Complex Claims Consulting Director - Healthcare
New Today
JOB DESCRIPTION
: Essential Duties & Responsibilities:
Performs a combination of duties in accordance with departmental guidelines:
Oversees the most complex investigations of claims, liability and damages and determines claim strategy, including if a claim should be settled or litigated.
Develops and directs the execution of the litigation management strategy.
Counsels management on legal risks, claim and litigation strategy and obligations in complex matters.
Manages litigation by staff, coverage or outside counsel. Monitors trials, tracks legal and regulatory developments. Advises management and claim professionals regarding issues, approaches and impact of changes.
Directs the negotiation of the most complex settlement packages, ensuring adequate reserves and cost effective settlements.
Provides research, legal analysis, counsel and guidance on legal or claim handling questions or issues.
May participate with senior management in the development and implementation of claims policy and business strategy.
Mentors, guides, develops and delivers training to less experienced Claim Professionals.
May perform additional duties as assigned.
Reporting Relationship
Director or above
Skills, Knowledge & Abilities
Expert knowledge of commercial insurance industry, products, policy language, coverage, and claim practices.
Excellent verbal and written communication skills with the ability to develop collaborative working relationships, articulate very complex claim facts, analysis and recommendations in a concise manner to senior management, as well as with external business partners and customers.
Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems.
Extensive experience in leading complex negotiations, as well as developing and implementing resolution strategies.
Strong work ethic, with demonstrated time management, organizational skills, and an ability to work independently in a fast-paced environment.
Ability to drive results by taking a proactive long-term view of business goals and objectives.
Extensive experience interpreting commercial insurance policies and coverage.
Ability to partner with internal resources, oversee/manage outside counsel, and collaborate with other carriers.
Ability to lead multiple and shifting priorities in a fast-paced and challenging environment.
Knowledge of Microsoft Office Suite and ability to learn business-related software.
Demonstrated ability to value diverse opinions and ideas.
Education & Experience:
Bachelor's degree with JD preferred in a related discipline or equivalent.
Typically a minimum ten years of relevant experience. Medical malpractice experience preferred.
Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
Advanced negotiation experience
Professional designations are highly encouraged (e.g. CPCU)
- Location:
- Portland
- Job Type:
- FullTime
We found some similar jobs based on your search
-
New Today
Complex Claims Consulting Director - Healthcare
-
Portland
JOB DESCRIPTION : Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Oversees the most complex investigations of claims, liability and damages and determines claim strategy, including if a claim should be settled or litigated. Develops and directs the execution of the...
More Details -
-
14 Days Old
Complex Claims Consulting Director - Healthcare
-
Portland, OR, United States
- Business And Financial Operations Occupations
Overview You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of al...
More Details -