Director/Manager of Claims

Date posted: September 9, 2011

Director/Manager of Claims

Medicus Insurance Company, one of America’s fastest growing medical professional liability insurance carriers, has an immediate opportunity in its organization for an experienced Director of Claims or Claims Manager

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Claims Manager/Director with proven track record building and managing world class claims organization. Possess expertise in technical claims management for Medical Professional Liability Insurance with a focus on the Physician and Surgeon market. Effectively aligns claims, underwriting and operations to develop increased efficiencies, reduce loss costs and enhance profitability. Proven team leader in small-scale claims organizations in a high growth mode. Skill set to handle individual claims management and claims portfolio management, and supervise and collaborate with third party claims administrator with a keen focus on the company claims management philosophy. Reports to the President.

Responsibilities
• Re-engineering claims process, as required, in company specialty line
• Perform day-to-day management and periodic quality review audits on malpractice claims with third party claims management vendor
• Work with Actuarial, Finance company management to set reserving standards
• Working with claims vendor, manage all aspects of litigation from discovery through trial in the defense of physicians in claims alleging malpractice
• Develop and manage relationships with claims vendor and staff, Attorneys, Investigators and Field Adjusting companies across the multiple state markets of operation
• Review and recommend performance metrics and cost savings in company claim operation
• Develop a claims department, as required
• Investigate and implement, as required, automated solutions for electronic claims records, claims financials, and analytical reporting tools with Finance
• Increased business unit performance by implementation of best claims practice

Job Requirements
• Keen understanding of efficiently adjudicating medical professional liability insurance claims in many states, as well as current health care market, tracking the changes in legislation and tort reforms
• 10 years of experience in the insurance industry, with proven results specializing in medical professional liability insurance claims, loss prevention, and risk management
• Bachelor’s degree required licensed Health Care Risk Manager and Master Degree preferred. Law degree highly desired
• Expertise in developing and enhancing Information Technology related to claims management systems
• Keen relationship-building skills with ability to bring a high energy level to the management team
• Strong belief and skills in customer service and diplomacy with ability to manage multiple staff at off-site third party vendor

Apply to: hr@norcalmutual.com