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Senior Medical Claims Litigation Specialist

Downtown Sac, CA

Posted: 03/26/2019 Employment Type: Direct Hire Position Industry: Legal Job Number: 40875.1
We have a great opportunity for an experienced Medical Claims Litigation Specialist who would be responsible for managing a full case load of complex professional and general liability claims, including investigation, strategy development, and resolution negotiation. The Medical Claims Litigation Specialist must have both medical malpractice and litigations (including courtroom) experience. This is a direct hire opportunity to work for a commercial insurance expert who promotes career growth companywide, and competitive benefits including medical, dental, vision, 401(k), profit sharing and education reimbursement.

Responsibilities: Manage complex professional and general liability claims from start to finish. Investigate and evaluate standard of care issues. Evaluate and make determinations on issues related to coverage. Collaborate with others on lawsuits (insureds, defense and plaintiff attorneys, consultants, staff, etc.) to determine potential exposure, selection and oversightof defense counsel. Retain and supervise outside adjusters, contractors, legal counsel, and experts. Create defensestrategies and budgets, evaluating appropriate case reserves. Attend meetings, trials, mediations and settlement conferences with policyholders, defense attorneys, and consultants. Negotiate claims resolutions with claimants and/or their legal representatives. Identify, manage, and resolve all issues related to possible third party liability. Review vendor bills to ensure they are in accordance to strategic plans and budget requirements established by file handler and authorize payment.

Requirements: Bachelor's degree or equivalent education and experience. 8+ years professional and general liability litigation/claims experience. Advanced knowledge of professional and general liability coverage, contracts, legal principles, California Tort Law, insurance codes, pleadings and court procedures. Medical malpractice experience required. Advanced degree in law, medicine, or related field preferred. Ability to review legal documents and make coverage decisions. Demonstrated ability to make decisions and resolve conflict. Leadership experience. Knowledge of medical terminology preferred.

Elizabeth Mann

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