Medical Malpractice Claims Specialist

Doctors • Hoffman Estates, IL

148d • $101,990 - $118,989

About The Position

The Doctors Company is seeking an experienced Claims Specialist for our Region II team. This is a remote or hybrid opportunity, depending on the final candidate's location from the company's office, with the preferred location in the Midwest. The Claims Specialist independently and pro-actively manages the medical malpractice claims for assigned members. Monitors and reviews all new claims for designated members and establishes a plan of action to achieve a favorable claim resolution. Attends and facilitates member meetings and claim reviews. Reviews and recommends appropriate case reserves. Negotiates settlements when appropriate and attends trial and provides insights and analysis. Advocates, consults, and serves as a trusted resource and partner with physician members.

Requirements

• Bachelor's degree or equivalent combination of education and experience required
• Juris Doctorate preferred
• Three to five (3-5) years of medical malpractice or equivalent claims-related experience

Responsibilities

• Completes initial coverage analysis
• Develops a plan of action on assigned cases in conjunction with defense counsel and supervisor
• Interview insureds within performance standards/guidelines
• Consults with external stakeholders (insured, claimant, defense attorney, plaintiff attorney) to optimize results of the overall investigation and discovery process
• Interfaces with insured member to provide ongoing support and disclosure of investigation results to keep the member fully informed
• Makes recommendation for assignment of litigated matters to appropriate defense panel members
• Partners with defense counsel for optimum outcome on all assigned cases
• Monitors and approves fees and expenses within authority
• Evaluates facts, allegations, liability and damages issues and maintains appropriate case reserves
• Recommends the proper course of resolution to regional leadership based on the investigation and discovery
• Attends mediations, settlement conferences, arbitrations, and trials as necessary
• Provides risk/benefit analysis to the member
• Supports the member throughout the life of the claim file up to and through trial
• Other duties as assigned

Benefits

• Competitive compensation
• Incentive bonus plans
• Outstanding career opportunities
• Exceptional work environment
• Impressive benefits package including medical, family and bereavement leave
• Same-sex domestic partner benefits
• Short- and long-term disability programs
• Employee assistance program
• Health, dental, and vision insurance
• Health care tax-free spending accounts with a company match
• 401(k) and Roth IRA with company match, as well as catch-up plans for both
• Vacation days, sick days, and paid personal days each calendar year (with vacation increases based on length of service)
• Paid holidays each calendar year
• Life and travel insurance
• Tax-free commuter benefits
• In-person and online learning opportunities
• Cross-function career opportunities
• Business casual work environment
• Time off to volunteer
• Matching donations to qualifying nonprofit organizations
• Company-sponsored participation at non-profit events

What This Job Offers

• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree
• Number of Employees: 501-1,000 employees