Claim Consultant

🕒 June 17

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Coverys

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2010

⚕️ Healthcare Insurance

💸 Finance

Healthcare Insurance • Finance

Coverys is a leading provider of insurance and risk management solutions, specializing in medical professional liability insurance for healthcare professionals and organizations. With over 45 years of experience, Coverys is rated A (Excellent) and is committed to protecting healthcare providers such as doctors, surgeons, nurses, and healthcare facilities including hospitals and outpatient centers. The company offers a wide range of insurance products designed to meet the specific needs of the healthcare sector, including risk mitigation services and value-based care risk protection. Coverys is also involved in the community through the Coverys Community Healthcare Foundation, which provides charitable contributions and grant programs to support healthcare and related organizations. Driven by a mission to support and protect the healthcare community, Coverys is dedicated to innovation and improving healthcare outcomes through its suite of services.

📋 Description

• Investigate, evaluate and dispose of MPL and General Liability claims • Interview insureds, claimants, witnesses and other parties to obtain information • Document related files regarding investigation results • Prepare reports to file on established diary dates • Determine and implement negotiation strategy and negotiate settlements • Advise Claim Director/S.V.P. of Claims on claims status • Ensure timely reporting to the Reserve and Settlement Committee • Analyze and verify insurance coverage for claims

🎯 Requirements

• Bachelor's degree from four-year college or university • R.N. or J.D. preferred • 3-5 years' experience in clinical nursing and/or claims experience dealing with serious bodily injury • Knowledge of medical, legal and insurance terminology • Must hold a current driver's license • Strong written and oral communication skills • Must have training in contract/policy review and application • Ability to travel 25-30% required

🏖️ Benefits

• Professional development opportunities • Ample opportunities to get involved in local communities • Directed donations and company matchings to support personal organizations • Comprehensive benefits package from day 1 of employment