Claims Consultant
Company: Curi
Location: Raleigh
Posted on: May 2, 2024
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Job Description:
TITLEClaims Consultant LOCATIONRemote About Us Curi is a
full-service advisory firm that serves physicians and medical
practices. Equal parts fierce physician advocates, smart business
leaders, and thoughtful partners, Curi's advisory, capital, and
insurance offerings deliver valued advice that is grounded in
client priorities and elevated by their outcomes. From data-driven
advisory services to private wealth offerings, to tailored medical
malpractice insurance solutions and beyond, we deliver performance
that is time-tested and trusted-in medicine, business, and life.
The Role We're looking for a dynamic team player to join our Claims
Department as a Claims Examiner. In this role, you will help us
coordinate the defense of our insured physicians. You will be
responsible for investigating and managing claims, including, but
not limited to, speaking with insureds and claimants, providing
coverage analysis, assigning and working with defense counsel to
ensure proper case management, establishing appropriate reserves,
and negotiating resolution or issuing denials as appropriate for
the Florida market. You are not required to live in Florida to
perform the role's duties; however, you will need to be available
to travel to Florida for meetings. Key Result Areas
Act as first point-of-contact for insureds regarding general claim
questions and reporting of claims.Perform coverage analysis and
prepare reservation of rights/declination letters when
appropriate.Work with defense counsel to develop the case to
include expert support and case strategy.Obtain expert reviews and
conduct independent investigations when no defense counsel is
assigned.Maintain cases on diary to ensure proper file management,
evaluation, strategy, and timely reserve recommendations.Keep
current running notes to reflect file development and ensure proper
data is maintained in the claims management system.Negotiate claim
settlements at mediation or directly with plaintiff counsel as
indicated, or issue denials to claimant/claimant attorney as
appropriate.Attend first suit meetings, mediation, and
trials.Attend and participate in Claims Review Committee meetings
to provide strategy on claims file management.Willingness to travel
up to 33% of the time. SkillsSolid understanding of basic insurance
concepts, including coverage, policy language, liability,
negligence, and damagesStrong organizational skills and ability to
manage multiple tasks simultaneously.Effective written and oral
communication skillsAbility to think critically and resolve
problems of varying complexity.Ability to perform with minimal
supervision.Self-motivated with a strong work ethicWillingness to
work flexible work hours depending on the physician's availability
to meet with the Claims team. Qualifications Bachelor's Degree
and/or JD with a minimum of three years of claims experience
(bodily injury claims experience a plus) and/or medical malpractice
defenseMust obtain applicable adjusters license(s) by state within
three months of start date.Five to 10 years of medical malpractice
claims and/or medical malpractice defense experience preferred.
Keywords: Curi, Raleigh , Claims Consultant, Professions , Raleigh, North Carolina
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