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Carrot Peelers, Sales, Personality and Your Job Search
In-House
Attorney
Health Care
Insurance
Litigation - Insurance
Min 10 yrs required
Technical Claims Supervisor The candidate will manage and direct the handling of TPA claims handler for general liability arising from care facility claims, ambulance and emergency transport claims with medical malpractice implications. Will assist TPA claims staff to identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary as well as review coverage counsel's opinion letters and analysis. Direct TPA claims staff in development and implementation of strategy relative to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care. Direct TPA claims staff in the development and implementation of a strategy to resolve matters of liability and damages of a particular case. Maintain contact with the TPA claim staff, business line leader, underwriter, and defense counsel, program manager and broker. Direct TPA claims staff in the review of the investigation of the claim, review the TPA’s file, the insured's materials, pleadings, and other relevant documents. Direct TPA claims staff in the identification and review of each jurisdiction's applicable statutes, rules and case law. Direct and assist TPA claims staff in the review of litigation materials including depositions and expert's reports. Make decisions regarding retention of defense and coveragecounsel and issues regarding tender to other parties. Direct counsel in accordance with resolution strategy. Analyze coverage, liability and damages for purposes of assessing and recommending reserves. Prepare and present written and oral reports to senior management setting forth all issues influencing evaluation and recommending reserves. Attend mediations, trials, and other proceedings relevant to the resolution of the matter. Travel to and from such locations within the United States. Negotiate resolution of claims. Select and utilize structure brokers. Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from insured, counsel, underwriters, brokers and senior management regarding claims. Should have 10+ years of related experience. Healthcare and General Liability Claims experience necessary. J.D. degree a plus.
Job ID: 2017-1352
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