Medical Malpractice Claims Manager

1 day ago


West, United States The Jacobson Group Full time
Job Overview

We are seeking a highly skilled Claims Specialist to manage complex medical malpractice claims. The ideal candidate will have a strong background in claims management, excellent analytical skills, and the ability to work effectively in a fast-paced environment.

Key Responsibilities
  • Manage medical malpractice claims, including the assignment, direction, and control of defense counsel, in compliance with industry standards and guidelines.
  • Oversee complex cases with large financial exposure, ensuring timely and cost-effective resolution.
  • Review and evaluate claim files, including medical records, expert opinions, and correspondence with plaintiff attorneys.
  • Prepare case evaluation reports for publication and presentation to senior management.
  • Manage and participate in all litigation activity, including discovery, mediation, and negotiation.
  • Monitor trials and arbitrations, providing support to members and defense attorneys.
  • Document all important case developments and update the claims database in a timely manner.
  • Provide assistance to management as needed on special projects.
Requirements
  • Bachelor's degree from a four-year college or university.
  • Relevant legal and/or medical education background or equivalent experience.
  • 3+ years of medical malpractice claims management experience and/or one year CAP claims experience.
  • Excellent verbal and written communication skills.
  • Effective time management skills and ability to manage multiple priorities and deadlines.
  • Personal computer literacy and strong analytical skills.


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