Professional Liability Claims Specialist

pathology.vcu.edu

Claims investigation and litigation support
Medical records and billing document management
Claims management system (origami)
The Professional Liability Claims Specialist supports VCU Health’s professional liability program through coordinated claims investigation, litigation support, regulatory compliance, and administrative oversight

Job Summary

  • The Professional Liability Claims Specialist supports VCU Health’s professional liability program through coordinated claims investigation, litigation support, regulatory compliance, and administrative oversight.
  • This role serves as a key liaison among covered providers, legal counsel, internal departments, and external agencies to ensure accurate, timely, and compliant handling of medical malpractice claims.
  • The Specialist integrates investigative, documentation, financial, and reporting activities to support risk mitigation and informed decision-making related to claim resolution.

Matching Summary

The Professional Liability Claims Specialist supports VCU Health’s professional liability program through coordinated claims investigation, litigation support, regulatory compliance, and administrative oversight.

Skills & Requirements

Must-have

  • Claims investigation and litigation support
  • Medical records and billing document management
  • Claims management system (Origami)
  • Regulatory compliance and reporting
  • Financial processing and claims payments
  • Professional communication with stakeholders

Nice-to-have

  • Experience in legal or healthcare settings
  • Collaboration with clinical and administrative departments
  • Strong organizational and time-management skills
  • Analytical and problem-solving abilities
  • Proficiency with Microsoft Office and document management

Key Requirements

  • High School Diploma or equivalent
  • Virginia Notary Public Commission License within 60 days
  • Minimum three years experience in insurance claims or healthcare administration
  • Certified Paralegal (CP) credential preferred
  • Experience with claims databases or electronic case management

Work Rights

Virginia Notary Public Commission License required within 60 days

Tailored Resume

Cover Letter