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Senior Claims Specialist - HCPL

Company: ProAssurance
Location: Madison
Posted on: May 24, 2020

Job Description:

An exciting opportunity exists to join the ProAssurance family of companies! We are a specialty writer of professional liability, products liability and workers' compensation insurance. With over 1,000 employees operating in 40 states, our company is well positioned to offer career opportunities to individuals interested in professional growth.The primary responsibility of the Senior Claims Specialist position is to provide direction and guidance throughout the life of the complex claims, both litigated and non-litigated. The Senior Claims Specialist directs the management of complex claims including claims investigation, coverage analysis, monitoring of defense counsel activities, control of legal expenses, reserving, and providing technical expertise throughout the life of the claim file.


  • 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.
  • 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.
  • Collaborates with defense counsel with regard to defense tactics and strategies, per department guidelines. Maintains communication with Director and Counsel. Participates in selection of expert witnesses.
  • Attends trials, settlement conferences, mediations, and insured meetings.
  • Review and approval of reasonable legal expenses and fees associated with the claim file, and negotiation of adjustment of charges when appropriate.
  • Participates in settlement negotiations.

    Qualifications

    • Bachelor's degree required
    • Advanced degree or certification in the medical, legal or insurance field preferred.
    • Minimum five years' experience managing high exposure claims or at least seven years experience in the legal or medical field, with a high degree of specialized and technical competence.
    • Professional liability experience preferred
    • Strong background and demonstrated ability in dealing with significant coverage matters.
    • Extensive travel may be required.
    • Willingness and ability to be available beyond normal business hours.
    • Excellent interpersonal communications and negotiation skills
    • Ability to make prompt, intelligent decisions based upon detailed analysis of complex issues
    • Strong analytical skills
    • Proven leadership, communication, and writing skills, strong interpersonal, and relationship management expertise.
    • Excellent organizational skills and the ability to handle multiple tasks effectively

Keywords: ProAssurance, Madison , Senior Claims Specialist - HCPL, Other , Madison, Wisconsin

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