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DATE ADDED: Wed 19/09/2018

Senior Professional Liability Representative

94507, USA


Job Description

Position Summary:     

Investigates, manages and resolves a wide variety of general and professional liability claims, including medical negligence, wrongful employment practices, D&O and premise liability.

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


·        BA/BS degree required

·        Minimum of three years of experience handling general and professional liability claims, specifically hospital and/or physician malpractice claims

·        In depth knowledge of medical practices, hospital policies and procedures, legal principles and insurance practices, with an emphasis in healthcare related statutes and case law

·        Excellent written and verbal communication skills

·        High degree of organization and attention to detail

·        Excellent analytical, interpersonal and problem solving skills

·        Ability to work independently, exercise good judgment, prioritize and meet deadlines

·        Proficient with computers/software including Windows and Word

·        Valid driver’s license, satisfactory driving record and ability to travel, including occasional overnight travel




Excellent benefits package, including retirement plan

Please send resume and salary requirements to


Company Description
BETA Healthcare Group (BETA) is the largest professional liability insurer of hospitals on the West Coast and provides coverage to more than 250 hospitals and healthcare facilities. In addition, BETA provides workers' compensation coverage for over 40,000 healthcare workers in California. BETA also has a long-established and growing commitment to physicians, providing medical professional liability coverage to over 6,000 physicians and more than 50 medical groups. Beyond primary liability and workers’ compensation coverage, BETA provides an entire suite of alternative risk and insurance services, including excess healthcare professional liability coverage, excess workers’ compensation coverage, third-party claims administration services, risk management consulting services and claims management consulting services. Whether with hospitals, medical groups, clinics or hospices, BETA has earned a reputation for financial strength, rate stability, quality service and breadth of coverage that is unparalleled in the industry.

Role: Senior Professional Liability Representative
Job Type:
Location: 94507,

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