Senior Claims Consultant
About The Position
A full-service advisory firm, Curi is comprised of three distinct businesses: Curi Insurance, its flagship medical malpractice liability insurer; Curi Advisory, its consulting arm; and Curi Capital, a registered investment advisor (RIA). What we all have in common is an unwavering commitment to serving clients. As fierce healthcare advocates, business leaders, and thoughtful partners, Curi offers unmatched access and exudes a deep understanding of specific client circumstances. With exceptional accessibility and dedication, Curi’s trusted expertise, ability to form deep relationships, and holistic approach deliver outcomes that are proven, actionable, and meaningful—in medicine, business, and life. We are looking for a dynamic team player with strong communication skills to join our Claims team as a Senior Claims Consultant. In this role, reporting to the Director of Claims, you will help us coordinate the defense of our insured physicians, hospitals and/or medical providers. You will be responsible for investigating and managing claims—including, but not limited to, speaking with insureds and claimants; providing coverage analysis; assigning and working with defense counsel to ensure proper case management; establishing appropriate reserves; and negotiating resolution or issuing denials as appropriate. As a Senior Claims Consultant, you will handle a more complex caseload and work with minimal supervision.
Requirements
- Solid understanding of basic insurance concepts, including coverage, policy language, liability, negligence, and damages.
- Strong organizational skills and ability to manage multiple tasks simultaneously.
- Effective written and oral communication skills.
- Ability to think critically and resolve problems of varying complexity.
- Ability to perform with minimal supervision.
- Self-motivated with a strong work ethic.
- Excellent customer service skills.
- Proficiency with Microsoft Office Suite.
- Alignment with Curi's core values: accountability, curiosity, teamwork, inclusion, and service commitment.
- Bachelor’s Degree with a minimum of 8 years of claims experience (bodily injury claims experience a plus); OR
- JD with a minimum of 8 years of claims experience (bodily injury claims experience a plus) and/or medical malpractice defense experience; OR
- RN or BSN with a minimum of 8 years of clinical experience plus a minimum of 8 years of claims experience.
- Must obtain applicable adjusters license(s) by state within three months of start date.
Nice To Haves
- Strong computer skills - experience with eOasis and OnBase is a plus.
- 5 – 10 years of medical malpractice claims and/or medical malpractice defense experience.
Responsibilities
- Act as the first point of contact for insureds on general claim questions and claim reporting.
- Perform coverage analysis and collaborate with Curi Legal team to prepare Reservation of Rights/declination letters when appropriate.
- Work with defense counsel to develop the case, including expert support and case strategy.
- Obtain expert reviews and conduct independent investigations when no defense counsel is assigned.
- Maintain cases in a diary to ensure proper file management, evaluation, strategy, and timely reserve recommendations.
- Keep current running notes to reflect file development and ensure proper data is maintained in the claims management system.
- Negotiate claim settlements at mediation or directly with plaintiff counsel as indicated, or issue denials to claimant/claimant attorney as appropriate.
- Attend first-suit meetings, mediations, and trials.
- Attend and participate in Claims Review Committee meetings to provide strategy on claims file management.
Benefits
- comprehensive health benefits, including medical, dental, vision, and life insurance.
- education assistance
- annual bonus opportunity
- 401(k) with employer match
- short-term and long-term disability
- flexible time off
- 13 paid holidays annually.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
