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Claims Specialist - Medical Professional Liability

ProAssurance Corporation is a specialty insurer focused on professional liability insurance, primarily for the healthcare industry, as well as workers' compensation and legal professional liability.

ProAssurance

Employee count: 1001-5000

Salary: 76k-126k USD

United States only

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An exciting opportunity exists to join the ProAssurance family of companies!

Our mission is powerful and simple: We protect others. Choosing a place to apply your talents is an important decision for anyone. You have plenty of options. Why choose ProAssurance?

At ProAssurance, we sell a pledge, and that pledge is delivered by our team members. We are seeking individuals who value integrity, leadership, relationships, and enthusiasm—and want to build their career with a great company where they can be their authentic self and feel valued, recognized, and rewarded for their contributions. ProAssurance specializes in healthcare professional liability, products liability for medical technology and life sciences, legal professional liability, and workers' compensation insurance. We are an industry-leading specialty insurer, with job opportunities in much of the contiguous United States.

This position supports our medical professional liability line of business and is remote, based out of Pennsylvania.

For full consideration, candidates should have medical professional liability claims handling experience.

The primary responsibility of the Claims Specialist position is to provide direction and guidance throughout the life of the claim. The Claims Specialist directs the management of claims including claims investigation, coverage analysis, monitoring of defense counsel activities, control of legal expenses, reserving, and providing technical expertise throughout the life of the claim file.

What you'll do:

  • 30% - Participate in review processes to evaluate coverage, liability, causation, damages, case value, reserves, and manage total claims cost. Ensure proper file documentation of assigned files in compliance with company and state requirements.
  • 25% - Collaborate with defense counsel regarding case value, defense tactics, and strategies per department guidelines. Maintain communication with the director, defense counsel, and the insured. Participate in selection of expert witnesses when appropriate.
  • 20% - Responsible for preparing reports for management by collecting, analyzing, and summarizing claim information. Keep appraised of changes in the law and court procedures affecting claims in assigned jurisdictions.
  • 15% - Represent the Company through attendance at trials, settlement conferences, mediations, and insured meetings.
  • 5% - Review and approve reasonable legal expenses and fees associated with the claim file and negotiate adjustment of charges when appropriate.
  • 3% - Recommend resolution strategies and participate in settlement negotiations when appropriate.
  • 2% - Perform special projects as directed by management.

What we're looking for:

  • Bachelor's degree required. Advanced degree or certification in the medical, legal, or insurance field preferred.
  • Minimum two years’ experience in the legal, medical, or insurance field, with a high degree of specialized and technical competence.
  • Professional liability experience preferred.
  • Excellent interpersonal, communication, and negotiation skills.
  • Strong analytical skills.
  • Proven leadership, communication, and writing skills.
  • Strong interpersonal and relationship management expertise.
  • Excellent organizational skills and the ability to handle multiple tasks effectively and efficiently.
  • Proficiency in Microsoft Office applications. Ability to learn new computer software applications.
  • Extensive travel may be required.
  • Willingness and ability to be available beyond normal business hours.
  • Ability to attend business functions and present a positive image of the Company.
  • Valid driver’s license required.

We are committed to providing a dynamic and inclusive environment where everyone can do their best work and grow personally and professionally.

For that reason, we partner with The Predictive Index (PI) – an organization equally committed to improving the working lives of people, to help us hire the best talent by providing additional insight about one’s work style.

The position you applied to requires completion of two assessments prior to being scheduled to interview with a hiring manager. A Talent Acquisition team member may review your application and contact you before the assessment is complete.These assessments are Behavioral and Cognitive, and each assessment takes less than 12 minutes to complete.

After submitting your application, you will receive two emails from The Predictive Index inviting you to complete each of these assessments (please check your SPAM or Junk email folder if you do not see these emails in your inbox).

Note: If you already completed the assessments as part of an application with us, we may have results on file and you may not receive the emails inviting you to take the assessments. If you are moving forward in the process, a Talent Acquisition team member will confirm if we already have your assessment results.

Position Salary Range

$76,208.00 - $125,756.00

The salary range displayed represents the entirety of the pay grade for this position. Most candidates will start in the bottom half of the range. Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have, your location and comparison to other team members already in this role.

Build your career with us and enjoy access to a best-in-class benefits program.

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Salary

Salary: 76k-126k USD

Education

Bachelor degree

Experience

2 years minimum

Location requirements

Hiring timezones

United States +/- 0 hours

About ProAssurance

Learn more about ProAssurance and their company culture.

View company profile

At ProAssurance, the core of our identity is a deeply ingrained culture centered around a powerful and simple mission: to protect others. This principle guides every action we take and every decision we make. We are an industry-leading specialty insurer with profound expertise in healthcare professional liability, products liability for medical technology and life sciences, legal professional liability, and workers' compensation insurance. Our commitment is to ensure that our clients are treated with fairness and that the complexities of insurance are made simpler. We pride ourselves on being a steadfast partner, bringing decades of experience and innovative solutions to meet the diverse coverage needs of our clients. The 'ProAssurance Way' is the compass that directs our path, built upon the foundational values of Integrity, Leadership, Relationships, and Enthusiasm. These values are not just words on a page; they are the pillars that support our interactions with our team members, business partners, and, most importantly, our customers.

Our culture is one that champions our team members, recognizing that their collective talent and dedication are the driving force behind our success. We are committed to fostering an inclusive and supportive environment where every individual feels valued, respected, and empowered to be their authentic self. We believe that the sum of our individual differences—our life experiences, knowledge, innovation, and unique capabilities—enriches our culture and strengthens our reputation. This commitment to diversity, equity, and inclusion is actively championed by our DEI Council, which is composed of team members from all levels and departments of the organization. We understand that a strong work-life balance is crucial for the well-being of our team. Therefore, we offer a flexible workplace culture, where most of our team members are not bound to a rigid in-office schedule. Instead, we focus on 'moments that matter,' bringing teams together for key meetings and collaborative sessions, often paired with team-building activities that reinforce our strong relationships. We invest in our team's future through professional development plans, access to online learning programs, and opportunities for advancement, embodying our philosophy of promoting from within.

Claim this profilePR

ProAssurance

Company size

1001-5000 employees

Founded in

1976

Chief executive officer

Edward L. Rand, Jr.

Employees live in

View company profile

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