Senior Claims Specialist

The Doctors Company • Farmington, CT

46d

About The Position

TDC Specialty Underwriters, Inc. (TDCSU), an Excess & Surplus lines subsidiary of The Doctors Company, provides professional and management liability insurance products focused on healthcare providers, institutions, and organizations. Headquartered in Farmington, Connecticut, TDCSU is seeking an experienced Senior Claims Specialist to handle professional liability claims for medical providers. The position investigates, evaluates, and resolves medical claims across varied specialties and throughout the country, working under the general supervision of the Vice President and within the authority appropriate to the role. TDCSU seeks candidates who want to contribute to a collaborative, motivated, and professionally ambitious work environment.

Requirements

• 5–8 years of medical malpractice or equivalent claims experience.
• Proficiency with Excel and Word, and demonstrated aptitude with Windows-based operating systems.
• Adjuster's license.

Nice To Haves

• Strong knowledge of relevant legal decisions, claim trends, and industry practices.

Responsibilities

• Investigate, evaluate, and resolve medical claims across varied specialties and throughout the country.
• Gather evidence and facts, including obtaining medical-record reviews and expert opinions.
• Review coverage and seek consultation on coverage issues; evaluate liability and damages; determine appropriate case-resolution plans; and act within assigned authority.
• Obtain written consent from insureds and negotiate settlements using appropriate methods, including mediation, alternative dispute resolution, and structured settlements.
• Evaluate reserves in accordance with company guidelines.
• Secure satisfactory results and timely claim closures.
• Work with defense counsel to establish litigation plans and budgets.
• Present claims at internal claim roundtables.
• Attend mediations, court conferences, and trials.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed