Job Summary:

The Malpractice Claims Specialist will evaluate, investigate, and resolve malpractice claims and other disputes among insured parties and claimants.

Supervisory Responsibilities:

• None.

Duties/Responsibilities:

• Reviews malpractice claims and determines coverage, liability, and damages incurred by claimants.
• Communicates with the insured, claimants, witnesses, and experts to investigate and evaluate assigned claims and lawsuits.
• Consults with independent adjusters or appraisers as needed based on the facts of each claim.
• Negotiates and settles claims within limits of authority; when claims exceed settlement authority, provides guidance and recommendations to appropriate parties for review.
• Assists managers or attorneys with settlement of more complex cases.
• Processes settlements, ensuring inclusion of appropriate releases.
• Maintains accurate records and prepares required reports on all cases.
• Performs other related duties, as assigned.

Required Skills/Abilities:

• Excellent communication skills.
• Excellent organizational skills and attention to detail.
• Excellent negotiation skills.
• Ability to work with and to preserve confidential material.
• Proficient with Microsoft Office Suite or similar software.
• Ability to work as a member of a team.

Education and Experience:

• High school diploma or equivalent required; Bachelors degree preferred.
• At least two years of experience processing insurance claims required.

Physical Requirements:

• Prolonged periods sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.