Senior Claims Specialist - Medical Professional Liability at ProAssurance
Texas, Texas, USA -
Full Time


Start Date

Immediate

Expiry Date

14 Nov, 25

Salary

85881.0

Posted On

14 Aug, 25

Experience

7 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Good communication skills

Industry

Insurance

Description
Responsibilities

WHAT YOU’LL DO:

  • 25% - Investigates and evaluates liability, causation, and damages in direct patient and litigated claims. Ensures proper file documentation of assigned files, by complying with company and state requirements. Establishes and continually evaluates case reserves.
  • 25% - Responsible for preparing reports for management, by collecting, analyzing, and summarizing claim information. Keeps apprised of changes in the law and court procedures affecting claims in jurisdictions supervised.
  • 25% - Collaborates with defense counsel regarding defense tactics and strategies, per department guidelines. Maintains communication with Director and Counsel. Participates in selection of expert witnesses.
  • 15% - Attends trials, settlement conferences, mediations, and insured meetings.
  • 5% - Review and approval of reasonable legal expenses and fees associated with the claim file, and negotiation of adjustment of charges when appropriate.
  • 3% - Participates in settlement negotiations.
  • 2% - Perform special projects as directed by management.
Loading...