Complex Claims Specialist

General Summary: Responsible for direct management of claims handling including but not limited to; coverage verification, investigation, reserving, negotiation, litigation management, including trial monitoring and resolution of the departments largest and most complex claims.

Responsibilities:

• Directly manage the most complex and high exposure claims of the company
• Preform coverage verification, claim investigation, reserving and disposition of significant claims.
• Manage all aspects of claim including litigation management, trial monitoring and reporting.
• Negotiate claim settlements directly or through attorneys within approved settlement authority
• Demonstrate effective teamwork, model appropriate behavior provide informal support for colleagues.
• Continually seek opportunities to increase individual knowledge base and skills and teach as appropriate.
• Attend trials, mediations when necessary
• Maintain regular and prompt communication with all external and internal business partners.
• Maintain close working relationship with defense counsel in the management of Litigation including but not limited to disposition strategy throughout the life of the claim.
• Ensure counsel is working within prescribed budget and defense counsel guidelines.
• Participate in departmental projects as requested.
• Other duties as assigned

Education & Qualifications:

• Four Year college degree required, attorney preferred.
• Demonstrated direct claim handling experience; 7-10 years preferred. Medical professional liability claims management experience required.
• Excellent oral and written communication skills required.
• Ability to professionally present to both a large audience and one on one.
• Strong organizational and time management skills.
• Maintain high degree of confidentiality.