Senior Claims Supervisor

Pay: $155,000.00 - $175,000.00 per year

Job description:

General Description:

Seeking experienced claim professional to supervise our Litigation Managers who handle medical professional (hospital, allied professional, long-term care) and general liability claims of moderate to high severity. Ensure staff compliance with company standards, industry best practices and maintain service excellence. This position is a blend of supervision and direct claim handling responsibilities.

Position’s Functions and Responsibilities:

• Provides supervision and guidance to our experienced adjusting staff
• Must have medical liability including long-term care professional liability claim handling experience
• Review and analyze policy coverage, including drafting of coverage denials and reservation of rights letters
• Establish timely and accurate expense and indemnity reserves
• Investigate and evaluate liability and damages:
• -Conduct witness interviews, inclusive of on-site visits
• -Identify, obtain, and analyze documentation including, but not limited to, medical records, medical bills, contracts, photo & video evidence, state health surveys
• -Retain experts as indicated
• -Determine and evaluate liability, damages, settlement values, verdict ranges and percent chance to win
• Coordinate and manage litigation:
• -Manage defense counsel
• -Develop and implement a litigation plan of action & budget
• -Review, analyze and process vendor invoices
• Prepare comprehensive reports
• Claims Committee/Client presentations

Experience and Education Requirements:

• Bachelor’s Degree or equivalent work experience
• Claim supervision experience preferred
• Medical malpractice and general liability claim handling experience, or related field experience
• Claims Adjuster license preferred
• J.D. preferred

Skills and Knowledge:

• Strong knowledge of the legal environment and litigation process
• Knowledge of insurance industry compliance requirements
• Strong analytical and decision-making skills
• Strong negotiation skills
• Strong communication skills, both written and verbal
• Demonstrate ownership attitude and client-centric response to all tasks
• Organizational and time management skills
• Working knowledge of Microsoft Office applications (Word, Excel & Outlook)

Work Environment:

• Home office (work from home)
• Travel as required to conduct on-site investigations and attend mediations, arbitrations, trials and client meetings
• Professional appearance and demeanor

Pay Transparency: The base salary range for this full-time position is $155,000 to $175,000 plus bonus potential and benefits including generous PTO, health/dental/vision/life insurance, and a retirement savings account with company match/contribution.

Job Type: Full-time

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Experience:

• medical malpractice/long-term care: 5 years (Preferred)

Work Location: Remote