Claims Analyst or Claims & Patient Safety Specialist

Description

Are you ready to make a real difference in healthcare? MIEC is searching for a dynamic Claims professional to join our passionate team and play a pivotal role in protecting medical professionals and advancing patient safety! Whether you step into the role of Claims Analyst or take on the expanded responsibilities of Claims & Patient Safety Specialist, you’ll be at the heart of our mission—opening, investigating, managing, and resolving incident and claim files for our valued policyholders.

But that’s just the beginning! As an Analyst or Specialist in our Claims Department, you’ll go beyond claims management, partnering directly with groups and individual policyholders to deliver innovative Patient Safety & Risk Management services. You’ll help shape safer healthcare environments, drive impactful change, and become a trusted advisor to those who count on us most.

Join MIEC and be part of a team that’s redefining excellence in claims and patient safety—where your expertise, initiative, and commitment truly matter.

Get a sneak peek into MIEC’s mission-driven, collaborative culture by following this link.

This position is remote, with a preference for candidates located in Southern California, with limited travel to our main office in Oakland, CA. This position requires some travel from time to time, including overnight stays.

The hiring salary range of $73,050 to $149,484 will be based on role, experience, and location. Priority will be given to candidates in Southern California, but see hiring ranges below for all locations:

• Hiring range for Claims Analyst role:
  • San Francisco Bay Area and Hawaii: $84,519 to $112,691
  • All other locations: $73,050 to $97,400
• Hiring range for Claims & Patient Safety Specialist role:
  • San Francisco Bay Area and Hawaii: $112,113 to $149,484
  • All other locations: $96,900 to $129,200

MIEC offers competitive compensation, commensurate with experience and a comprehensive benefits package.

MIEC is an EEO employer; we enjoy diversity in our staff, policyholders and business partners.

• 401(K) + Pension Plan
• Health Insurance
• Vision and Dental Insurance
• Generous Paid Time Off Plans

Whether hired as a Claims Analyst or a Claims & Patient Safety Specialist, your primary duties will be in Claims, where you will:

• Respond to first notice of potential claims from policyholders and handle advice calls, gathering preliminary information and providing appropriate advice for action.
• Collaborate with the Claims team to identify and evaluate insurance coverage issues, and to develop, prepare and implement appropriate negotiation/case resolution strategies.
• Obtain and review records, interrogatories, depositions, consultant reports, and attorney reports; coordinate discovery with defense counsel; monitor file status, reserves, legal landmarks and billings.
• Prepare documentation, reports, and correspondence with policyholders, claimants and attorneys.
• Submit incident, claim and suit files for opening; manage and close files in a timely manner.
• Exercise strong judgment in settling cases within authority and develop indemnity and expense reserve recommendations above defined authority level.
• Study trends and current developments within the medical malpractice industry in the states in which MIEC operates, and nationally. Proactively share information within the department about the trends and current developments, including relevant court cases.
• Participate in seminars, trainings, meetings, and Board meetings, when requested.

If hired as a Claims & Patient Safety Specialist, you will also:

• Collaborate with MIEC’s Patient Safety & Risk Management (PSRM) staff to provide specialized internal and external services addressing existing member groups and new business, including large medical groups and hospitals.
• Apply principles of healthcare risk management, such as incident reporting and investigation, risk analyses, and policies/procedures, to further develop PSRM services which can be applied in all healthcare settings.
• Collect, analyze, and compare MIEC data to present evidence-based information to members, utilizing data from various healthcare and medical…