Claims Examiner MedMal

Diedre Moire Corp.

Aurora, IL

JOB DETAILS
SALARY
$100,000–$140,000 Per Year
JOB TYPE
Full-time
SKILLS
Claims Processing, Claims Management, Insurance Claims, Alliance/Partner Management, Analysis Skills, Best Practices, Billing, Case Management, Claims Coding, Construction, Cost Control, Customer Support/Service, Fraud Investigation, Healthcare, Industry Standards, Investigative Reports, Legal, Legal Support Skills, Mentoring, Negotiation Skills, Process Analysis, Subrogation, Time Management, Vendor/Supplier Planning, Work From Home,
QUALIFICATIONS
LOCATION
Aurora, IL
POSTED
1 day ago

Ins Claims Specialist Medical Malpractice - Aurora, IL

 

Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare _ .
 
REMOTE - WORK FROM HOME MAY BE AVAILABLE
  
Analyze and resolve complex or technically difficult medical malpractice claims within Company standards, industry best practices and specific client service requirements.
 
• Analyze and process medical malpractice claims to determine exposure.
 
• Conduct or assign full investigation and report new events, claims, and legal actions.
 
• Identify and investigate possible fraud, subrogation, contribution, recovery, and case management opportunities.
 
• Calculate and assign timely and appropriate reserves and monitor adequacy throughout claim life.
 
• Recommend settlement strategies and negotiate claim settlement to designated authority level.
 
• Bring structured settlement proposals as necessary to maximize settlement.
 
• Coordinate legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices.
 
• Represent Company in depositions, mediations, and trial monitoring.
 
• Use appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost.
 
• Ensure claim files documented and claims coding is correct.
 
• Delegate work and mentor assigned staff.
 
Competitive compensation package, annual bonuses, vacation time from start, fully covered benefits package, company laptop and cellphone, and chance to immediately impact the success of the company. Highly rated by current employees, former employees, and customers, this company has a history of success. Growth opportunities in a career focused organization that rewards hard work, dedication, and excellence in performance.
 
For complete details contact Greg Foss at:
(609) 584-9000 ext 270
 
Or submit resume online at:
http://dmc9.com/gbf/app.asp
 
Or email to:
1000070798_10006796@najbcareers302.com

Please reference #42971IL192 when responding. Diedre Moire Corporation
 
Education Requirements:  Bachelor Degree
Minimum Experience Requirements:  5-10 years
Job City Location: Aurora
Job State Location: IL
Job Country Location: USA
Salary Range:  $100,000 to $140,000

 

Diedre Moire Corporation, Inc.

diedremoire.com

WE ARE AN EQUAL OPPORTUNITY EMPLOYER and our employment decisions are made without regard to race, color, religion, age, sex, national origin, handicap, disability or marital status. We reasonably accommodate individuals with handicaps, disabilities and bona fide religious beliefs. Jobs Career Position Hiring. CONSIDERED EXPERIENCE INCLUDES:  Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs

DISCLAIMER: We will make every effort to consider applications for all available positions and shall use one or more of the contact methods and addresses indicated in resume or online application. Indicated location may be proximate or may be desirable point of embarkation for paid or unpaid relocation to another venue. Job descriptions may fit single or multiple presently available or anticipated positions and are NOT an offer of employment or contract implied or otherwise. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers. Linguistics used herein may use First Person Singular and First Person Plural grammatical person construction for and with the meaning of Third Person Singular and Third Person Plural references. We reserves the right to amend and change responsibilities to meet business and organizational needs as necessary. Response to a specific posting or advertisement may result in consideration for other opportunities and not necessarily the incentive or basis of the response. Nothing herein is or may be considered a promise, guarantee, offer, pledge, agreement, contract, or oath.

If you submit an application or resume which contains your email address, we will use that email address to communicate with you about this and other positions. We use an email quality control service to maintain security and a remove and dead address filter. To cancel receiving email communications, simply send an email from your address with the word remove"" in the subject line to pleaseremove@candseek4.com Or, visit the website at www.jobbankremove.com. If you have further concern regarding email received from us, call (609) 584-5499.

About the Company

D

Diedre Moire Corp.

INDUSTRY
Manufacturing - Other