Claims Counsel
, NJ, United States
Who We Are:
NIP Group www.nipgroup.com – NIP Group is a rapidly growing insurance service provider of specialty programs for commercial insurance brokers and carriers providing underwriting, distribution, product management, administration, and risk management services primarily by acting as a managing underwriter (MGA) and a Reciprocal Services Manager (RSM).
Conventus Inter-Insurance Exchange www.conventusnj.com – Conventus is one of New Jersey’s largest medical professional liability insurers, formed by and governed through an alliance of physicians. Conventus’ sole purpose is to help physicians, allied professionals, and practice administrators succeed in today’s rapidly changing healthcare environment by utilizing its innovated in-house resources to assist physicians and groups manage the complexity of running a successful practice. NIP Management Company, LLC is the attorney-in-fact for Conventus.
Who You Are:
Come join our growing team! The Claims Counsel – Medical Professional Liability will be responsible for handling medical professional liability claims and regulatory matters arising out of policies issued by Conventus Inter-Insurance Exchange. This role is perfect for an attorney with a background in litigation and knowledge of the healthcare field, who thrives on personal interactions in a fast-paced environment. Every day is a new adventure! If that's you or someone you know, message us.
What You'll Do:
Assist in the management of medical professional liability claims that have been asserted against Conventus physician member insureds.
Perform the following tasks in connection with the handling of such claims:
Discuss relevant claim with member physician
Receive and review relevant pleadings, medical records, and other investigative documents
Interview physician members with claims to determine liability, causation, and damages as applicable to each claim
Review and evaluate insurance contract wording and coverage for each claim
Discuss claim with appointed panel counsel and establish a comprehensive investigative and litigation management strategy for each claim
Attend selected depositions, settlement conferences, mediations, and trials
Manage claims within preexisting litigation protocols and practices
Recommend reserves and investigative strategies for the Company and management
Enforce litigation guidelines and strategies as cases require
Conduct limited legal and other research on medical/legal issues that affect the Department or Company
Assist in statistical reporting and generate claim and loss reports, as required.
Attend internal and Board of Governor Claim Committee meetings, as assigned as well as assist in preparing Committee reports and documents, as warranted.
Act as a resource and consultant to other departmental personnel for claim and other risk exposure issues. This includes developing and conducting educational sessions on pertinent claim or other healthcare topics.
Attend sales calls to present claims handling guidelines and services, as requested.
Assist in research, development and publication of newsletters and related claim department materials.
Participate in internal and external activities to improve effectiveness, efficiency and teamwork between all departments and disciplines to maintain company profitability.
Maintain current knowledge of healthcare industry, claims management and industry standards.
Other duties as assigned
What You Bring:
2+ years of experience, preferably managing or litigating healthcare claims in a corporate or law firm setting
JD preferred
Familiarity with New Jersey medical malpractice law preferred
Excellent written and oral communication skills, including public speaking
Strong interpersonal skills and the ability to work well in teams
High level of integrity and dependability with a strong sense of urgency and results-orientation
Working knowledge of Microsoft Word, PowerPoint, and Excel
What You'll Receive
At NIP Group, we recognize there are many factors that contribute to your overall satisfaction both at work, and in your personal life. For that reason, we provide a perfect mix of compensation, benefits, company culture, and resources to ensure your everyday happiness. Below are some benefits that you’ll receive.
Competitive compensation to reward you for your hard work every day.
Progressive Paid-Time Off program for you to enjoy time out of the office, including time off for volunteering and life events.
Group Medical, Dental, Vision and Life insurance to encourage a healthy lifestyle.
Pretax Health and Dependent Care Spending Accounts to ease taxes on spending.
Discounts in retail and entertainment.
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