Claims Specialist at AllRight Jobs Inc

Job Summary (Claims Specialist - Orange County) - Manage medical malpractice claims with increasing complexity and financial exposure - Direct and oversee defense counsel activities in accordance with company guidelines - Investigate and evaluate claims including reviewing medical records and interviewing relevant parties - Prepare and present case evaluation reports for internal committees and management - Oversee and participate in litigation activities such as discovery mediation settlement conferences and negotiation - Monitor trials and arbitrations providing support and updates to members and defense attorneys - Maintain accurate and timely documentation of case developments in claims systems - Ensure all relevant information and documents are coded and indexed appropriately - Assist management with special projects and coverage investigations - Respond to hotline calls and prepare related documentation as needed - Attend staff and department meetings as required - Support and help train junior Claims Specialists (I and II) - Perform additional duties as assigned by management - Requires a bachelors degree relevant legal/medical background and minimum five years experience in medical malpractice claims management - Must have a valid California drivers license - Strong verbal/written communication analytical and time management skills required - Ability to handle multiple priorities and deadlines; PC literacy preferred Key Skills Corporate Paralegal,Baan,IT Sales and Marketing,Civil Quality Control,Activex,Jboss Employment Type : Full Time Experience: years Vacancy: 1