Sr. Claims Specialist
7 days ago
CAP seeks a Senior Claims Specialist for its Orange County office. This role involves handling technical and administrative duties to manage assigned claim files; assumes increased workload of highly complex claims. The Senior Claims Specialist also plays an active role in the ongoing training and oversight of Claims Specialist I and II team members. All the relevant skills, qualifications and experience that a successful applicant will need are listed in the following description. Our dedicated employees are the essential element to CAP’s success. CAP’s team of well-trained professionals with a commitment to excellence has helped deliver to our member physicians an unparalleled quality of products and services. Our corporate culture and collegial collaboration of minds and efforts is unmatched. Essential Duties and Responsibilities: Manage medical malpractice claims, including the assignment, direction, and control of defense counsel, under supervision and in compliance with the Claims Technical Manual, the Defense Attorney Guidelines, and the MPT Agreement. Manage increasingly complex cases with larger financial exposure. Investigate and evaluate claim files including complying with the standards of performance, interviewing members, reviewing medical records, corresponding with plaintiff attorneys, obtaining preliminary expert evaluation/opinions, and preparing interview summaries. Prepare case evaluation reports for publication and presentation to the CRC and CSC. Prepare case evaluation reports for discretionary authority on selected cases. Manage and participate in all litigation activity, including discovery plan, mediation, MSC, and negotiation under supervision, as necessary. Monitor trials and arbitrations including daily progress reports, providing member and defense attorney with support. Education and/or Experience: Bachelor’s degree from four-year college or university. Relevant legal and/or medical education background or the equivalent. xrczosw Minimum five years of medical malpractice claims management experience and/or three years CAP claims experience. Starting Salary : $110,000 - $130,000 annually (Depending on Experience)
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Sr. Claims Specialist
3 days ago
Orange, CA, United States Cooperative of American Physicians, Inc. Full timeCAP seeks a Senior Claims Specialist for its Orange County office. This role involves handling technical and administrative duties to manage assigned claim files; assumes increased workload of highly complex claims. The Senior Claims Specialist also plays an active role in the ongoing training and oversight of Claims Specialist I and II team members. Our...
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Sr. Claims Specialist
6 days ago
Orange, United States Cooperative of American Physicians, Inc. Full timeCAP seeks a Senior Claims Specialist for its Orange County office. This role involves handling technical and administrative duties to manage assigned claim files; assumes increased workload of highly complex claims. The Senior Claims Specialist also plays an active role in the ongoing training and oversight of Claims Specialist I and II team members.Our...
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Sr. Claims Specialist
7 days ago
Orange, United States Cooperative of American Physicians, Inc. Full timeCAP seeks a Senior Claims Specialist for its Orange County office. This role involves handling technical and administrative duties to manage assigned claim files; assumes increased workload of highly complex claims. The Senior Claims Specialist also plays an active role in the ongoing training and oversight of Claims Specialist I and II team members.All the...
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Sr. Claims Specialist
4 days ago
Orange, CA, United States Cooperative of American Physicians Full timeCAP seeks a Senior Claims Specialist for its Orange County office. This role involves handling technical and administrative duties to manage assigned claim files; assumes increased workload of highly complex claims. The Senior Claims Specialist also plays an active role in the ongoing training and oversight of Claims Specialist I and II team members.Our...
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Sr. Claims Specialist
5 days ago
Orange, California, United States Cooperative of American Physicians, Inc. Full timeCAP seeks a Senior Claims Specialist for its Orange County office. This role involves handling technical and administrative duties to manage assigned claim files; assumes increased workload of highly complex claims. The Senior Claims Specialist also plays an active role in the ongoing training and oversight of Claims Specialist I and II team members.Our...
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Sr. Claims Specialist
2 weeks ago
Orange County, United States Cooperative of American Physicians, Inc. Full timeCAP seeks a Senior Claims Specialist for its Orange County office. This role involves handling technical and administrative duties to manage assigned claim files; assumes increased workload of highly complex claims. The Senior Claims Specialist also plays an active role in the ongoing training and oversight of Claims Specialist I and II team members.Our...
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Sr. Claims Specialist
14 hours ago
Orange County, CA, United States Cooperative of American Physicians, Inc. Full timeCAP seeks a Senior Claims Specialist for its Orange County office. This role involves handling technical and administrative duties to manage assigned claim files; assumes increased workload of highly complex claims. The Senior Claims Specialist also plays an active role in the ongoing training and oversight of Claims Specialist I and II team members. Our...
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Sr. Claims Specialist
3 days ago
Orange County, United States Cooperative of American Physicians, Inc. Full timeCAP seeks a Senior Claims Specialist for its Orange County office. This role involves handling technical and administrative duties to manage assigned claim files; assumes increased workload of highly complex claims. The Senior Claims Specialist also plays an active role in the ongoing training and oversight of Claims Specialist I and II team members.Our...
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Claims Specialist
2 weeks ago
Orange, United States Scimaxconsulting Full timeJob Details: Seeking a Claims Specialist for our Orange County office. This role involves handling technical and administrative responsibilities related to managing assigned claim files and taking on a larger caseload of highly complex claims.The Senior Claims Specialist also plays an active role in the ongoing training and oversight of Claims Specialist I...
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Claims Examiner Sr
7 days ago
Orange, United States CalOptima Full timeClaims Examiner SrCalOptimaJoin Us in this Amazing OpportunityThe Team You'll JoinWe are a mission driven community‐based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us...
