Lead Claims Specialist, HPL
Core
Manage hospital professional liability, general liability, auto, and managed care claims involving investigation, liability evaluation, and settlement negotiation for the Excess Healthcare line of business.
Role type
Senior claims lead (Excess Healthcare)
Builds
Claim resolutions and regulatory reports for Excess Healthcare clients
Domain
Insurance / Healthcare Liability
Deliverable
client delivery
Required skills
medical professional liability claims handling, coverage analysis, settlement negotiation, outside counsel management, regulatory reporting, team mentorship, work planning, process improvement
Preferred skills
analytical skills, decision-making, problem-solving, communication, adaptability, Microsoft Office proficiency
Technologies
Microsoft Office (Excel, Access, PowerPoint, Word)
Responsibilities
Oversee claim investigations and maintain file diaries; Analyze and draft coverage letters; Set reserves and draft reports for leadership; Negotiate settlements and attend court hearings; Mentor less experienced adjusters; Conduct insured audits and loss runs reviews; Develop work plans and assign resources; Drive process improvements and cost efficiency.
Seniority
Senior, hands-on IC with people management