The Claims Analyst is responsible for investigating and managing primary litigation claims as assigned. This role involves developing a litigation plan and strategy with defense counsel, recommending defense or settlemen…
Skills: Claims Investigation, Litigation Strategy, Medical Malpractice Claims, Case Management, Negotiation
The Claims Analyst investigates and manages primary litigation claims, developing strategies with defense counsel to recommend settlement or defense. They are also responsible for documenting case files, managing expenses, and assisting in the training of claims personnel.
Requirements
Requires a college undergraduate degree and at least four years of casualty claims experience, specifically focusing on medical malpractice. Candidates must possess strong negotiation skills and the ability to handle high-exposure cases.
Full job description
The Claims Analyst is responsible for investigating and managing primary litigation claims as assigned. This role involves developing a litigation plan and strategy with defense counsel, recommending defense or settlement strategies, and presenting cases to trial and settlement committees. This position assists management in the training of claims personnel and is responsible for completing special projects assigned by management. The Claims Analyst abides by MPL Analyst Guidelines.
SPECIFIC DUTIES
Establish and verify insurance coverage for MagMutual insured.
Investigate claims against MagMutual insureds.
Proper reserving and coding to accurately reflect exposure of MagMutual/insured.
Assign a Medical Advisor when required.
Thoroughly, accurately, and timely document case files
Manage and control LAE expenses incurred on each assigned claim file.
Determine the appropriate case plan - settlement or defense.
Become knowledgeable and proficient in all claim management related technologies
Timely close files
Provide recommendations for continued use or termination of defense counsel/firms
Handle specialty cases as needed.
Lead committees as assigned by management.
Assist with reports and communications with reinsurers.
Assist with departmental and strategic projects.
Become knowledgeable of all companies under the MagMutual Group and assists those companies in their growth when necessary.
Attend continuing education seminars/courses to enhance medical/legal knowledge.
QUALIFICATIONS, EXPERIENCE REQUIRED
College undergraduate degree
Minimum four years of prior casualty claims experience with emphasis on medical malpractice claims.
Experience handling high exposure cases including negotiations/resolution.
Excellent communication, interpersonal, analytical, and negotiation skills.
Ability to project a professional demeanor.
Ability to properly handle confidential information.
Expert guidance. Greater rewards. Better results. MagMutual means more.
Industry
Insurance
Company size
201-500 employees
Founded
1982
Headquarters
Atlanta, Georgia
LinkedIn followers
7,029
Total funding
$100M
MagMutual is a liability insurance provider and healthcare consultancy working to protect and support physicians and healthcare organizations. We are committed to providing our owners with the very best protection, resources and advice to help them manage the risks they face working in healthcare today.
The Institute at MagMutual serves policyholders by providing financial, clinical, regulatory, and business risk management and practice-enhancing advice. Our consultants include doctors, lawyers, nurses, government reimbursement specialists and certified risk managers with multidisciplinary backgrounds who are experts at risk management and performance improvement. The expertise and resources available at The Institute reinforce MagMutual’s commitment to creating a valued risk management platform for medical professionals that addresses all aspects of their practice.
Founded in 1982, MagMutual is one of the leading providers of medical professional liability insurance to physicians and hospitals in the United States and is rated A (Excellent) by A.M. Best.
MagMutual offers a team environment, open door policy, and promotes transparency and teamwork throughout all levels of management. MagMutual’s competitive salary structure is supplemented by merit-based spot bonus and annual bonus programs. Our benefits include health, dental, and vision coverage, a defined benefit pension plan, 401(k) and ROTH 401k with matching contributions, as well as generous vacation, paid holidays, and a flexible time off policy.
MagMutual provides equal employment opportunities to employees and applicants without regard to race, color, religion, gender, sexual orientation, national origin, marital status, age, disability, or status as a covered veteran in accordance with applicable federal, state, and local laws.
Offices: 3550 Peachtree Rd. NE, Suite 500, Atlanta, Georgia 30326, US
Health CareRisk ManagementInsuranceFinancial ServicesMedical
Expert guidance. Greater rewards. Better results. MagMutual means more.
Industry
Insurance
Company size
201-500 employees
Founded
1982
Headquarters
Atlanta, Georgia
LinkedIn followers
7,029
Total funding
$100M
MagMutual is a liability insurance provider and healthcare consultancy working to protect and support physicians and healthcare organizations. We are committed to providing our owners with the very best protection, resources and advice to help them manage the risks they face working in healthcare today.
The Institute at MagMutual serves policyholders by providing financial, clinical, regulatory, and business risk management and practice-enhancing advice. Our consultants include doctors, lawyers, nurses, government reimbursement specialists and certified risk managers with multidisciplinary backgrounds who are experts at risk management and performance improvement. The expertise and resources available at The Institute reinforce MagMutual’s commitment to creating a valued risk management platform for medical professionals that addresses all aspects of their practice.
Founded in 1982, MagMutual is one of the leading providers of medical professional liability insurance to physicians and hospitals in the United States and is rated A (Excellent) by A.M. Best.
MagMutual offers a team environment, open door policy, and promotes transparency and teamwork throughout all levels of management. MagMutual’s competitive salary structure is supplemented by merit-based spot bonus and annual bonus programs. Our benefits include health, dental, and vision coverage, a defined benefit pension plan, 401(k) and ROTH 401k with matching contributions, as well as generous vacation, paid holidays, and a flexible time off policy.
MagMutual provides equal employment opportunities to employees and applicants without regard to race, color, religion, gender, sexual orientation, national origin, marital status, age, disability, or status as a covered veteran in accordance with applicable federal, state, and local laws.
Offices: 3550 Peachtree Rd. NE, Suite 500, Atlanta, Georgia 30326, US
Health CareRisk ManagementInsuranceFinancial ServicesMedical