Insurance Claims Specialist
2 weeks ago
Company Overview
Integris Group is a leading provider of medical professional liability insurance, dedicated to safeguarding healthcare practitioners and their practices. With a strong presence across multiple states, we are committed to making a positive impact in the healthcare community.
Position Title
Claims Representative (Full Time)
Role Summary
We are looking for a Claims Representative to manage a portfolio of claims and assist in the operations of our Claims Department. This role involves investigating, assessing, and resolving medical professional liability claims against our insured clients. The successful candidate will handle claims across various medical specialties with low to moderate severity and complexity, while also supporting other departments such as Underwriting, Risk Management, Finance, and Business Development.
Key Responsibilities
Claims Management
- Oversee assigned claims inventory
- Identify and evaluate coverage issues
- Recommend appropriate defense counsel
- Coordinate initial consultations with insured parties and legal representatives
- Suggest defense medical experts
- Review and analyze medical documentation
- Manage litigation processes, including communication with defense counsel and monitoring legal developments
- Document claim progress and prepare reports for reinsurers
- Maintain regular communication with insured clients throughout the claims process
- Develop and implement claim resolution strategies
- Negotiate settlements directly with claimants or their counsel
General Duties
- Stay informed about relevant legal decisions and industry trends
- Utilize technology to enhance productivity and claim outcomes
- Foster a collaborative team environment
Support for Company Operations
- Assist in compiling and analyzing claims data
- Participate in company events related to Loss Prevention and Business Development
- Provide input on corporate initiatives and IT projects
- Communicate claim developments to the Underwriting Department as necessary
Qualifications and Skills
- Bachelor's degree in a relevant field
- 2-4 years of experience in insurance claims handling or related legal experience
- Experience with medical professional liability claims preferred
- Proficient in MS Office applications
- Strong organizational and communication skills
- Ability to manage diverse caseloads and meet deadlines
- Willingness to travel as needed
- Claim Adjuster's license or willingness to obtain after hiring
Career Development
As you demonstrate proficiency in your responsibilities, opportunities for advancement and more complex tasks may arise, allowing for growth within Integris Group.
Work Environment
This position follows a hybrid work model, with specific in-office days and options for remote work after an introductory period.
Employee Benefits
Integris Group is committed to the well-being of our employees, offering a comprehensive benefits package that includes:
- Medical, dental, and vision insurance
- Employee Assistance Program (EAP)
- Competitive salary and bonus structure
- 401(k) plan with company matching
- Life insurance and disability income protection
- Education assistance programs
- Generous paid time off and company holidays
- Opportunities for charitable involvement and team-building activities
Company Commitment
Founded by healthcare professionals, Integris Group is dedicated to providing support and protection to our members. We are an equal opportunity employer, committed to fostering a diverse and inclusive workplace.
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