists are empowered to work independently and proactively to manage their accounts and claims within their authority as efficiently and effectively as possible to deliver on the Vantage brand promise of outstanding customer experience without exception.

Benefits

• Vantage offers its colleagues performance-based bonus potential, strong health & welfare benefits, retirement plans with company match, competitive time off plans, a highly flexible work environment, and much more.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level