Litigation Specialist

BETA HEALTHCARE GROUP RISK MANAGEMENT•Alamo, CA

1d•$120,000 - $140,000•Hybrid

About The Position

Our Professional Liability Claims team is looking for a Litigation Specialist who is experienced in handling a variety of liability claims, including medical professional, general, premises, employment practices and Directors and Officers liability claims. We are a high-performing, collaborative team that supports our members/insureds, brokers and legal counsel on claims and litigation management. If you have experience with liability claims handling, preferably in the healthcare industry, and are looking to grow your career, we are looking for you! ABOUT BETA HEALTHCARE GROUP BETA Healthcare Group (BETA) is the largest professional liability insurer of the West Coast, providing coverage to more than 600 hospitals and healthcare facilities and providing workers' compensation coverage for over 77,000 healthcare workers in California. BETA also has a long-established and growing commitment to physicians, providing medical professional liability coverage to nearly 7,700 physicians and more than 70 medical groups. Beyond primary liability and workers’ compensation coverage, BETA provides an entire suite of alternative risk and insurance services, including excess healthcare professional liability coverage, excess workers’ compensation coverage, third-party claims administration services, risk management consulting services and claims management consulting services. Whether with hospitals, medical groups, clinics or hospices, BETA has earned a reputation for financial strength, rate stability, quality service and breadth of coverage that is unparalleled in the industry. ABOUT THIS ROLE: This is a senior role with our Professional Liability Claims team, which is responsible for investigating, managing and resolving a wide variety of liability claims, including medical professional, general, premises, employment practices and Directors and Officers liability claims. This is a hybrid position that allows you to work a maximum of two (2) days a week from home, within a commutable distance to any of our California locations: Alamo, Glendale, Granite Bay or San Deigo offices.

Requirements

High School Diploma or G.E.D. required.
BA/BS degree strongly preferred.
Minimum seven (7) years’ experience handling professional, general and employment practices liability claims, specifically hospital and/or physician medical professional liability claims experience required.
Employment practices liability claims experience preferred.
AIC or similar insurance education required
Experience with birth injury claims and litigation strongly preferred
CPHRM or similar risk management education required or completed within 18 months of hire
In-depth knowledge of medical practices, hospital policies and procedures, legal principles and insurance practices, with an emphasis on healthcare-related statutes and case law
In-depth knowledge of professional and general liability insurance policies/coverage contracts
Excellent written and verbal communication skills
High degree of organization and attention to detail
Excellent analytical, interpersonal and problem-solving skills
Ability to work independently, exercise good judgment, prioritize, meet deadlines, recognize when to escalate issues and work in a hybrid work environment
Proficiency with computers/software including Microsoft Office products
Strong data entry and typing skills

Nice To Haves

Employment practices liability claims experience preferred.
Experience with birth injury claims and litigation strongly preferred
CPHRM or similar risk management education required or completed within 18 months of hire

Responsibilities

Manage a full personal case load with varying complexity, coverage issues and liability types in accordance with Claims Department procedures
Plan strategies for and carry out proactive investigations
Prepare written summaries of claims investigations
Compile, analyze and document medical and legal information in claims files
Interpret coverage contracts/policies, analyze coverage issues and make recommendations for declinations of coverage, reservation of rights letters and tenders of defense
Suggest appropriate case reserves and reserves changes as necessary
Update claims database and paperless files as needed
Select, direct and monitor defense counsel and ensure compliance with the Litigation Management Guidelines and Claims Department procedures
Communicate effectively with members/insureds, brokers, counsel, experts and other key contacts as necessary
Maintain personal contact with assigned accounts and provide proactive claims advice to members/insureds as necessary
Attend mediations, court hearings, trials and meetings with members/insureds and counsel as necessary
Effectively analyze liability, causation and damages issues
Draft reports as necessary, including board reports, licensing agency reports and reinsurance reports
Attend and/or make presentations at member/insured board or BETA board meetings as needed
Make recommendations for claims resolution and negotiate settlements in accordance with Claims Department procedures
Effectively manage litigation expenses and review and approve invoices of defense counsel, experts and vendors
Maintain current knowledge of claims practices, trends, medicine and legal principles
Occasionally travel, including overnight travel