[Remote] Senior Claims Consultant

Note: The job is a remote job and is open to candidates in USA. Curi is a full-service advisory firm dedicated to serving clients in the healthcare sector. They are seeking a Senior Claims Consultant to coordinate the defense of insured physicians and medical providers, manage claims, and negotiate resolutions while working with minimal supervision.

Responsibilities

• Act as the first point of contact for insureds on general claim questions and claim reporting
• Perform coverage analysis and collaborate with Curi Legal team to prepare Reservation of Rights/declination letters when appropriate
• Work with defense counsel to develop the case, including expert support and case strategy
• Obtain expert reviews and conduct independent investigations when no defense counsel is assigned
• Maintain cases in a 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, mediations, and trials
• Attend and participate in Claims Review Committee meetings to provide strategy on claims file management

Skills

• Bachelor's Degree with a minimum of 8 years of claims experience (bodily injury claims experience a plus); OR
• JD with a minimum of 8 years of claims experience (bodily injury claims experience a plus) and/or medical malpractice defense experience; OR
• RN or BSN with a minimum of 8 years of clinical experience plus a minimum of 8 years of claims experience
• Must obtain applicable adjusters license(s) by state within three months of start date
• Solid understanding of basic insurance concepts, including coverage, policy language, liability, negligence, and damages
• Strong organizational skills and ability to manage multiple tasks simultaneously
• Effective written and oral communication skills
• Ability to think critically and resolve problems of varying complexity
• Ability to perform with minimal supervision
• Self-motivated with a strong work ethic
• Excellent customer service skills
• Strong computer skills - experience with eOasis and OnBase is a plus
• Proficiency with Microsoft Office Suite
• Alignment with Curi's core values: accountability, curiosity, teamwork, inclusion, and service commitment
• 5 – 10 years of medical malpractice claims and/or medical malpractice defense experience

Benefits

• Comprehensive health benefits, including medical, dental, vision, and life insurance
• Education assistance
• Annual bonus opportunity
• 401(k) with employer match
• Short-term and long-term disability
• Flexible time off
• 13 paid holidays annually

Company Overview