8 Claims Consultant Jobs near me
Curi is Hiring a Claims Consultant Near Hudson, WI
The Role
We’re looking for a focused and experienced individual to work in our Claims department as a Claims Consultant. Reporting to our Claims Team Lead, you will be responsible for managing cases from beginning to end using only best practices. You will work with our clients while also partnering with outside defense counsel. You will provide expertise in claims investigation & evaluation, claims negotiation & resolution, and manage the litigation process including the partnership with defense counsel.
Key Result Areas
Claims investigation & evaluation
- Collect medical records and other investigation materials in a timely manner.
- Interview clients (in person, when possible) and claimants
- Work with plaintiff and defense attorneys, research case issues, and arranges expert reviews.
- Evaluate claims by considering coverage, liability exposure, causation/damages, and sources of contribution.
- Complete time sensitive reserve reports using established reserving procedures.
- Communicate investigation results and recommendations to clients.
- Consult with defense counsel regarding legal issues and case assessments.
- Document all casefile activity in claims system including saving documents
- Routinely documents a Plan of Action (POA) that shows active casefile management.
- Obtain client’s consent to settle, with discussion regarding settlement process, and reporting.
- Determine the appropriate monetary values for settlement of claims.
- Handle negotiation process by obtaining all necessary settlement authority prior to initiating negotiations, determining negotiation strategy, and conducting negotiation and settlement claims.
- Resolve claims in a timely manner.
- Ensure regular and consistent communication with clients.
- Prepare closing and settlement documents, and complies with reporting requirements.
- Report cases to all internal and external reporting entities, including clients and their agents, co-defendants, reinsurers, claims committee, licensing boards and data banks.
- Maximize the successful outcome of cases in a cost-effective manner.
- Direct and actively manage defense counsel.
- Participate in assessment of counsel’s performance.
- Oversee and monitor legal and general expenses.
- Ability to read and understand medical terminology and medical reports, legal documents and insurance coverage provisions.
- Strong investigation, evaluation and negotiation skills.
- Demonstrated strong verbal and written communication style
- 5 years insurance/claims experience required.
- 5 years professional/medical liability claims experience preferred.
- Bachelor’s degree required.
Job Summary
Full Time
$66k-82k (estimate)
04/28/2024
06/20/2024
curiapp.co
Brooklyn, MS
<25
Related Companies
The job skills required for Claims Consultant include Written Communication, etc. Having related job skills and expertise will give you an advantage when applying to be a Claims Consultant. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Claims Consultant. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Claims Consultant positions, which can be used as a reference in future career path planning. As a Claims Consultant, it can be promoted into senior positions as a Claims Clerk III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Claims Consultant. You can explore the career advancement for a Claims Consultant below and select your interested title to get hiring information.
Similar Jobs
Popular Articles
