Remote Duke Rn Jobs in Des Moines, IA (NOW HIRING)

Title

Senior Claims Consultant

Location

Remote in Des Moines, Iowa (Candidates must reside in or near Des Moines, Iowa, with the ability to support the surrounding territory)

The Role

We are looking for a dynamic team player with strong communication skills to join our Claims team as a Senior Claims Consultant . In this role, reporting to the Director of Claims, you will help us coordinate the defense of our insured physicians, hospitals and/or medical providers. You will be responsible for investigating and managing claims-including, but not limited to, speaking with insureds and claimants; providing coverage analysis; assigning and working with defense counsel to ensure proper case management; establishing appropriate reserves; and negotiating resolution or issuing denials as appropriate.

As a Senior Claims Consultant, you will handle a more complex caseload and work with minimal supervision. 

Key Result Areas

• Act as the first point of contact for insureds on general claim questions and claim reporting.
• Perform coverage analysis and collaborate with Curi Legal team to prepare Reservation of Rights/declination letters when appropriate.
• Work with defense counsel to develop the case, including expert support and case strategy.
• Obtain expert reviews and conduct independent investigations when no defense counsel is assigned.
• Maintain cases in a diary to ensure proper file management, evaluation, strategy, and timely reserve recommendations.
• Keep current running notes to reflect file development and ensure proper data is maintained in the claims management system.
• Negotiate claim settlements at mediation or directly with plaintiff counsel as indicated, or issue denials to claimant/claimant attorney as appropriate.
• Attend first-suit meetings, mediations, and trials.
• Attend and participate in Claims Review Committee meetings to provide strategy on claims file management.

Key Skills

• Solid understanding of basic insurance concepts, including coverage, policy language, liability, negligence, and damages.
• Strong organizational skills and ability to manage multiple tasks simultaneously.
• Effective written and oral communication skills.
• Ability to think critically and resolve problems of varying complexity.
• Ability to perform with minimal supervision.
• Self-motivated with a strong work ethic.
• Excellent customer service skills.
• Strong computer skills - experience with eOasis and OnBase is a plus.
• Proficiency with Microsoft Office Suite.
• Alignment with Curi's core values: accountability, curiosity, teamwork, inclusion, and service commitment. 

Travel

Up to 33% travel (some overnight) is anticipated for this position

Key Qualifications

Required Education and Experience

• Bachelor's Degree with a minimum of 8 years of claims experience (bodily injury claims experience a plus); OR
• JD with a minimum of 8 years of claims experience (bodily injury claims experience a plus) and/or medical malpractice defense experience; OR
• RN or BSN with a minimum of 8 years of clinical experience plus a minimum of 8 years of claims experience.
• Must obtain applicable adjusters license(s) by state within three months of start date.

Preferred Education and Experience

• 5 - 10 years of medical malpractice claims and/or medical malpractice defense experience.