Careers at CAP

CAP is seeking two Senior Claims Specialists, one for Los Angeles and one for Orange County. This role involves handling technical and administrative responsibilities related to managing assigned claim files and taking on a larger caseload of highly complex claims. The Senior Claims Specialist also plays an active role in the ongoing training and oversight of Claims Specialist I and II team members.

Essential Duties and Responsibilities:

• Manage medical malpractice claims, including the assignment, direction, and control of defense counsel, under supervision and in compliance with the Claims Technical Manual, the Defense Attorney Guidelines, and the MPT Agreement.  Manage increasingly complex cases with larger financial exposure.

• Investigate and evaluate claim files including complying with the standards of performance, interviewing members, reviewing medical records, corresponding with plaintiff attorneys, obtaining preliminary expert evaluation/opinions, and preparing interview summaries.

• Prepare case evaluation reports for publication and presentation to the CRC and CSC.

• Prepare case evaluation reports for discretionary authority on selected cases.

• Manage and participate in all litigation activity, including discovery plan, mediation, MSC, and negotiation under supervision, as necessary.

• Monitor trials and arbitrations including daily progress reports, providing member and defense attorney with support.

• Prepare claim file resolution documentation.

• Timely update the claims database.

• Document all important case developments under the chronology tab.

• Code the claims file and update as relevant information is available. 

• Timely review and index documents to the On Base system.

• Provide assistance to management as indicated on special project.

• Identify, investigate and follow-up on coverage issues.

• Take Hotline calls as requested and as necessary and prepare hotlines.

• Attend staff and department meetings as indicated.

• Assist management in training of Claims Specialist I and II’s.

• Perform other duties as necessary.

Education and/or Experience: 

• Bachelor’s degree from four-year college or university.
• Relevant legal and/or medical education background or the equivalent.
• Minimum five years of medical malpractice claims management experience and/or three years CAP claims experience.

Certificates, Licenses, Registrations:

• Valid California driver license                                                 

Other Skills and Abilities: 

• Excellent demonstrated verbal and written communication skills.
• Effective time management skills.
• Ability to manage multiple priorities/deadlines
• Personal computer literate preferred.
• Strong analytical skills

Starting Salary: $110,000 - $130,000/year (Depending on Experience)

Send cover and resume to HR@CAPphysicians.com

Know anyone interested in this position? Refer them to capphysicians.com/about-us/our-company/careers#claims-specialist.

Schmid & Voiles, the dedicated law firm for the Cooperative of American Physicians, Inc. seeks a Legal Secretary to perform diverse secretarial duties in support of the Legal Department, in San Diego.

Essential Duties and Responsibilities:

• Maintain attorney(s) calendar book and tickler system
• Schedule meetings with clients, experts, attorneys and co-counsel and schedule court appearances
• Review and re-index mail in OnBase for review and action by attorney and calendaring of same
• Compose correspondence and memos to request or provide information
• Contact clients to obtain desired information as requested by attorneys
• Maintain electronic confidential legal files and ensure that each file is organized and documented regarding activity
• Prepare discovery, pre-trial and trial documents for filing with court
• Schedule, calendars and coordinate all aspects of discovery initiated by plaintiff(s) and defendant(s)
• Provide legal secretarial support on either short- or long-term assignments
• Answer and screen telephone calls
• Winscribe/Transcribe dictation and/or type from handwritten material or rough draft copy, including correspondence relating to litigation (pleadings, court forms, reports, summaries, releases, etc.)
• Assist and provide back up for other secretaries
• Maintain current knowledge of court rules
• Perform additional tasks
• Participate in department and company projects

General Office Administration

• Answer and screen telephone calls; direct visitors
• Retrieve, post, and deposit all the daily mail; replenish and maintain sufficient postage for the office
• Maintain office supplies and order supplies as necessary
• Act as liaison with Office of the Building, Office Services, and IT for all facilities related issues; troubleshoot with IT and assist with resetting IT servers.
• Participate in department and company projects as requested
• Assist and provide back up for other secretaries as requested
• Perform additional duties as requested 

Education and/or Experience:

• High school diploma or GED
• 4-7 years of defense trial, litigation experience in a similar industry
• 3 years recent California Civil litigation experience
• Trial preparation experience

Other Skills and Abilities:

• Good organization and communication skills
• Thorough knowledge of court procedures
• Strong initiative and ability to work independently
• Computer literate –proficient in MS Word; knowledge of case management software; type 70+ wpm

Salary Range: $75,000 - $90,000/year

Send cover letter and resume to HR@CAPphysicians.com

Know anyone interested in this position? Refer them to capphysicians.com/about-us/our-company/careers#legal-secretary-iii-admin-assistant.