Job Description
We are seeking a bilingual Claims Consultant who will cover Hospital, Physicians & Surgeons claims in Puerto Rico and the Southeast region. The ideal candidate would be located within the Southeast United States.
In this role, you will…
- Confirm coverage and then manage claims and suits brought against policyholders.
- Interpret, analyze, and resolve coverage issues.
- Select legal counsel.
- Manage the litigation with outside counsel.
- Manage litigation costs, both fees and expenses.
- Post reserves for both loss and ALE.
- Resolve cases, via settlement, dismissal or trial.
- Negotiate.
- Provide service to insureds, assist where possible in sales and retention efforts of sales force.
- Perform other activities required of a front line claims person.
We are looking for candidates with…
- Excellent written and verbal communication skills in both Spanish and English languages.
- Minimum of five years of claim experience, preferably healthcare liability or other professional liability claims.
- J.D. (preferred), but will consider a Bachelor's degree if the candidate possesses other, pertinent industry experience.
- Strong negotiating skills.
- Adjuster's license (or ability to obtain within 90 days) may be required.
https://medprou.csod.com/ux/ats/careersite/5/home/requisition/1599?c=medprou
MedPro Group has served the healthcare community since 1899, and remains the industry's leading medical malpractice insurance company. Today, more than 300,000 policyholders in the United States choose MedPro to protect their reputation and assets. Since entering the Puerto Rican professional liability market, MedPro has also become a leader in the Puerto Rican healthcare community. As a Berkshire Hathaway company, MedPro provides unmatched financial strength and stability to healthcare providers and facilities in Puerto Rico, providing our Puerto Rican policyholders with personalized coverage, comprehensive risk solutions, and expert claims service.