Senior Claims Supervisor

Pay: $155,000.00 - $175,000.00 per year

Job description:

General Description:

Seeking experienced claim professional to supervise our Litigation Managers who handle medical professional (hospital, allied professional, long-term care) and general liability claims of moderate to high severity. Ensure staff compliance with company standards, industry best practices and maintain service excellence. This position is a blend of supervision and direct claim handling responsibilities.

Position’s Functions and Responsibilities:

• Provides supervision and guidance to our experienced adjusting staff


• Must have medical liability including long-term care professional liability claim handling experience


• Review and analyze policy coverage, including drafting of coverage denials and reservation of rights letters


• Establish timely and accurate expense and indemnity reserves


• Investigate and evaluate liability and damages:


• -Conduct witness interviews, inclusive of on-site visits


• -Identify, obtain, and analyze documentation including, but not limited to, medical records, medical bills, contracts, photo & video evidence, state health surveys


• -Retain experts as indicated


• -Determine and evaluate liability, damages, settlement values, verdict ranges and percent chance to win


• Coordinate and manage litigation:


• -Manage defense counsel


• -Develop and implement a litigation plan of action & budget


• -Review, analyze and process vendor invoices


• Prepare comprehensive reports


• Claims Committee/Client presentations

Experience and Education Requirements:

• Bachelor’s Degree or equivalent work experience


• Claim supervision experience preferred


• Medical malpractice and general liability claim handling experience, or related field experience


• Claims Adjuster license preferred


• J.D. preferred

Skills and Knowledge:

• Strong knowledge of the legal environment and litigation process


• Knowledge of insurance industry compliance requirements


• Strong analytical and decision-making skills


• Strong negotiation skills


• Strong communication skills, both written and verbal


• Demonstrate ownership attitude and client-centric response to all tasks


• Organizational and time management skills


• Working knowledge of Microsoft Office applications (Word, Excel & Outlook)

Work Environment:

• Home office (work from home)


• Travel as required to conduct on-site investigations and attend mediations, arbitrations, trials and client meetings


• Professional appearance and demeanor

Pay Transparency: The base salary range for this full-time position is $155,000 to $175,000 plus bonus potential and benefits including generous PTO, health/dental/vision/life insurance, and a retirement savings account with company match/contribution.

Job Type: Full-time

Benefits:

• Dental insurance


• Health insurance


• Life insurance


• Paid time off


• Retirement plan


• Vision insurance

Experience:

• medical malpractice/long-term care: 5 years (Preferred)

Work Location: Remote