Medical Malpractice Coverage Specialist

Commonwealth of Pennsylvania • Dauphin County, PA

2d • Hybrid

About The Position

The Insurance, Administration, and Coverage Compliance Division is seeking a Medical Malpractice Coverage Specialist to support program administration and compliance. The position reviews medical malpractice insurance coverage information and related payments to ensure compliance with Pennsylvania requirements. The specialist provides guidance, resolves coverage issues, maintains records, and supports process improvements.

The work includes analyzing insurance coverage submissions against program requirements; reviewing funds received on behalf of health care providers and tracking credits and debits; identifying potential compliance concerns and reporting findings to program staff; assisting insurance professionals with reporting requirements, coverage transactions, and system processes; maintaining coverage and compliance records in agency systems and document management tools; and supporting procedure reviews, reports, special projects, and presentations.

This is a full-time position with work hours of 8:00 AM to 4:30 PM, Monday through Friday, including a 60-minute lunch. Part-time telework may be available for up to three days per week, subject to change and agency requirements. Employees who telework must have securely configured high-speed internet and work from an approved location in Pennsylvania. If unable to telework, employees may report to the headquarters office in Harrisburg. Additional in-person reporting may be required for training, on-site events, equipment issues, and other needs. New Commonwealth of Pennsylvania employees will start at an annual salary of $53,008.00.

Requirements

• Three years of experience reviewing and examining medical malpractice insurance filings, forms, or policies, and two years of college or business school; or an equivalent combination of experience and training that includes at least one year of experience reviewing and examining medical malpractice insurance filings, forms, or policies.
• Meet the Pennsylvania residency requirement.
• Be able to perform the essential job functions.

Responsibilities

• Analyze medical malpractice insurance coverage information and determine whether submissions meet program requirements.
• Review funds received on behalf of health care providers and track credits and debits for accuracy.
• Identify potential compliance concerns and report findings to appropriate program staff.
• Assist insurance professionals with reporting requirements, coverage transactions, and system processes.
• Maintain coverage and compliance records using agency systems and document management tools.
• Support procedure reviews, prepare reports, and contribute to special projects and presentations.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree