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Posted: 26-Dec-24
Location: Topeka, Kansas
Type: Full Time
Sector:
Preferred Education:
Internal Number: 0012025
Kansas Medical Mutual Insurance Company (KAMMCO) is hiring a full-time Medical Liability Analyst (MLA). This position is key to the KAMMCO claims department’s administration of professional and general liability claims. The MLA will proactively manage medical professional liability and general liability claims (including investigation and evaluation of liability and damages), monitor claims defense litigation, advocate on behalf of insured healthcare providers in claims and litigation processes, communicate and collaborate with claims staff, assist and interact with member insureds and attorneys in the litigation process, and maintain internal administrative documentation. KAMMCO’s leadership and staff are committed to the organization’s core values: Integrity, Advocacy, Collaboration, and Innovation. Those interested in joining the KAMMCO family should apply via email to hr@kammco.com. More information about KAMMCO is available at www.kammco.com.
Essential Functions:
- Collaborate with co-workers, member insureds, attorneys, and the Kansas Healthcare Stabilization Fund.
- Make initial contact with insured, claimants and/or claimant attorneys when assigned claims and continuously communicate with and support insured throughout claim and litigation process
- Proactively manage the administration of assigned claims, including but not limited to:
- Obtaining all required information and making all necessary contacts to fully investigate claims;
- Arranging for evaluation of medical records;
- Preparing internal documentation and verbally presenting claim recommendations;
- Independently evaluating claim value and determining reserves for claims;
- Handling negotiations for potential settlement of claims; and
- Reviewing and approving all invoices from attorneys and other vendors.
- In litigated matters, collaborate with defense counsel in defending and evaluating cases.
- Attend all settlement conferences, relevant depositions, and trial on behalf of KAMMCO; attend and support insureds, spouse and defense attorney at trial.
Work Location, Conditions, and Benefits:
- Professional office environment, with primary office in Topeka, Kansas and some remote work flexibility.
- Frequent contact with medical office staff, member insureds, attorneys and legal staff, and the general public.
- MLA may encounter conflict and interaction with member insureds, attorneys, and/or claimants who may be anxious, frustrated or upset.
- Multi-task position requiring ability to take initiative and strong attention to detail.
- Requires extensive travel in a vehicle.
- Exempt, full-time, Monday – Friday position.
- Benefits include health, dental and vision insurance; health savings account; 401(K) plan; life insurance.
Minimum Skills Requirements:
- Insurance claim adjuster experience or relevant educational degree (paralegal, nursing/healthcare, bachelor, certification, or J.D.) preferred.
- Strong medical and/or legal experience preferred.
- Excellent communication skills, including the ability to negotiate and mediate required.
- Strong analytical skills and ability to evaluate liability and damages issues in connection with liability claims.
- Must be able to proactively perform duties and tackle complex challenges within authority without supervision.
- Must be willing to travel extensively as requested; must have a valid driver’s license to travel in company vehicle.
- Must be able to assertively communicate and perform in an adversarial setting.
- Must be able to work independently as well as in a team environment.
- Proficient at Microsoft Office Suite (including Word, Excel, and Outlook), and demonstrates ability to quickly learn other industry related software platforms.