IPS Group | Senior Claims Examiner
5 days ago
Key Responsibilities:
- Handle a portfolio of medium to high complexity Healthcare/Medical Malpractice claims with minimal supervision.
- Evaluate policy coverage for complex claims and determine applicability.
- Conduct investigations through engagement with insureds, claimants, brokers, and experts.
- Partner with legal teams and stakeholders to develop cost-effective resolution strategies.
- Manage claims proactively, ensuring reserves align with company guidelines.
- Identify large or significant claims early and keep management informed.
- Mentor and provide guidance to less experienced team members.
- Negotiate settlements and explore recovery opportunities.
- Stay up-to-date on regulations, trends, and industry developments.
- Proven experience in claims handling, particularly in Medical Malpractice or bodily injury claims.
- Strong understanding of policy language, legal applications, and underwriting risks.
- Excellent analytical, problem-solving, and negotiation skills.
- A proactive mindset with a long-term view of business objectives.
- Strong communication and interpersonal skills for effective collaboration.
- Up-to-date knowledge of relevant regulatory and legal requirements.
- Competitive salary and benefits package.
- Hybrid working model for flexibility.
- Opportunities to work on challenging and impactful claims.
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