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Experienced Claims Specialist

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Date: Aug 1, 2019

Location: Richmond, VA, US

Company: The Doctors Management Company

    

The Doctors Company is seeking an experienced Claims Specialist for the State of Virginia. This position will be a telecommuting role and the successful candidate can be located in North Carolina, Washington DC metro area or Maryland.

 

The Claims Specialist independently and pro-actively manages the medical malpractice claims for assigned members. Monitors and reviews all new claims for designated members and establishes a plan of action to achieve a favorable claim resolution. Attends and facilitates member meetings and claim reviews. Reviews and recommends appropriate case reserves.  Negotiates settlements when appropriate, and attends trial and provides insights and analysis.  Advocates, consults and serves as a trusted resource and partner with physician members.

 

 

Responsibilities:

  1. Completes initial coverage analysis
  2. Develops a plan of action on assigned cases in conjunction with defense counsel and supervisor 
  3. Interview insureds within performance standards/guidelines
  4. Consults with external stakeholders (insured, claimant, defense attorney, plaintiff attorney) to optimize results of the overall investigation and discovery process
  5. Interfaces with insured member to provide ongoing support and disclosure of investigation results to keep the member fully informed
  6. Makes recommendation for assignment of litigated matters to appropriate defense panel members
  7. Partners with defense counsel for optimum outcome on all assigned cases
  8. Monitors and approves fees and expenses within authority
  9. Evaluates facts, allegations, liability and damages issues and maintains appropriate case reserves
  10. Recommends the proper course of resolution to regional leadership based on the investigation and discovery 
  11. Attends mediations, settlement conferences, arbitrations, and trials as necessary
  12. Provides risk/benefit analysis to the insured
  13.  Supports the member throughout the life of the claim file up to and through trial
  14. Other duties as assigned

 

 

Education (and/or equivalent experience) required.

  • Bachelor’s degree or equivalent combination of education and experience required.
  • Juris Doctorate preferred.
  • Three to five (3-5) years of medical malpractice or equivalent claims-related experience.

 

Benefits:

We offer competitive compensation, incentive bonus plans, outstanding career opportunities, an exceptional work environment, and an impressive benefits package, which starts with medical, family and bereavement leave; same-sex domestic partner benefits; short- and long-term disability programs; and an employee assistance program. There's more:

  • Health, dental, and vision insurance
  • Health and dependent care tax-free spending accounts with a company match
  • 401(k) and Roth IRA with company match, as well as catch-up plans for both
  • 10 paid vacation days, 6 paid sick days, and 6 paid personal days each calendar year (with vacation increases based on length of service)
  • 10 paid holidays each calendar year
  • Life and travel insurance
  • Tax-free commuter benefits
  • In-person and online learning opportunities
  • Cross-function career opportunities
  • Business casual work environment
  • Time off to volunteer
  • Matching donations to qualifying nonprofit organizations
  • Company-sponsored participation at non-profit events

 

 

Overview:

At The Doctors Company, we are fiercely committed to our mission of advancing, protecting, and rewarding the practice of good medicine. Our employees are integral to our success as the nation’s largest physician-owned medical malpractice insurer—and reflect our core values of service and professionalism. Employees also make a difference in their communities through volunteer work and donations. In the last five years, employees have worked more than 5,000 hours for local community organizations and donated more than $500,000, in conjunction with a company matching funds program.

 

The Doctors Company is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.

 


Nearest Major Market: Richmond

Job Segment: Claims, Telecom, Telecommunications, Medical, Law, Insurance, Technology, Healthcare, Legal

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