Medical Malpractice Claims Specialist

Overview

This role is responsible for independently and proactively managing medical malpractice claims for assigned members. The position is available as a remote or hybrid opportunity, depending on the final candidate’s location relative to the company’s office. The employer prefers candidates located in Michigan, Indiana, or Illinois.

Responsibilities

• Complete initial coverage analysis
• Develop a plan of action on assigned cases in conjunction with defense counsel and supervisor
• Interview insureds within performance standards/guidelines
• Consult with external stakeholders (insured, claimant, defense attorney, plaintiff attorney) to optimize results of the overall investigation and discovery process
• Interface with insured members to provide ongoing support and disclose investigation results to keep members fully informed
• Recommend assignment of litigated matters to appropriate defense panel members
• Partner with defense counsel for optimum outcome on all assigned cases
• Monitor and approve fees and expenses within authority
• Evaluate facts, allegations, liability, and damages issues and maintain appropriate case reserves
• Recommend the proper course of resolution to regional leadership based on investigation and discovery
• Attend mediations, settlement conferences, arbitrations, and trials as necessary
• Provide risk/benefit analysis to members
• Support members throughout the life of the claim file up to and through trial
• Perform other duties as assigned

Requirements

• Bachelor’s degree or equivalent combination of education and experience
• Juris Doctorate preferred
• Three to five (3-5) years of medical malpractice or equivalent claims-related experience

Compensation & Benefits

Salary Range: $88,710 - $119,715

• Eligible for participation in the Short-Term Incentive Plan (STIP), offering additional compensation driven by individual and company performance.
• Compensation is determined based on factors such as skills, experience, education, and market considerations, including specialized skills, depth of knowledge in the field, and educational background.
• Salary may also include additional geographic differential for employees working in higher-cost labor markets, including states such as New York and California.
• While the posted range reflects an anticipated hiring range, compensation may vary for candidates with exceptional qualifications, specialized expertise, or directly relevant experience.

Benefits include:

• Health, dental, and vision insurance
• Health care tax-free spending accounts with company match
• 401(k) and Roth IRA with company match, as well as catch-up plans for both
• Vacation days, sick days, and paid personal days each calendar year (with vacation increases based on length of service)
• Paid holidays each calendar year
• Life and travel insurance
• Tax-free commuter benefits
• In-person and online learning opportunities
• Cross-function career opportunities
• Business casual work environment
• Time off to volunteer
• Matching donations to qualifying nonprofit organizations
• Company-sponsored participation at non-profit events

The benefits package also includes medical, family, and bereavement leave; same-sex domestic partner benefits; short- and long-term disability programs; and an employee assistance program.

Location

Remote or hybrid opportunity depending on the final candidate’s location relative to the company’s office. Preference for candidates in Michigan, Indiana, or Illinois.