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  • Claims Specialist
    Job # 1428
    Job Type: Claims
    Start Date: 03/22/2018
    Location: Hartford, CT
    Salary: Open

Description

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

Requirements:

5-10 years medical malpractice or equivalent claims experience.

Proficiency with Excel, Word and demonstrated aptitude with Windows based operating systems