Claims Counsel - Healthcare

Location
Greater New York City Area
Salary
commensurate with experience
Posted
Jul 17, 2018
Closes
Aug 09, 2018
Ref
1435
Job Type
Full Time

Large specialty carrier is seeking a Claims Counsel, US Healthcare who will be responsible for medical malpractice/healthcare professional liability claims nationwide.  This position will support the existing professional liability claims team that supports the US Healthcare business unit. The successful candidate will be able to provide insight and analysis on complex high profile/high exposure Professional Lines/Healthcare claims.

Duties and Responsibilities:

  • Handle complex Medical Malpractice/Healthcare Professional Liability claims
  • Provide coverage, liability and damages analysis for complex professional liability claims,
  • specifically for hospital, physician and allied health lines of business
  • Ability to proactively identify exposures and claim trends which may affect the portfolio and
  • provide written assessments to the U.S. Healthcare business unit
  • Resolve problems and respond to coverage questions for U.S. Healthcare underwriting team
  • and senior management
  • Professional Lines policy drafting
  • Effectively represent Company interests at client meetings, mediations, external meetings
  • and industry events
  • Ability to support underwriting in the management of individual accounts, including
  • marketing and account/client facing meetings
  • As part of the company's Claims Team you will be expected to contribute to the success
  • of the team by working closely with your colleagues worldwide on various projects as
  • directed by the EVP, Global Insurance Claims and other members of Executive Team. This
  • may include attending various industry conferences, possibly as a speaker/presenter,
  • publishing on current claim trends and issues and assisting other offices on complex claims.
  • You will be asked to communicate with underwriting, actuarial and other functional groups
  • within the organization
  • Other duties as required by management
  • Travel as required, including mediations, account meetings and industry conferences

Required Skills & Qualifications:

  • Minimum of 5-8 year’s experience handling healthcare/medical malpractice at an Insurance
  • Company, and/or in combination with law firm experience is required
  • Juris Doctor degree preferred
  • Medical background a plus
  • Proven ability to provide coverage, liability and damages analysis for complex medical
  • malpractice/healthcare professional liability claims
  • Direct handling of complex medical malpractice, primary and excess claims
  • Strong experience attending mediations and negotiating settlements on significant cases
  • Professional lines policy drafting experience preferred
  • Ability to establish close working relationship with underwriting, actuarial and legal
  •  Excellent presentation, verbal and written communication skills. Candidates may be asked to
  • provide writing samples
  • Analytical, decision making and resource management skills with attention to detail
  • Strong commitment to providing superior client service
  • Strong negotiating, analytical, written and organizational skills
  • Strong computer skills (MS Word, Excel, Outlook and various in-house claims systems –
  • Guidewire, Genius, ImageRight is a plus)
  • The company offers a competitive compensation and benefits package commensurate