Claims Analyst

Reposted 6 Days Ago
Be an Early Applicant
Hiring Remotely in Office, Machaze, Manica, MOZ
Remote
Expert/Leader
Insurance
The Role
The Head of Defense oversees MagMutual's Defense organization, leading claims management and TPA relationships, driving operational consistency, and enhancing policyholder experiences.
Summary Generated by Built In
The Claims Analyst is responsible for investigating and managing primary litigation claims as assigned. This role involves developing a litigation plan and strategy with defense counsel, recommending defense or settlement strategies, and presenting cases to trial and settlement committees. This position assists management in the training of claims personnel and is responsible for completing special projects assigned by management. The Claims Analyst abides by MPL Analyst Guidelines.

SPECIFIC DUTIES:

  • Establish and verify insurance coverage for MagMutual insured.
  • Investigate claims against MagMutual insureds.
  • Proper reserving and coding to accurately reflect exposure of MagMutual/insured.
  • Assign a Medical Advisor when required.
  • Thoroughly, accurately, and timely document case files
  • Manage and control LAE expenses incurred on each assigned claim file.
  • Determine the appropriate case plan - settlement or defense.
  • Become knowledgeable and proficient in all claim management related technologies
  • Timely close files
  • Provide recommendations for continued use or termination of defense counsel/firms
  • Handle specialty cases as needed.
  • Lead committees as assigned by management.
  • Assist with reports and communications with reinsurers.
  • Assist with departmental and strategic projects.
  • Become knowledgeable of all companies under the MagMutual Group and assists those companies in their growth when necessary.
  • Attend continuing education seminars/courses to enhance medical/legal knowledge.

QUALIFICATIONS, EXPERIENCE REQUIRED:

  • College undergraduate degree
  • Minimum four years of prior casualty claims experience with emphasis on medical malpractice claims.
  • Experience handling high exposure cases including negotiations/resolution.
  • Excellent communication, interpersonal, analytical, and negotiation skills.
  • Ability to project a professional demeanor.
  • Ability to properly handle confidential information.
  • Flexibility to travel as the position requires.

Location: 

Atlanta Office

Skills Required

  • Juris Doctor (JD) required; active license to practice law preferred.
  • Minimum of 15 years of senior leadership experience overseeing a large, complex portfolio of physician and hospital MPL claims.
  • Proven experience integrating claims and legal defense teams under a unified strategy and leadership model.
  • Demonstrated success managing TPAs and creating scalable oversight structures for new or diversified insurance lines.
  • Deep understanding of MPL litigation trends, evolving healthcare liability risk, and insurer operational drivers.
  • Track record of delivering results in indemnity performance, litigation outcomes, and policyholder satisfaction.
  • Strategic and operational leader with strong transformation, change management, and team-building capabilities.
  • Executive presence and communication skills, with the ability to influence across all levels of the organization and externally.
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The Company
HQ: Atlanta, Georgia
515 Employees
Year Founded: 1981

What We Do

MagMutual provides healthcare liability insurance for the practice, business and regulation of medicine. We are a mutual insurance company offering an innovative approach to insurance, all with dividends and rewards.

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