Job Title: Sr. Claims Analyst
Type: Perm

Start Date: ASAP

Location: Rochester, NY

Salary: $80,000 - $100,00 (should have some medical malpractice exposure)

 

General Summary:

Responsible for the claim file investigation, evaluation, and resolution following the claims handling guidelines.

Should have some Medical Malpractice experience.

 

Essential Duties & Responsibilities: 

• Follow claims handling guidelines for all facets of claims handling, including but not limited to, claims documentation, diary, reserve adequacy, data entry, electronic filing of correspondence, coverage investigation, participation in case strategy round tables with claims management and/or defense counsel, case settlement, trial management, timely file closure, regulatory compliance, adherence to executive management escalation protocols, and adherence to Watch List and Event Calendar notification protocols.?
• Maintain data integrity and accuracy in all aspects of claims handling.
• Demonstrate effective teamwork and provide positive morale and support for colleagues within the department.
• Continually seek opportunities to increase individual knowledge base and skills.
• Attend all mandatory training sessions.
• Seek additional training/educational opportunities.
• Lead departmental projects, mentor junior staff
• Continually evaluate the claim process and develop a process strategy to improve performance.
• Maintain regular and prompt communication with all external and internal business partners.
• Author and proofread required management reports for accuracy, grammar, and relevant information.
• Facilitate claim expense management to include invoice and proposed defense budget reviews; ensure accurate Indemnity and ALAE reserving; negotiate claim settlements within approved settlement authority; and closely monitor defense counsel settlement negotiations and trial events on all claim files.
• Maintain appropriate open/close ratio.
• Other duties as assigned

 

Education & Qualifications: 

• 4-year college degree, attorney, or prior medical training preferred
• 7+ years of prior experience in the medical liability insurance industry preferred.
• Medical malpractice or other professional liability claim handling experience
• Consistently demonstrate sound judgment and thorough claims management in the present position.
• Must be detail-oriented and have good organizational skills.
• Excellent oral and written communication skills required.
• Must demonstrate the ability to maintain an effective working relationship with other departments, employees, management, and clients.