The Claims Specialist investigates, evaluates, and resolves Medical Malpractice claims in Illinois.

• Investigates claims from initial contact to resolution
• Research and analysis of medical facts; directs and monitors attorney work product and executes recommendations regarding case resolution.
• Confirms coverage and resolves coverage issues.
• Evaluates liability and damage information to establish consistent and appropriate indemnity and ALAE reserves.
• Communicates with reinsurers and other involved parties in monitoring and resolving cases as appropriate.
• Approves bills and controls expense functions.
• Monitors trial activities and negotiates settlements within given authority, including direct negotiation with plaintiffs and plaintiff attorneys.
• Attends trial-related activities including, but not limited to, arbitrations, mediations, settlement conferences, pre-trial conferences and trials as appropriate.

Education:

• Bachelor’s degree or commensurate experience is required.

Experience:

• 5+ years experience in claims handling/investigation preferred.

Details