Claims Counsel

4 weeks ago


Woodbridge, United States NIP Group, Inc. Full time

Position Description:
**Who We Are**:
**Who You Are**:
Come join our growing team The Claims Counsel Medical Professional Liability will be responsible for handling medical professional liability claims and regulatory matters arising out of policies issued by Conventus Inter-Insurance Exchange. This role is perfect for an attorney with a background in litigation and knowledge of the healthcare field, who thrives on personal interactions in a fast-paced environment. Every day is a new adventure If that's you or someone you know, message us.

**What You'll Do**:

- Assist in the management of medical professional liability claims that have been asserted against Conventus physician member insureds.
- Perform the following tasks in connection with the handling of such claims:

- Discuss relevant claim with member physician
- Receive and review relevant pleadings, medical records, and other investigative documents
- Interview physician members with claims to determine liability, causation, and damages as applicable to each claim
- Review and evaluate insurance contract wording and coverage for each claim
- Discuss claim with appointed panel counsel and establish a comprehensive investigative and litigation management strategy for each claim
- Attend selected depositions, settlement conferences, mediations, and trials
- Manage claims within preexisting litigation protocols and practices
- Recommend reserves and investigative strategies for the Company and management
- Enforce litigation guidelines and strategies as cases require
- Conduct limited legal and other research on medical/legal issues that affect the Department or Company
- Assist in statistical reporting and generate claim and loss reports, as required.
- Attend internal and Board of Governor Claim Committee meetings, as assigned as well as assist in preparing Committee reports and documents, as warranted.
- Act as a resource and consultant to other departmental personnel for claim and other risk exposure issues. This includes developing and conducting educational sessions on pertinent claim or other healthcare topics.
- Attend sales calls to present claims handling guidelines and services, as requested.
- Assist in research, development and publication of newsletters and related claim department materials.
- Participate in internal and external activities to improve effectiveness, efficiency and teamwork between all departments and disciplines to maintain company profitability.
- Maintain current knowledge of healthcare industry, claims management and industry standards.
- Other duties as assigned

**What You Bring**:

- 2+ years of experience, preferably managing or litigating healthcare claims in a corporate or law firm setting
- JD preferred
- Familiarity with New Jersey medical malpractice law preferred
- Excellent written and oral communication skills, including public speaking
- Strong interpersonal skills and the ability to work well in teams
- High level of integrity and dependability with a strong sense of urgency and results-orientation
- Working knowledge of Microsoft Word, PowerPoint, and Excel

**What You'll Receive**

At NIP Group, we recognize there are many factors that contribute to your overall satisfaction both at work, and in your personal life. For that reason, we provide a perfect mix of compensation, benefits, company culture, and resources to ensure your everyday happiness. Below are some benefits that youll receive.
- Competitive compensation to reward you for your hard work every day.
- Progressive Paid-Time Off program for you to enjoy time out of the office, including time off for volunteering and life events.
- Group Medical, Dental, Vision and Life insurance to encourage a healthy lifestyle.
- Pretax Health and Dependent Care Spending Accounts to ease taxes on spending.
- Discounts in retail and entertainment.



  • Woodbridge, United States Plymouth Rock Assurance Full time

    The Claims Supervisor, SIU will oversee the operation of a unit of SIU Investigators and Analysts with varying levels of experience who handle investigations on suspect claim and underwriting matters. The ideal candidate will be experienced in Supervising and handling complex SIU investigative activities across all claim coverage types in accordance with...


  • Woodbridge, United States Plymouth Rock Assurance Full time

    The Claims Supervisor, SIU will oversee the operation of a unit of SIU Investigators and Analysts with varying levels of experience who handle investigations on suspect claim and underwriting matters. The ideal candidate will be experienced in Supervising and handling complex SIU investigative activities across all claim coverage types in accordance with...