David Earnest

Experience

• 

  Medical Mutual Insurance Company of North Carolina

  Jun 1989 - Aug 1991

  Claims Adjuster
• 

  Hollowell & Associates

  Aug 1994 - Aug 1995

  Associate Attorney
• 

  Mitchell Law Offices

  Aug 1995 - Aug 1996

  Associate Attorney
• 

  SAS

  Aug 1996 - Aug 1997

  Legal Department (Contracts)
• 

  Medical Mutual Insurance Company of North Carolina

  Sept 1997 - Jan 2016

  Claims Supervisor

  Performed all claims handling for portions of North Carolina, Georgia and Virginia. Supervised two (2) Senior Claims Representatives in North Carolina and one in Virginia. Supervised in-house Medical Care Analyst R.N., Supervised all claims from all states arising under Med-Defense and e-MD coverage (medial board complaints, hospital credentialing, privacy/security breach, billing audits etc..). Handled all aspects of dental claims and Section 1983 claims filed by prisoners. Reviewed all Pre-Trial Reports. Participated in monthly management meetings. Planned and coordinated annual litigation seminar for all defense counsel and other ad hoc meetings/seminars. Monitored changes in laws relevant to medical liability claims. Oversaw federal reporting of claims subject to MMSEA Section 111. Design/modify Claims Department policy/procedures. Liaison with IT Department and represented Claims Department interests in design/implementation/testing of new database program in 2002 (OASIS by Delphi Technology) and implemented Electronic Document Management System in 2005 (OnBase by Hyland Software). Show less

• 

  MagMutual

  Feb 2016 - Sept 2022

  Claims Analyst

  Perform all aspects of medical professional liability claims handling for healthcare providers including physician practices from solo providers to national multi-specialty clinics, regional hospital systems and a medical school primarily in the southeast including KY, VA, TN, NC, GA and SC with rare claims in AR, OH, PA, MS and FL. Claims handling is for matters of all severities and includes coverage determination, attorney assignment/monitoring for matters in litigation, updates to management and reinsurers, evaluation of cases for settlement or trial, negotiation of settlements and all post-claim in-house and federal and state regulatory reporting. Responsible for portion of new line of business where MagMutual provides reinsurance coverage. Show less

• 

  UNC Health

  Oct 2022 - now

  Director Claims & Litigation

  Responsible for the investigation of reported claims and the monitoring of incidents that develop into claims against faculty and staff of UNC Health Care System insured by the Liability Insurance Trust Fund (LITF). Handles internal investigation process of claims, including analysis of medical records, interviews with relevant staff and analysis of value of claim. Assists the AVP of Risk Management in managing external legal counsel hired to represent LITF insureds and manages the lawsuit through resolution. Attends mediations, negotiates and settles claims and lawsuits within the settlement authority provided by the Professional Liability Advisory Committee (PLAC) and/or the LITF Council. Inputs and manages claims information in internal database. Assists the AVP in other projects related to claims as requested. Show less