Claims Consultant

1 week ago

Raleigh, United States Curi Full time

TITLE

Claims Consultant

LOCATION

Residing in North Carolina State Preferably in Raleigh or Charlotte

About Us

Curi is a full-service advisory firm that serves physicians and medical practices. Equal parts fierce physician advocates, smart business leaders, and thoughtful partners, Curi's advisory, capital, and insurance offerings deliver valued advice that is grounded in client priorities and elevated by their outcomes. From data-driven advisory services to private wealth offerings to tailored medical malpractice insurance solutions and beyond, we deliver performance that is time-tested and trusted-in medicine, business, and life.

The Role

We're looking for a dynamic team player to join our Claims team as a Claims Consultant. In this role, you will help us coordinate the defense of our insured physicians. You will be responsible for investigating and managing claims, including, but not limited to, speaking with insureds and claimants, providing coverage analysis, assigning and working with defense counsel to ensure proper case management, establishing appropriate reserves, and negotiating resolution or issuing denials as appropriate.

Key Result Areas

  • Act as first point-of-contact for insureds regarding general claim questions and reporting of claims.
  • Perform coverage analysis and prepare reservation of rights/declination letters when appropriate.
  • Work with defense counsel to develop the case to include expert support and case strategy.
  • Obtain expert reviews and conduct independent investigations when no defense counsel is assigned.
  • Maintain cases on diary to ensure proper file management, evaluation, strategy, and timely reserve recommendations.
  • Keep current running notes to reflect file development and ensure proper data is maintained in the claims management system.
  • Negotiate claim settlements at mediation or directly with plaintiff counsel as indicated, or issue denials to claimant/claimant attorney as appropriate.
  • Attend first suit meetings, mediation, and trials.
  • Attend and participate in Claims Review Committee meetings to provide strategy on claims file management.
  • Willingness to travel up to 33% of the time.

Key Skills

  • Solid understanding of basic insurance concepts, including coverage, policy language, liability, negligence, and damages
  • Strong organizational skills and ability to manage multiple tasks simultaneously.
  • Effective written and oral communication skills
  • Ability to think critically and resolve problems of varying complexity.
  • Ability to perform with minimal supervision.
  • Self-motivated with a strong work ethic
  • Willingness to work flexible work hours depending on the physician's availability to meet with the Claims team.

Key Qualifications

  • Bachelor's Degree and/or JD with a minimum of three years of claims experience (bodily injury claims experience a plus) and/or medical malpractice defense
  • Must obtain applicable adjusters license(s) by state within three months of start date.
  • Five years of medical malpractice claims and/or medical malpractice defense experience preferred.

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