Sr. Claims Analyst/AVP, Medical Malpractice

Allied World•Chicago, IL

4d•$130,000 - $150,000

About The Position

Investigate, evaluate, and resolve claims made against the Company’s medical malpractice business including hospital primary and excess, long term care, psychiatry, and miscellaneous healthcare liability. Engage in collaborative projects in support of other areas of the company, including underwriting, finance and accounting, actuarial, operations, and technology. Provide superior service to all customers, whether internal or external.

Requirements

A minimum of 3-5 years’ experience handling medical liability insurance claims or related relevant experience.
Four-year college degree is required, but a J.D. or R.N. and/or strong clinical background are preferred.
Substantial knowledge of issues underlying medical malpractice claims and coverage issues.
Excellent negotiation and communication skills.
Technical writing experience.
Proficient in Microsoft Office products.
Ability to analyze coverage and draft coverage letters; instruct and collaborate with counsel regarding litigation strategy and claim resolution; resolve claims; and otherwise act within the scope delegated authority.

Nice To Haves

Experience in handling specialty lines claims is preferred.
Four-year college degree is required, but a J.D. or R.N. and/or strong clinical background are preferred.

Responsibilities

Manage a vigorous load of claims involving a broad spectrum of accounts and coverages.
Analyze complex coverage and manage litigation by effectively interacting with insureds, brokers, defense counsel, and other parties as required.
Represent Company in the resolution of complex claims and participate in legal proceedings, including mediations.
Participate in underwriting decision making, pre-bind and renewal risk assessment, and underwriting roundtable.
Work with other areas of the company including underwriting, risk management, finance and accounting, actuarial, operations and technology on projects as requested.
Prepare claim summaries and other reports as necessary for management.
Present severity claims to senior management in large loss meetings.
Meet with existing or prospective clients and brokers.
Attend relevant industry conferences/meetings.
Assist in training of claims associates.
Comply with CMS reporting.