BETA Healthcare Group (BETA) is the largest professional liability insurer of hospitals on the West Coast, providing coverage to more than 250 hospitals and healthcare facilities. BETA also has a long-established and growing commitment to physicians, providing medical professional liability coverage to nearly 6,000 physicians and more than 50 medical groups.
Position Summary: Investigates, manages and resolves a wide variety of general and professional liability claims, including premises liability, medical negligence wrongful employment practices and D&O liability claims.
Specific Responsibilities: • Maintains a large personal case load in accordance with Claims Department procedures • Plans strategies for and carries out proactive investigations • Prepares written summaries of claim investigations • Compiles, analyzes and documents medical and legal information in claim files • Interprets coverage contracts/policies, analyzes coverage issues and makes recommendations for declinations of coverage, reservation of rights letters and tenders of defense • Suggests appropriate case reserves and reserves changes as necessary • Updates claims database and paperless file as needed • Selects, directs and monitors defense counsel and ensures compliance with the Litigation Management Guidelines and Claims Department procedures • Communicates effectively with members/insureds, brokers, counsel, experts and other key contacts as necessary • Maintains personal contact with assigned accounts and provides proactive claims advice to members/insureds as necessary • Attends, mediations, court hearings, trials and meetings with members/insureds and counsel as necessary • Effectively analyzes liability, causation and damages issues • Drafts reports as necessary, including board reports, licensing agency reports and reinsurance reports • Makes recommendations for claims resolution and negotiates settlements in accordance with Claims Department procedures • Effectively manages litigation expenses and reviews and approves invoices of defense counsel, experts and vendors • Maintains current knowledge of claims practices, trends, medicine and legal principles • Other duties as requested
EQUAL OPPORTUNITY EMPLOYER OUTSTANDING BENEFITS INCLUDING RETIREMENT PLAN