Medical Malpractice Claims Supervisor

Illinois Health and Hospital Association
Naperville, IL Full Time
POSTED ON 1/19/2022 CLOSED ON 3/2/2023

Job Posting for Medical Malpractice Claims Supervisor at Illinois Health and Hospital Association

Main Function:
Responsible for the management of medical professional liability claims and litigation for IHA affiliates which include the Illinois Provider Trust, Illinois Risk Management Services and Medical Alliance Insurance. Manages the professional and general liability claims for assigned healthcare systems, hospitals and physicians. Provides on-site client services, develops and presents educational programs and collaborates with risk management staff on identification and mitigation of risk management issues.
Outline of Responsibilities:

  • Advise clients regarding claim and risk management issues
  • Analyze claim submissions from clients and establish and maintain claim files and reserves
  • Conduct or assign investigations to Senior/Claims Consultants to ascertain all facts
  • Obtain consultant/expert reviews as needed
  • Evaluate liability or defensibility of claims
  • Notify excess/reinsurers as required and participate in claims audits
  • Negotiate settlements with claimants, families or attorneys as appropriate and within prescribed authority levels
  • Negotiate Medicare or other liens as necessary
  • Communicate with clients to obtain proper authority for settlement
  • Authorize invoices or settlement check requests for payment
  • Assign litigation and supervise outside defense counsel
  • Communicate with AVP regarding loss reserve increases, large losses, adverse claim development, status of litigation and trials
  • Prepare and present claims for roundtable discussions with staff
  • Attend pre-trials, mediation or trial as required
  • Prepare reports for MMSEA, Illinois Department of Insurance, Illinois Department of Financial and Professional Regulation and the National Practitioner Data Bank
  • Prepare for and participate in client board, committee or claim meetings as requested
  • Prepare educational presentations for risk management meetings and/or for clients as requested
  • Assist AVP with contract and subpoena reviews
  • Collaborate with risk management and underwriting staff regarding claim trends and renewal issues
  • Other duties as defined

Qualifications:
Bachelor’s degree and JD or medical professional liability claims experience, required. Proficient in Microsoft Office Suite and excellent verbal and written communication skills, required. Must possess analytical and critical thinking skills and be a team player who can manage multiple projects. Routine travel is required.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other legally protected status.
We offer a competitive compensation package, including excellent benefits. Qualified candidates must apply online: Click here to apply https://www.team-iha.org/our-association/employment-opportunities

Job Type: Full-time

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Salary.com Estimation for Medical Malpractice Claims Supervisor in Naperville, IL
$83,295 to $109,510
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