Process low level general liability claims for a global leader in risk and claims administration. Ensure ongoing adjudication of claims within standards while maintaining professional client relationships.
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Hybrid Professional Liability Claims Analyst
Posted last week
About the role
- Claims Analyst handling professional liability claims at OMS National Insurance Co. Evaluating coverage, collaborating with counsel, and managing a caseload of claims.
Responsibilities
- Evaluate coverage
- Assign and collaborate with defense counsel
- Review and analyze medical records
- Investigate and evaluate issues of liability, causation, and damages, proactively moving the files toward resolution
- Participate in the formulation of case strategy
- Negotiate claims in a settlement posture
- Evaluate indemnity and expense reserves
- Prepare comprehensive claims reports
- Present claims to management and for internal review
- Keep policyholders informed of the status
- Timely and accurately document claims files
- Help maintain claim file data for accurate reporting
- Review and approve bills
- Participating in Risk Management and Defense Counsel Seminars
- Contributing to departmental and company goals, initiatives, and projects
Requirements
- Bachelor’s Degree required; might consider a demonstrated equivalent professional experience
- Minimum 3 years’ experience in the legal, insurance, or medical professional liability claims management field
- Working understanding of medical records
- Microsoft Office Suite proficiency with emphasis on Word, Excel, and PowerPoint
Benefits
- Medical, Dental, and Vision Insurance
- 401(k)
- Short and Long-term disability
- Life Insurance
- Employee Assistance Program
- Free onsite fitness center membership
- Long-term incentive plan
- Educational Assistance and rewards program
- Paid Time Off
- Paid Holidays
- Paid parental leave
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