Claims Consultant

Company: Curi
Location: Raleigh
Posted on: May 2, 2024

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, Greenville , Claims Consultant, Professions , Raleigh, North Carolina