Claims Specialist Jobs

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

We are a specialty writer of professional liability, products liability and workers' compensation insurance. With approximately 1,000 team members operating in all 50 states, we are well-positioned to offer career opportunities to individuals interested in professional growth.

This position supports our healthcare professional liability line of business. Preference is for this position to be based in Illinois or Indiana and can be fully remote. We may fill this position at a Senior or Lead level depending upon qualifications of the selected candidate.

Job Summary:

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.

Essential Duties and Responsibilities:

• 20% - Represent the Company by attending trials, settlement conferences, mediations, and insured meetings. Recommend settlement strategies when necessary.
• 20% - Directs defense counsel with regard to settlement values, defense tactics and strategies per department guidelines. Maintains communication with supervisor, defense counsel, and client. Review and approval of reasonable legal expenses and fees associated with the claim file, and negotiate adjustment of charges when appropriate. Participate in selection of expert witnesses when appropriate.
• 35% - Participate in review processes to evaluate liability, case value, and reserving functions and manage total claims cost. Ensures proper file documentation of assigned files by complying with company and state requirements.
• 5% - Participate in negotiations when appropriate.
• 15% - Responsible for preparing reports for management by collecting, analyzing, and summarizing claim information. Keep apprised of changes in the law and court procedures affecting claims in jurisdictions supervised.

Secondary Responsibilities:

• 5% - Perform special projects as directed by management.

Qualifications:

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

Position Salary Range

$61,862.00 - $102,083.00

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.