Claims Specialist - Medical Professional Liability

ProAssurance • Colorado Springs, MO

8d • Remote

About The Position

An exciting opportunity exists to join the ProAssurance family of companies! Our mission is powerful and simple: We protect others. Choosing a place to apply your talents is an important decision for anyone. You have plenty of options. Why choose ProAssurance? At ProAssurance, we sell a pledge, and that pledge is delivered by our team members. We are seeking individuals who value integrity, leadership, relationships, and enthusiasm—and want to build their career with a great company where they can be their authentic self and feel valued, recognized, and rewarded for their contributions. ProAssurance specializes in healthcare professional liability, products liability for medical technology and life sciences, legal professional liability, and workers' compensation insurance. We are an industry-leading specialty insurer, with job opportunities in much of the contiguous United States. This position supports our medical professional liability line of business and can be remote, based in our Southwest Region. For full consideration, candidates should have medical professional liability claims handling experience. The primary responsibility of the Claims Specialist position is to provide direction and guidance throughout the life of the claim. The Claims Specialist directs the management of 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. What you'll do: 35% - Participate in review processes to evaluate liability, case value, and reserving functions and manage total claims cost. Ensures proper file documentation of assigned files by complying with company and state requirements. 20% - Directs defense counsel with regard to settlement values, defense tactics and strategies per department guidelines. Maintains communication with supervisor, defense counsel, and client. Review and approval of reasonable legal expenses and fees associated with the claim file, and negotiate adjustment of charges when appropriate. Participate in selection of expert witnesses when appropriate. 20% - Represent the Company by attending trials, settlement conferences, mediations, and insured meetings. Recommend settlement strategies when necessary. 15% - Responsible for preparing reports for management by collecting, analyzing, and summarizing claim information. Keep apprised of changes in the law and court procedures affecting claims in jurisdictions supervised. 5% - Participate in negotiations when appropriate. 5% - Perform special projects as directed by management. What we're looking for: Bachelor's degree required. Advanced degree or certification in the medical, legal, or insurance field preferred. Minimum two years’ experience in the legal, medical, or insurance field, with a high degree of specialized and technical competence. Professional liability experience. Excellent interpersonal, communication, and negotiation skills. 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 and efficiently. Proficiency in Microsoft Office applications. Ability to learn new computer software applications. Extensive travel may be required. Willingness and ability to be available beyond normal business hours. Ability to attend business functions and present a positive image of the Company. Valid driver's license required. #LI-Remote We are committed to providing a dynamic and inclusive environment where everyone can do their best work and grow personally and professionally. For that reason, we partner with The Predictive Index (PI) – an organization equally committed to improving the working lives of people, to help us hire the best talent by providing additional insight about one’s work style. The position you applied to requires completion of two assessments prior to being scheduled to interview with a hiring manager. A Talent Acquisition team member may review your application and contact you before the assessment is complete. These assessments are Behavioral and Cognitive (internal candidates will only receive the Behavioral assessment), and each assessment takes less than 12 minutes to complete. After submitting your application, you will receive two emails from The Predictive Index inviting you to complete each of these assessments (please check your SPAM or Junk email folder if you do not see these emails in your inbox). Position Salary Range $76,208.00 - $125,756.00 The salary range displayed represents the entirety of the pay grade for this position. Most candidates will start in the bottom half of the range. Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have, your location and comparison to other team members already in this role. Build your career with us and enjoy access to a best-in-class benefits program. ProAssurance's family of companies has a unique and unwavering focus on our team members. We strive to achieve best-in-the-world status by attracting, hiring, and retaining top industry talent. We work together within our integrated family of companies, no matter the line of business, department or location. We ask, listen and respond to what matters most to team members. We thank you for your interest in career opportunities with ProAssurance!

Requirements

• Bachelor's degree required.
• Minimum two years’ experience in the legal, medical, or insurance field, with a high degree of specialized and technical competence.
• Professional liability experience.
• Excellent interpersonal, communication, and negotiation skills.
• 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 and efficiently.
• Proficiency in Microsoft Office applications.
• Ability to learn new computer software applications.
• Extensive travel may be required.
• Willingness and ability to be available beyond normal business hours.
• Ability to attend business functions and present a positive image of the Company.
• Valid driver's license required.

Nice To Haves

• Advanced degree or certification in the medical, legal, or insurance field preferred.

Responsibilities

• Participate in review processes to evaluate liability, case value, and reserving functions and manage total claims cost. Ensures proper file documentation of assigned files by complying with company and state requirements.
• Directs defense counsel with regard to settlement values, defense tactics and strategies per department guidelines. Maintains communication with supervisor, defense counsel, and client. Review and approval of reasonable legal expenses and fees associated with the claim file, and negotiate adjustment of charges when appropriate. Participate in selection of expert witnesses when appropriate.
• Represent the Company by attending trials, settlement conferences, mediations, and insured meetings. Recommend settlement strategies when necessary.
• Responsible for preparing reports for management by collecting, analyzing, and summarizing claim information. Keep apprised of changes in the law and court procedures affecting claims in jurisdictions supervised.
• Participate in negotiations when appropriate.
• Perform special projects as directed by management.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level