Professional Liability Claims Specialist

2 hours ago


Chicago, Illinois, United States ISMIE Mutual Insurance Company Full time
Job Summary

We are seeking a highly skilled Professional Liability Claims Analyst to join our team at ISMIE Mutual Insurance Company. As a key member of our claims team, you will be responsible for analyzing, evaluating, and managing claims to ensure timely and reasonable resolutions.

Key Responsibilities
  • Establish and maintain contact with insureds, claimants, witnesses, and experts to gather facts and information.
  • Attend and participate in initial interviews, depositions, mediations, and pretrials as needed to ensure effective claim management.
  • Work closely with defense counsel to develop and execute defense strategies to minimize liability and maximize recoveries.
  • Evaluate liability and damages on individual claims through the establishment of injury estimates for settlement authority.
  • Provide timely and thorough documentation to file and update Infinity notes with statuses, claims information, and activity.
  • Prepare and submit cases through the PRC process in a timely and efficient manner.
  • Approve legal and expense invoices to ensure accurate and timely payment.
  • Input and maintain data fields within Infinity to ensure accurate and up-to-date information.
  • Assist the Claim Manager with training and development of other staff members, conduct file reviews, and other managerial duties as necessary.
Requirements
  • Bachelor's degree or equivalent in a related field.
  • Thorough understanding of legal processes, rules of discovery, and the various theories of recovery in the tort system, as well as an understanding of insurance coverage issues.
  • Excellent oral and written communication skills with a professional service-oriented demeanor.
  • Two to three years' experience in medical malpractice claims handling.


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