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Carrot Peelers, Sales, Personality and Your Job Search
Academic
Attorney
Litigation
Insurance Coverage
Litigation - Whistleblower - CFTC
Min 5 yrs required
Claims Counsel - Risk Management The candidate will manage a caseload of assigned claims. Will ensure reporting of claims to insurance carriers.. Conduct insurance coverage analyses. Review and evaluates insurance carrier coverage responses including reservation or rights and coverage denials. Evaluate loss runs to ensure adequate reserving of claims at all layers of primary and excess coverage. Oversee Third Party Claims Administration (TPA) and defense counsel in the management of all aspects of assigned claims including day-to-day management, case reserves, expenses and motion practice. Maintain current claim information in the database. Ensure appropriate expert reviews. Evaluate claims focusing on exposure, severity, reserves and trial dates. Monitor cases on trial and attends trials, when necessary. Identify cases requiring early/pre-trial resolution. Collect and reviews claims data to identify trends and opportunities for loss control. Collaborate with risk management to recommend loss control initiatives. Serves as a liaison between the health system, Third Party Claims Administrator and Insurance Broker in all aspects of claims management. Monitor claims impacting on the health system’s Insurance Captive Insurance company, Self Insurance Program and/or deductibles. Review insurance and related provisions of written agreements. JD degree is needed. Must have 5+ years of related progressive experience in Professional Liability Litigation and/or Healthcare Claims Management. Clinical nursing background is preferred.
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