Key Responsibilities Claim Lifecycle Management:

Execute full-cycle handling of claims, from initial coverage investigation and documentation to final file closure.

Financial Oversight:

Evaluate medical records and incident details to establish and maintain accurate indemnity and expense reserves.

Negotiation & Resolution:

Directly negotiate settlements and partner with defense counsel to resolve matters efficiently.

Legal Participation:

Represent the company at mediations and trials as required to support the defense strategy.

Communication:

Maintain proactive, transparent contact with insured healthcare providers, internal leadership, and cross-functional departments.

Operational Quality:

Adhere to industry best practices and internal protocols to ensure the highest level of data integrity and organized file management. Qualifications Bachelor's degree or Juris Doctor (JD) required. Minimum of 3+ years of professional claims handling experience. Must be able to obtain a New York Adjuster's License within 6-12 months of start date. Skills Strong analytical ability with a high level of attention to detail and a commitment to ethical judgment. Proficient business writing and verbal skills for effective reporting and presentation. Additional Requirements Ability to work on-site during the training period. Travel, including occasional overnight stays, for legal proceedings. Benefits Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances). Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)). 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1). Short Term Disability Insurance. Term Life Insurance Plan. • We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours. • As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. 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