Description:

Role Overview:
Manages hospital professional liability, general liability, auto, and managed care claims that involve the investigation of coverage, evaluation of liability and damages, and resolution, including but not limited to negotiation of settlements for the Excess Healthcare line of business.

Key Responsibilities:

Proactively oversee all aspects of high exposure claims to minimize company risk of loss.

Analyze and draft coverage letters while properly communicating coverage positions to insureds, brokers and agents.
Conduct proactive claim investigations and maintain a diary applying best practices to all files.
Set timely reserves and draft concise reports to leadership when authority is exceeded.
Assign, direct, and closely monitor outside counsel and vendors as needed.
Negotiate claim settlements and attend court hearings, including mediations, settlement conferences, and trials.
Complete all required regulatory reporting.

Conduct legal research and other miscellaneous legal matters.
Present complex claims and emerging trends to claims leadership and underwriting, providing technical advice when warranted.
Mentor and educate less experienced adjusters.
Represent TMHCC at industry conferences as necessary to establish TMHCC as a market thought leader.
Conduct insured audits, loss runs reviews, and produce reports to senior leadership.
Aide in the development of claims systems and processes.
Travel requirements: regular travel (up to 50% of the time)

What you bring:

Doctor of Jurisprudence (JD) degree or a related field or the equivalent education and/or experience
State Adjusting Licenses as required
5 years of relevant and progressive experience in handling medical professional liability claims throughout the United States. A preference will be given to those with prior litigation experience at an insurance defense law firm specializing in medical professional liability claims.
Knowledge of most effective and efficient methods to get things done, with a focus on continuous improvement and innovation.
Sound analytical skills, as well as strong decision-making and problem-solving aptitude
Exceptional communicator and able to make connections externally and internally
Flexibility and a willingness to learn and adapt to new developing processes, systems, and procedures.
Excellent written and verbal communications skills with an emphasis on confidentiality, tact, and diplomacy
Knowledge of industry changes, legal updates, and technical developments related to applicable area of the Company's business to proactively respond to changing legal environment
Intermediate to advanced proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word)