Manage claims and lawsuits brought against policyholders by interpreting coverage and overseeing outside legal counsel. Resolve cases through settlement, dismissal, or trial while managing litigation costs and reserves.
MedPro Group
12 Remote Job Openings at MedPro Group
Claims Consultant – New York Physicians & Surgeons
MedPro Group
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Full Time
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a day ago
MedPro Group
Manage claims and suits brought against policyholders, including interpreting coverage issues and managing outside legal counsel. Responsible for negotiating settlements, posting reserves, and assisting in client retention efforts.
Lead and mature the 24x7 cybersecurity threat detection and response processes while managing a team of analysts and vendors. Support the Deputy CISO in defining corporate cybersecurity governance, controls, and defense hardening for on-prem and cloud technologies.
Responsible for preparing and submitting student health insurance network filings and reports to ensure regulatory compliance. The role involves monitoring deadlines, coordinating with stakeholders, and serving as a subject matter expert on provider network regulations.
Corporate & Regulatory Counsel- Health Insurance Compliance
MedPro Group
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Full Time
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22 days ago
MedPro Group
The role involves managing corporate, transactional, and insurance regulatory matters for a nationwide health insurance carrier. Key duties include drafting commercial agreements, providing legal guidance to business leaders, and mentoring legal staff.
Serve as the primary legal advisor on state and federal privacy compliance, focusing on healthcare data and incident response. Review and negotiate privacy provisions in commercial agreements while partnering with cross-functional teams to implement operational solutions.
Create and edit high-quality publications and materials focused on patient safety and risk management for healthcare providers and the public. Manage digital content, social media campaigns, and editorial calendars while collaborating with internal stakeholders.
Claims Consultant - Physicians & Surgeons (West Region)
MedPro Group
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Full Time
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a month ago
MedPro Group
The Claims Consultant will manage claims and suits against policyholders, including interpreting coverage, selecting legal counsel, and managing litigation costs. They are also responsible for negotiating settlements, posting reserves, and supporting sales and retention efforts.
Claims Consultant – Hospital/Excess Professional Liability
MedPro Group
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Full Time
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2 months ago
MedPro Group
The Claims Consultant will confirm coverage and manage claims and suits against accounts, interpret and resolve coverage issues, and manage litigation with outside counsel. Additional responsibilities include negotiating case resolutions and providing service to insureds.
This role involves providing comprehensive legal advice and training to Claims, Underwriting, and Market Management across all insurance lines, focusing on claims handling procedures to prevent bad faith claims. Responsibilities also include executing coverage issues, preparing necessary correspondence, and consulting on the legal implications of business decisions and initiatives.
The role involves managing a book of Senior Care business to maintain and grow insured relationships, analyzing and underwriting Senior Care risks to meet profitability targets, and ensuring timely delivery of appropriate pricing and insurance structures. Responsibilities also include engaging in strategic business travel and collaborating internally to maintain profitability and increase new business writings.
The AI Data Lead will establish and develop scalable AI infrastructure and solutions within the Enterprise Data Management team, overseeing the platform and building out the required technical team. This role involves defining the Data AI framework, designing the AI platform architecture, leading data source migration, and delivering strategic AI initiatives.
