Medical Malpractice Claims Specialist

The Doctors Company•East Lansing, MI

4h•Hybrid

About The Position

The Claims Specialist independently and pro-actively manages the medical malpractice claims for assigned members. This role involves monitoring and reviewing all new claims for designated members, establishing a plan of action to achieve a favorable claim resolution, and attending and facilitating member meetings and claim reviews. The specialist will review and recommend appropriate case reserves, negotiate settlements when appropriate, and attend trials to provide insights and analysis. They will also advocate, consult, and serve as a trusted resource and partner with physician members.

Requirements

Bachelor’s degree or equivalent combination of education and experience required.
Three to five (3-5) years of medical malpractice or equivalent claims-related experience.

Nice To Haves

Juris Doctorate preferred.

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
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