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Years of Experience
Date Last Verified
ProfileClaims Examiner - Medical Malpractice Responsibilities: Investigate, negotiate and resolve complex medical malpractice, specified medical, allied health, and senior care matters. Maintain and adhere to guidelines and procedures. Ensure proper adherence to internal large loss and claims review reporting requirements. Promptly communicate with Claims Manager on adverse case developments and provide information on pertinent issues affecting the Global Medical and Healthcare Practice Group business. Contribute to and assist in the implementation of a wide range of initiatives, strategies and action plans brought forth by the Claims Manager. Communicate with underwriting as needed to manage claims and to alert of any significant developments. Manage any TPA relationships to include reporting responsibilities. Participate in agent and insured related functions and meetings as required. Actively participate in the ongoing training and development activities of the Global Medical and Healthcare Practice Group as indicated by Claims Manager.
Qualification and Experience
Requirements: 3-5+ years of medical malpractice claims and litigation experience required. College degree and/or professional designation required, JD degree preferred. Experience in determining contractual obligations, coverage analyses, and investigations is essential.
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