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.