drjobs Liability Claims Advisor العربية

Liability Claims Advisor

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1 Vacancy
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Jobs by Experience drjobs

0 - 2 years

Job Location drjobs

Dubai - UAE

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Nationality

Any Nationality

Gender

N/A

Vacancy

1 Vacancy

Job Description


ESSENTIAL FUNCTIONS And RESPONSIBILITIES

  • Analyzes and processes complex or technically difficult medical professional liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
  • Conducts or assigns full investigation and provides a report of investigation pertaining to new events, claims, and legal actions.
  • Negotiates claim settlement up to designated authority level.
  • Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.
  • Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.
  • Performs coverage analysis and opinion as part of the claim process including all necessary correspondence.
  • Coordinates legal defense by assigning attorneys, coordinating support for the investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.
  • Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim costs for our clients.
  • Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.
  • Represents the company in depositions, mediations, and trial monitoring as needed.
  • Communicates claim activity and processing with the client; maintains professional client relationships.
  • Ensures claim files are properly documented and claims coding is correct.
  • Refers cases as appropriate to supervisor and management.
  • Delegates work and mentor others.

ADDITIONAL FUNCTIONS And RESPONSIBILITIES

  • Performs other duties as assigned.
  • Travels as required.

QUALIFICATIONS

Education & Licensing

  • A bachelor's degree from an accredited college or university is required. Professional certification as applicable to the line of business preferred.

Experience

  • Six (6) years of medical malpractice claims management experience or equivalent combination of education and experience preferred.

Skills & Knowledge

  • In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as applicable to line-of-business
  • Claims expertise in medical malpractice
  • Excellent oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Analytical and interpretive skills
  • Strong organizational skills
  • Excellent negotiation skills
  • Good interpersonal skills
  • Ability to work in a team environment
  • Ability to meet or exceed Performance Competencies

Employment Type

Full Time

Company Industry

Accounting

Department / Functional Area

Finance / Treasury

Key Skills

About Company

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