Claims Manager - Medical Indemnity Professional Conduct Claims
Core
Manage a portfolio of medical indemnity claims, complaints, investigations, and disciplinary matters while providing medico-legal services to members.
Role type
Claims Manager (Medical Indemnity)
Builds
Claims management services and medico-legal support for Avant members
Domain
Insurance / Medical Indemnity / Medico-legal
Deliverable
client delivery
Required skills
Claims management, medico-legal knowledge, insurance law, complaint handling, investigation management, legal counsel engagement, alternative dispute resolution, risk identification, stakeholder management, reporting, mentoring
Preferred skills
Law degree, coaching experience, extensive medico-legal expertise
Technologies
CRM systems, electronic databases, Microsoft Office (Word, Excel, Outlook)
Responsibilities
Manage member claims and investigations per guidelines; develop management plans for complaints and disciplinary matters; engage external legal advisers; review claim estimates and maintain reporting obligations; escalate matters outside delegation limits; collaborate on indemnity decisions; identify members for Risk Advisory Services; monitor claims portfolios; provide knowledge-sharing and support to colleagues; design and facilitate educational activities; represent members at medical forums; contribute to process improvements.
Seniority
Mid-Senior, hands-on IC