Senior Claims Consultant

Title

Senior Claims Consultant

Location

Hybrid - Raleigh, NC

About Us

A full-service advisory firm, Curi is comprised of three distinct businesses: Curi Insurance, its flagship medical malpractice liability insurer; Curi Advisory, its consulting arm; and Curi Capital, a registered investment advisor (RIA). What we all have in common is an unwavering commitment to serving clients. As fierce healthcare advocates, business leaders, and thoughtful partners, Curi offers unmatched access and exudes a deep understanding of specific client circumstances. With exceptional accessibility and dedication, Curi's trusted expertise, ability to form deep relationships, and holistic approach deliver outcomes that are proven, actionable, and meaningful-in medicine, business, and life.

The Role

We are looking for a dynamic team player with strong communication skills to join our Claims Department as a Senior Claims Consultant. In this role, 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 first point-of-contact for insureds regarding general claim questions and reporting of claims.
• Perform coverage analysis and prepare reservation of rights/declination letters when appropriate.
• Work with defense counsel to develop the case to include expert support and case strategy.
• Obtain expert reviews and conduct independent investigations when no defense counsel is assigned.
• Maintain cases on the 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, mediation, and trials.
• Attend and participate in Claims Review Committee meetings to provide strategy on claims file management.
• Willingness to travel up to 33% of the time.

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
• Strong work ethic and self-motivated
• Excellent customer service skills
• Strong computer skills - experience with eOasis and OnBase is a plus
• Proficiency with Microsoft Office Suite
• Alignment with Company's core values: accountability, curiosity, inclusivity, service heart and teamwork

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

Our Vision: To be the trusted partner in medicine, business, and life.

Our Mission: By providing valued advice and support, we help strengthen care, mitigate risk, and build financial futures to enhance the lives of those we serve.

Our Values:

• ACCOUNTABILITY: We are driven to act, work with integrity, and deliver results.
• CURIOSITY: We ask and listen, stay curious, and are eager to learn.
• TEAMWORK: We build strong relationships, celebrate success, and partner for greater impact.
• INCLUSION: We respect, recognize, and encourage the differences that make us stronger-we are better together.
  Built ON a ...
• SERVICE COMMITMENT: We demonstrate an unwavering commitment to our clients, business partners, teammates, and communities

Benefits

Curi offers eligible team members and their dependents comprehensive health benefits, including medical, dental, vision, and life insurance.Other benefits for eligible team members include education assistance, 401(k) and employer match, short-term disability, long-term disability, flexible time off, and 13 paid holidays annually.

Predictive Index Assessment

As part of the interview and selection process, we are asking candidates to complete a behavioral and a cognitive assessment conducted by Predictive Index. These assessments help the interview team evaluate how candidates' behavioral characteristics and cognitive abilities align with the specific requirements of the role.

Please note that these assessments are just one component of our selection process and do not solely determine a candidate's eligibility for the position.

To proceed, please click on the link below to complete the six-minute, scientifically validated behavioral assessment, as well as a cognitive assessment. The cognitive assessment measures general cognitive ability and helps us understand how quickly a candidate can learn and adapt to the role.

https://assessment.predictiveindex.com/bo/CP4D/claimsconsultantlink

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