Job description

NOTE: This is a Medical Professional Liability Claims position servicing California; therefore, applicants will be preferably based in California, but MIEC may consider applicants from the Western USA. This position is not eligible for relocation.
SUMMARY:
This is a Medical Professional Liability Claims position. Under the direction of the Vice President of Claims & Patient Safety and the supervision of the Claims & Patient Safety management, this exempt position has primary responsibility for opening, investigating, managing, and closing incident and claim files arising against MIEC insureds.
ESSENTIAL FUNCTIONS:

• Responds to first notice of potential claims from policyholders and handles advice calls.
• Gathers preliminary information and provides appropriate advice for action.
• Works closely management team to identify and evaluate insurance coverage issues.
• Correspondence to policyholders, claimants, and attorneys.
• Submits for opening, managing, and closing incident, claim and suit files.
• Settles cases within defined settlement authority.
• Prepares reports.
• Obtains and reviews legal records and reports; coordinates discovery with defense counsel; monitors file status, documents, and billings.
• Contributes to development, preparation, and implementation of negotiation/case resolution strategies, and resolves claims.
• Performs court checks, orders, and approves settlement checks; prepares state-mandated reports; prepares and reviews releases; notifies policyholders of file closure; and, manages billings.
• Participates in the design, planning and presentation of seminars and webinars.
• Trains and participates in Claims Prevention Surveys for policyholders.
• Studies trends and current developments within the medical malpractice industry.
• Strictly maintains confidentiality.

KNOWLEDGE/SKILLS/ABILITIES

• Solid understanding of Patient Safety Risk Management (PSRM) services and products with the ability to address general PSRM questions or refer to the appropriate discipline.
• Proficiency in medical terminology preferred.
• Demonstrated expertise in the handling of medical malpractice claims.
• Demonstrated customer service focus and commitment to MIEC policyholders.
• Strong written, verbal, and interpersonal communication skills.
• Ability to work independently and as a part of a team, exercise good judgment and show professional initiative.
• Strong research and analytical skills; inquisitiveness.
• Organized, detail oriented and capable of setting and meeting competing work-related deadlines and manage time and multiple competing priorities.
• Proficient with computers and software including Word, Excel, Power Point, Windows, Teams, Sharepoint and paperless document management programs.
• Willingness and ability to travel with overnight stays, as needed.

EDUCATION/EXPERIENCE:

• Bachelor’s degree (BA/BS) required.
• A valid driver’s license is required.
• Minimum of five (5) years of prior experience handling medical professional liability claims or professional-level experience in the legal industry is required.

ENVIRONMENT/PHYSICAL REQUIREMENTS:
Position requires mild to moderate physical activity, and some travel required.
LOCATION:

• Headquarters is located in Oakland, California, with satellite offices in AK, HI, and ID.
• This position can be either remote, hybrid or in-person working out of our California office. Applicants located outside of California must be based in a western continental state.

HOURS:
This position will work regular Pacific Time (PST) business hours, regardless of the employee’s location.
BENEFITS

• 401(K)/Pension Plan

• Health Insurance

• Vision and Dental Insurance

• Paid Time Off

COMPENSATION:
Salary based on experience.
MIEC offers competitive compensation commensurate with experience and a comprehensive benefits package.
MIEC is an EEO employer, we enjoy diversity in our staff, insured and our business partners.
TO APPLY:
Please CLICK HERE to apply.
About MIEC:
MIEC was founded in 1975 in the depths of the malpractice crisis by physicians and their medical societies when insurance was largely unavailable to the healthcare community. As the West’s first truly physician-owned medical professional liability insurer, MIEC has always been guided by the desire to protect physicians and other healthcare professionals from malpractice risks and committed to a long-term philosophy of business conduct that ensures such a crisis never happens again. We exist to foster enduring partnerships within the healthcare community by serving members through a philosophy of vigorous protection and high value, delivered by people who care.
As a member-owned exchange Headquartered in Oakland, CA, MIEC now insures more than 7,400 physicians and other healthcare professionals in 4 states, with regional claims offices in Idaho, Alaska, and Hawaii. MIEC has consistently adapted to meet the changing needs of healthcare delivery and continually seeks to reinvent medical professional liability through effective partnership, innovative insights, and dynamic risk solutions.

Job Type: Full-time

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