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CP
CO1005 ProAssurance Group Services Corporation
Senior Product Liability Claims Examiner - Medmarc
Career Insights for Claims Examiner (General)
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Based on Virginia data
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What they do
A Claims Examiner evaluates insurance claims in accordance with applicable contracts and government regulations within their insurance type. Determines member eligibility and financial responsibility of the insurance company.
$80,721 / year median in Virginia
+4% projected growth
Job Description
An exciting opportunity exists to join the ProAssurance family of companies! Our mission is powerful and simple: We protect others. Choosing a place to apply your talents is an important decision for anyone. You have plenty of options. Why choose ProAssurance? At ProAssurance, we sell a pledge, and that pledge is delivered by our team members. We are seeking individuals who value integrity, leadership, relationships, and enthusiasm—and want to build their career with a great company where they can be their authentic self and feel valued, recognized, and rewarded for their contributions. ProAssurance specializes in healthcare professional liability, products liability for medical technology and life sciences, legal professional liability, and workers' compensation insurance. We are an industry-leading specialty insurer, with job opportunities in much of the contiguous United States. This position supports our life sciences product liability line of business and can be hybrid or fully remote (in the continuous United States) depending upon proximity to an office location. New hires will report to the Chantilly VA office every couple of months when initially starting. The primary responsibility of the Senior Claims Examiner position is the direct management of assigned complex claims including claims investigation, coverage analysis, monitoring of defense counsel activities, control of legal expenses, reserving, and providing technical expertise throughout the life of the claim file. Senior Claims Examiner will also conduct presentations and work in cross functional teams to advance the line of business. What you'll do: 30%
- Provides direction, guidance and resolution throughout the life of the claim: contract and coverage analysis, investigation, evaluation of liability and damages, reserving and resolution. 20%
- Directs defense counsel with regard to settlement values, defense tactics and strategies per department guidelines. Participate in selection of expert witnesses when appropriate. Maintain communication with supervisor and counsel and keep all internal and external stakeholders apprised of developments. 25%
- Ensures proper file documentation of assigned files by complying with company and state requirements. Responsible for preparing reports to management by collecting, analyzing, and summarizing claim information. 10%
- Attends trials, settlement conferences, mediations, and insured meetings. Participate in negotiations when appropriate. 5%
- Review and approval of reasonable legal expenses and fees associated with the claim file and negotiate adjustment of charges when appropriate and within guidelines. 5%
- Keeps apprised of changes in the law and court procedures affecting claims in jurisdictions supervised. 3%
- Prepare and deliver presentations to internal stakeholders, brokers, and/or attendees at conferences, seminars, or other position or company-related functions and meetings. 2%
- Work with department members, management, and other work groups on policy form research, development and revisions or other regulatory or product development work.
- an organization equally committed to improving the working lives of people, to help us hire the best talent by providing additional insight about one's work style.
Note:
If you already completed the assessments as part of an application with us, we may have results on file and you may not receive the emails inviting you to take the assessments. If you are moving forward in the process, a Talent Acquisition team member will confirm if we already have your assessment results. Position Salary Range $100,739.00- $166,236.