Description:
Who You Are:Come join our growing team! The Claims Counsel – Medical Professional Liability will be responsible for handling medical professional liability claims and regulatory matters arising out of policies issued by Conventus Inter-Insurance Exchange. This role is perfect for an attorney with a background in litigation and knowledge of the healthcare field, who thrives on personal interactions in a fast-paced environment. Every day is a new adventure! If that's you or someone you know, message us.
What You'll Do:
- Assist in the management of medical professional liability claims that have been asserted against Conventus physician member insureds.
- Perform the following tasks in connection with the handling of such claims:
- Discuss relevant claim with member physician
- Receive and review relevant pleadings, medical records, and other investigative documents
- Interview physician members with claims to determine liability, causation, and damages as applicable to each claim
- Review and evaluate insurance contract wording and coverage for each claim
- Discuss claim with appointed panel counsel and establish a comprehensive investigative and litigation management strategy for each claim
- Attend selected depositions, settlement conferences, mediations, and trials
- Manage claims within preexisting litigation protocols and practices
- Recommend reserves and investigative strategies for the Company and management
- Enforce litigation guidelines and strategies as cases require
- Conduct limited legal and other research on medical/legal issues that affect the Department or Company
- Assist in statistical reporting and generate claim and loss reports, as required.
- Attend internal and Board of Governor Claim Committee meetings, as assigned as well as assist in preparing Committee reports and documents, as warranted.
- Act as a resource and consultant to other departmental personnel for claim and other risk exposure issues. This includes developing and conducting educational sessions on pertinent claim or other healthcare topics.
- Attend sales calls to present claims handling guidelines and services, as requested.
- Assist in research, development and publication of newsletters and related claim department materials.
- Participate in internal and external activities to improve effectiveness, efficiency and teamwork between all departments and disciplines to maintain company profitability.
- Maintain current knowledge of healthcare industry, claims management and industry standards.
- Other duties as assigned
What you bring:
- 2+ years of experience, preferably managing or litigating healthcare claims in a corporate or law firm setting
- JD preferred
- Familiarity with New Jersey medical malpractice law preferred
- Excellent written and oral communication skills, including public speaking
- Strong interpersonal skills and the ability to work well in teams
- High level of integrity and dependability with a strong sense of urgency and results-orientation
- Working knowledge of Microsoft Word, PowerPoint, and Excel
