Professional Liability Claims Specialist

Professional Liability Specialist, ISMIE Mutual Insurance Company

Location:

Chicago – Fulltime

About Us:

ISMIE is a Chicago based national professional liability insurance company that provides insurance coverage for health care professionals, small health care facilities and other professionals. 

About the Position:

Company is seeking a Professional Liability Specialist that is able to work in a fast-paced environment to provide exceptional claims service to the Company’s insureds.

Primary Responsibilities:

This position will analyze, evaluate and manage claims, bring assigned claims and cases to a timely and reasonable resolution by maintaining compliance with the Company’s claims philosophy and guidelines. This position will also provide assistance to the Claim Manager and serve as a resource for others in the unit. The primary responsibilities of this position also include the following:

· Establish and maintain contact with insureds, claimants, witnesses, experts, and other concerned parties to gather facts.

· Attend and participate in initial interviews, depositions, mediations and pretrials as needed.

· Work with defense counsel to plan and execute defense strategy.

· Evaluate liability and damages on individual claims through the establishment of injury estimates, use of the Peer Review Committee process and evaluation for settlement authority.

· Provide documentation to file and update all claims files notes with statuses, claims information and activity.

· Provide timely and thorough loss advices in order to update the reinsurers.

· Timely prepare and submit cases through the Peer Review Committee process.

· Approve legal and expense invoices.

· Input and maintain data fields within claims system.

· Assist Claim Manager with training and development of other staff members.

· Conduct file reviews and other managerial duties as necessary.

· Provide quality service in all areas of responsibility.

· Additional duties and responsibilities as required.

Required Skills and Qualifications:

Education Required for Position:

• Bachelor’s degree or equivalent.

Experience Required for Position:

• Two to three years’ experience in medical malpractice claims handling.

Specific Skills Required for Position:

• Thorough understanding of legal processes, rules of discovery and the various theories of recovery in the tort system.

• Knowledge and understanding of insurance coverage issues.

• Excellent oral and written communication skills.

• Professional service-oriented demeanor. 

• Ability to work in the Chicago office.

Compensation and Benefits:

The pay range is estimated to be between $100,000 and $140,000 per year for Chicago residents. *

The Company has a robust benefit package. Coverage for benefits will be in accordance with the terms and conditions of the applicable plans, policies and associated governing plan documents.

The benefit package includes the following:

• 401(k) Retirement Savings Plan

• Medical Plan

• Dental Plan

• Vision Plan

• Healthcare FSA Medical Reimbursement Account

• Health Savings Account

• Life and Accidental Death & Dismemberment Insurance Coverage

• Supplemental Life Insurance Coverage

• Short-term Disability Benefits

• Long-term Disability Insurance Coverage

• Commuter Benefit Plan

• Legal Services Plan

• Employee Assistance Program

• Annual Allotments of Paid Sick, Personal and Vacation Time

• Eight (8) Paid Holidays

*Note: When defining the pay range for this position, several factors are evaluated and considered, including but not limited to experience, education, training, licensure, certifications, skill sets and other business needs. Geographic differentials that correlate with the location where the position may be filled have not been contemplated in the disclosed pay range estimate. Each case is analyzed thoroughly according to the factors noted. 

Equal Opportunity Statement:

ISMIE is an Equal Opportunity Employer committed to supporting a diverse and inclusive work environment that promotes respect for all individuals. ISMIE adheres to a policy of non-discrimination based on race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability gender identity, Veteran status, or any other protected status recognized by applicable laws and regulations.