Overview
Assistant Compliance Manager (Local) 45k-55k Jobs in United States at Zeffert & Associates, Inc.
Job description
Puerto Rico Medical Defense Insurance Co. is seeking for an enthusiastic and passionate Legal Claims Supervisor, who will be responsible of the supervision and management of judicial and extrajudicial medical malpractice claims. The supervisor will teamwork with the VP of Claims and Legal Affairs in evaluating the level of liability and exposure.
Duties:
Perform an initial investigation of the claim, including review of the policy language.
Make an evaluation of risk exposure.
Provide instructions and supervise the case management by external legal firms.
Evaluate and document the proper reserves (indemnity and LAE) in a timely manner.
Negotiate with claimants and attorneys up to their amount authority.
Report cases to the NPDB and JLM, OCS and Medicare, as applicable.
Prepare and draft reports, letters, memos and review legal documents.
Review and approve legal expenses and external lawyers’ invoices related to the cases assigned. The approval must be according to our billing guidelines.
Must be aware of deadlines for any payments (indemnity and LAE) and submit invoices to accounting department on time and follow up on time.
Participate in meetings, depositions, hearings, and trials.
Stay up to date on legal matters regarding professional liability, applicable legislation, court decisions, civil and evidence rules.
Create outlook reminders to follow of all the pending matters, including but not limited to payments, medical records, certified insurance policy, trials and hearings).
Assist in any other matter not mentioned, as needed.
Requirements:
Juris doctor
State and federal license, preferable.
Minimum of 3-5 years of experience in insurance claims management.
Experience in Medical-Malpractice and/or professional liability claims, preferable.
Experience in litigation.
Legal Adjuster License (First Part) preferred
Advanced settlement skills.
Broad knowledge of legal principles.
Fully bilingual.
Advance knowledge of word, excel, and outlook.
Analytical Skills.
Teamwork.
Excellent interpersonal skills.
Equality Employment Opportunity **EEO** Affirmative Action for Minorities/Females/ Veterans/ People with disabilities. Employer with E-Verify to verify the eligibility of employment of all the new employees.
Job Type: Full-time
Benefits:
Dental insurance
Health insurance
Life insurance
Vision insurance
Compensation Package:
Performance bonus
Schedule:
8 hour shift
Monday to Friday
Ability to Commute:
San Juan, PR 00920 (Required)
Work Location: In person
Show more
Title: Assistant Compliance Manager (Local) 45k-55k
Company: Zeffert & Associates, Inc.
Location: United States
