CHG Healthcare is a physician staffing firm that connects doctors with patients who need their care. The Sr. Medical Claims Adjuster role involves managing medical professional liability claims, interacting with medical providers, and negotiating settlements. The role requires 10+ years of experience in medical professional liability management, with a focus on building trust and credibility with team members, providers, and leadership.
Requirements
- Document disciplinary actions, incidents, claims, and lawsuits concerning medical professional liability.
- Determine whether a covered claim has been made under the terms and conditions of a relevant policy of insurance and maintain a working knowledge of insurance policy forms to verify coverage.
- Establish, monitor, and authorize changes to indemnity and expense reserves on assigned claim files.
- Assign claim files to and supervise outside defense counsel, adjusters, and investigators and/or monitor medical professional liability claims being handled by an insurance company under an insured program.
- Evaluate liability and exposure in assigned claim files.
- Establish and proactively manage appropriate claim resolution, including formation and implementation of resolution strategy.
- Identify responsive documents and witnesses to properly evaluate incidents, claims, and lawsuits.
- Participate in periodic claim reviews with leadership.
- Independently manage incidents, claims, and lawsuits, including attending mediations and trials as necessary.
- Provide updates and recommendations on strategy for resolving incidents, claims and lawsuits to Sr. Leadership.
Benefits
- 401(k) retirement plan with company match
- Traditional healthcare benefits such as medical and dental coverage, and some unique benefits like onsite health centers, corporate wellness programs, and free behavioral health appointments.
- Flexible work schedules - including work-from-home options available
- Recognition programs with rewards including trips, cash, and paid time off
- Family-friendly benefits including paid parental leave, fertility coverage, adoption assistance, and marriage counseling
- Tailored training resources including free LinkedIn learning courses
- Volunteer time off and employee-driven matching grants
- Tuition reimbursement programs
