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 Senior Claims Analyst - Healthcare Excess and Umbrella - Farmington, Connecticut, United States

   
Job information
Posted by: ALLIED WORLD ASSURANCE CO (US) 
Hiring entity type: Insurance 
Work authorization: Existing work authorization required for United States
Position type: Direct Hire, Full-Time 
Compensation: ******
Benefits: See below
Relocation: No relocation assistance provided 
Position functions: Administrative - Other
Customer service & support
Insurance
 
Travel: Minimal 
Accept candidates: from anywhere 
Languages: English - Fluent
 
Minimum education: See below 
Minimum years experience: See below 
Resumes accepted in: English
Cover letter: No cover letter requested
Job code: 001384 / Latpro-2457427 
Date posted: Jun-05-2013
State, Zip: Connecticut, 06030

Description



JOB SUMMARY

Investigate, evaluate, and resolve claims made against the Company's medical malpractice business including general and professional liability claims under hospital primary, excess and umbrella and miscellaneous medical facilities policies.  Engage in collaborative projects in support of other areas of the company, including underwriting, finance and accounting, actuarial, operations, and technology.  Provide superior service to all customers, whether internal or external.

RESPONSIBILITIES              

  • Monitor loss runs and bordereau reporting for severity matters that have the potential to impact the AWAC policies.
  • Identify claims where monitoring counsel is required.  Work with monitoring counsel to assure appropriate defense strategy.
  • Identify matters reported via loss run or bordereau that will not trigger coverage and timely notify insureds and brokers.
  • Manage a vigorous load of claims involving a broad spectrum of accounts and coverages.  Analyze coverage and manage litigation by effectively interacting with insureds, brokers, defense counsel and other parties as required.  Represent Company in the resolution of complex claims and participate in legal proceedings, including mediations.  Participate in underwriting decision making, pre-bind and renewal risk assessment, and underwriting roundtable.
  • Work with other areas of the company including underwriting, finance and accounting, actuarial, operations and technology on projects as requested.  Prepare claim summaries and other reports as necessary for management.  Present severity claims to senior management in large loss meetings.
  • Meet with existing or prospective clients and brokers.  Attend relevant industry conferences/meetings.
  • Assist in training of claims associates.
  • Comply with CMS reporting.



  • A minimum of 5 years' experience handling excess or umbrella medical liability claims or related relevant experience. Experience in handling specialty lines claims is preferred. Four-year college degree is required, but a J.D. or R.N. and/or strong clinical background are preferred.
  • Substantial knowledge of excess coverage, respective state laws, medical malpractice claims and coverage issues. Excellent negotiation and communication skills. Technical writing experience.  Proficient in Microsoft Office products.
  • Ability to analyze coverage; instruct and collaborate with counsel regarding litigation strategy and claim resolution; resolve claims; and otherwise act within the scope of delegated authority.



About Allied World Assurance Company

Our generous benefits package includes: Health and Dental Insurance, 401k & ESPP plans, and Group Term Life Insurance.  Allied World Assurance Company Holdings, AG, through its subsidiaries, is a global provider of innovative property, casualty and specialty insurance and reinsurance solutions, offering superior client service through a global network of offices and branches. All of Allied World's rated insurance and reinsurance subsidiaries are rated A by A.M. Best Company, A by Standard & Poor's, and A2 by Moody's, and our Lloyd's Syndicate 2232 is rated A+ by Standard & Poor's and Fitch.  Allied World Assurance Company, U.S. Inc. is an Equal Opportunity Employer.   



Requirements

See Above

 

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