Senior Claims Representative (Remote/Hybrid)
Physicians Insurance A Mutual Company is dedicated to protecting, defending, and supporting our Members. As a national boutique mutual insurance company, we passionately serve all our Members and partners with our suite of medical professional liability offerings. We help them overcome obstacles with a team providing underwriting, risk-management, claims, and stop-loss expertise—backed by strong financials and all supported by exceptional, personalized service. In every communication, every expert opinion, every risk assessment, and every claim, all our Members experience the positive impact of our mission on their professional lives. And with over 8,500 Members and growing, this experience is in evidence all over the nation.
We currently have an exciting opportunity for a Senior Claims Representative. We are looking for an experienced professional who enjoys complex problem-solving.
This Senior Claims Representative is responsible for national medical malpractice claim services. This includes performing claims investigation, evaluation, negotiation, settlement; retaining and coordinating work of defense attorneys and expert witnesses; representing Physicians Insurance Member Services and Physicians Insurance clients; and maintaining claims-related relationships with physicians, other insurance companies, and other organizations. This position will include national claims handling on behalf of Physicians Insurance and Physicians Insurance RRG through Physicians Insurance Member Services.
Responsibilities include but are not limited to the following:
- Reviewing claims report, medical records, strategizing, and developing investigation priorities and schedules while initiating and maintaining communications with physicians, administrators, attorneys, expert witnesses, and other insurance companies.
- Coordinating and performing claim investigations, negotiations, legal defense, and settlement activities. This includes handling incident reporting, reserving, research, and evaluation.
- Presenting claim investigations at Claims Committee meetings.
- Planning and implementing defense and litigation strategies. This includes pre-trial and trial preparations and attending meetings, depositions, and mediations via videoconferencing or in person as determined by location, needs of account, and/or Court requirements.
- Analyzing claims, defense counsel, settlements, and other results.
- Facilitating and developing relationships with defense counsel, consulting physicians, expert witnesses, co-defendants, other insurance companies, and legal defense specialists.
- A 4-year college degree or equivalent work experience
- State adjuster licensure or ability to become licensed
- Five plus years of professional medical liability claims experience with a history of increasing claims responsibility and authority
- Ability to travel as determined by location, needs of member, and/or Court requirements as necessary. Travel destinations include the company office for in-person events and meetings.
- Excellent analytical, writing, and detail-oriented skills
- Excellent investigation, research, and negotiation skills
- Demonstrated time management and prioritization skills
- Demonstrated knowledge of insurance policies and coverages
- Strong commitment to customer service, quality, and working in a collaborative team environment
- Excellent interpersonal, verbal, and written communication skills. Ability to present effectively to large or small groups.
- Demonstrated technical ability to work with Microsoft Office, ShareFile and Adobe Acrobat Pro
To apply for this position, please go to Current opportunities
The salary range for this position is $97,200 to $156,200. The range displayed on each job posting reflects the minimum and maximum for the position. Starting salary is determined by several factors, including job-related skills, experience, and relevant education or training. This position is also eligible for an annual company bonus at an incentive target level of 10%.
We also offer a comprehensive benefits program, including a generous retirement program and Paid Time Off. Please visit Physicians Insurance - A Mutual Company for more details.
At Physicians Insurance, you’ll find an exceptional hybrid work environment and the opportunity to work for an industry leader whose programs have a positive impact on insurance and healthcare.
OUR PURPOSE
To protect, defend, and support our Members.
OUR VALUES
People-First - we treat everyone with respect and empathy.
Expertise - we strive to be the best at what we do.
Commitment - as a mutual company, we are accountable and dedicated to our Members and to each other.