Claims Specialist

Location
Hartford, Connecticut (US)
Salary
commensurate with experience
Posted
Mar 22, 2018
Closes
May 21, 2018
Ref
1428
Job Type
Full Time

Our client is currently seeking a Claims Specialist to handle professional liability claims for all product lines.

Responsibilities:

  • Working under the general supervision of the senior claims leader and acting within authority appropriate for this position, the claims handler is expected to:
  • The primary responsibilities of this position are to investigate, evaluate and resolve medical claims. The position requires handling claims across varied medical specialties.
  • Conducts investigations to gather evidence and facts sufficient to make appropriate decisions including obtaining review of medical records and expert opinions.
  • Reviews coverage and seeks consultation on coverage issues; evaluate liability and damages; determines appropriate course of action for case resolution. Makes decisions and takes action within authority.
  • Obtains written consent from insureds; negotiates settlements; utilizes appropriate methods, such as mediation, ADR, and structured settlements.
  • Evaluates reserves per company guidelines.
  • Secures satisfactory results and timely closures.
  • Works closely with defense counsel to establish litigation plan of actions and budgets.
  • Presents claims at internal claim roundtables.
  • Attending mediations, court conference and trials. 

Preferred Candidates:

Should possess strong knowledge of relevant legal decisions, claim trends and industry practices

Requirements:

  • 5-10 years medical malpractice or equivalent claims experience.
  • Proficiency with Excel, Word and demonstrated aptitude with Windows based operating systems

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