Insurance Claims Specialist

2 weeks ago


Glastonbury, Connecticut, United States Integris Group Full time

Company Overview

Integris Group is a prominent provider of medical professional liability insurance, dedicated to safeguarding healthcare practitioners and their practices. With our headquarters located in Glastonbury, Connecticut, and Jacksonville, Florida, we serve health care professionals across 22 states in the New England, Mid-Atlantic, and Southeastern regions. Our commitment to growth and innovation positions us for a bright future, as we strive to positively impact the lives of our members and the broader medical community.

Position Title

Claims Representative (Full Time)

Role Overview

We are in search of a Claims Representative to manage a portfolio of claims and support the Claims Department's operations. The key responsibilities include investigating, assessing, and resolving medical professional liability claims filed against our insured parties. This role involves handling claims across various medical specialties with low to moderate severity and complexity. Additionally, the position provides essential support to the Underwriting, Risk Management, Finance, and Business Development teams. The role reports directly to the Vice President of Claims.

Key Responsibilities

Claims Management

  • Overseeing assigned claims inventory
  • Identifying and evaluating coverage issues
  • Recommending legal representation
  • Coordinating initial consultations with insured parties and legal counsel
  • Suggesting medical experts for defense
  • Reviewing and interpreting medical documentation
  • Managing litigation processes, including communication with legal representatives and monitoring case status
  • Documenting claim developments and preparing reports for reinsurers
  • Maintaining regular communication with insured parties throughout the claims process
  • Formulating and executing strategies for claim resolution
  • Negotiating settlements with claimants or their legal representatives

General Duties

  • Staying informed on relevant legal rulings, claim trends, and industry standards
  • Enhancing productivity and outcomes through technology
  • Fostering a collaborative team environment

Support for Company Operations

  • Assisting in the compilation and analysis of claims data
  • Participating in company events related to Loss Prevention and Business Development
  • Providing insights on corporate initiatives and IT projects
  • Updating the Underwriting Department on claim developments that may affect underwriting decisions

Qualifications and Skills

  • Bachelor's degree in Arts or Science
  • 2-4 years of experience in insurance claims handling or relevant legal fields
  • Experience with medical professional liability claims preferred
  • Reliable transportation for travel as needed
  • Proficient in Microsoft Office Suite
  • Ability to manage deadlines while handling a diverse caseload
  • Strong communication skills, both written and verbal
  • Capability to manage off-site work, including depositions and meetings
  • Claim Adjuster's license in applicable states or willingness to obtain post-hire

Career Growth

Successful performance in this role may lead to the assignment of more complex tasks and opportunities for advancement within Integris Group.

Work Environment

This position follows a hybrid work model:

  • In-office work Tuesday to Thursday
  • Remote work option on Monday and Friday after the introductory period

Employee Benefits

At Integris Group, we prioritize the health and well-being of our employees. We offer 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
  • Group life insurance and disability income protection
  • Healthcare Savings Account
  • Education financial assistance
  • Universal paid time off and company holidays
  • Opportunities for charitable involvement and team-building activities
  • Employee recognition programs and casual dress on Fridays

Company Commitment

Founded by physicians in 1984, Integris Group is dedicated to providing support and protection to our members as they navigate the complexities of the healthcare landscape. Our Board, composed of medical professionals, understands the challenges faced by practitioners and is committed to being a reliable ally during critical times. As a mutual company, we share our success with all members.



  • Glastonbury, Connecticut, United States Integris Group Full time

    Company OverviewIntegris 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 TitleClaims Representative (Full Time)Role SummaryWe are...


  • Glastonbury, Connecticut, United States Crum and Forster Full time

    Position Overview:This role is designed for individuals seeking to enhance their skills in claims management while providing exceptional customer service. The Claims Customer Support Specialist operates under general oversight and reports directly to a Team Leader or Manager.Key Responsibilities:Deliver outstanding customer service and claims management...


  • Glastonbury, Connecticut, United States Complete Staffing Inc Full time

    Job SummaryComplete Staffing Inc is seeking a highly skilled Medical Claims Team Lead to join our team. As a Medical Claims Team Lead, you will be responsible for overseeing the medical claims process, ensuring accuracy and efficiency, and providing exceptional customer service to our clients.Key ResponsibilitiesClaims Processing: Review and process medical...


  • Glastonbury, Connecticut, United States Complete Staffing Inc Full time

    Position: Medical Claims SpecialistWe are seeking a qualified Medical Claims Specialist to join a prominent medical billing organization.This role presents an excellent opportunity for professionals aiming to enhance their expertise in the medical billing sector.Work Schedule:Monday to Friday: 3 days from 11:30 AM to 8 PM and 2 days from 9:30 AM to 6...

  • CAT Claims Specialist

    2 weeks ago


    Glastonbury, Connecticut, United States CNA Financial Corporation Full time

    Role Overview:This position entails overseeing the coordination of all claim resolution efforts in alignment with corporate protocols, ensuring adherence to quality and customer service benchmarks.Key Responsibilities:1. Lead and manage CAT contractors engaged in significant claims activities.2. Facilitate effective communication and collaboration among team...


  • Glastonbury, Connecticut, United States Complete Staffing Inc Full time

    Position: Senior Medical Claims Analyst Complete Staffing Inc is collaborating with a prominent third-party insurance provider seeking to recruit two professionals with substantial experience in medical claims management. Key Qualifications: Leadership Experience: Minimum of 4 years in the field, with a background in supervising a small team or...


  • Glastonbury, Connecticut, United States Complete Staffing Solutions, Inc. Full time

    Job OverviewPosition: Spanish-Speaking Medical Claims Coordinator**Fluency in Spanish is required**Summary:The Spanish-Speaking Medical Claims Coordinator plays a crucial role in a dynamic work environment, requiring exceptional interpersonal and communication abilities, meticulous attention to detail, and strong analytical capabilities. This position...


  • Glastonbury, Connecticut, United States USI Insurance Services Full time

    Job SummaryUSI Insurance Services is seeking a highly skilled Commercial Insurance Team Lead to manage the operational activities of our New Business Regional Marketing Specialist unit/department. The ideal candidate will have a comprehensive understanding of all property & casualty insurance coverages, underwriting, and rating concepts.Key...


  • Glastonbury, Connecticut, United States USI Insurance Services, Inc. Full time

    Position OverviewThe Lead Specialist in New Business Marketing will oversee the operational functions of the New Business Regional Marketing team. This role is pivotal in driving marketing efforts aimed at attracting new client accounts and establishing partnerships with carrier organizations.Key ResponsibilitiesDirect the daily operations of the New...


  • Glastonbury, Connecticut, United States Turner Home Improvement Contractors, LLC Full time

    Job OverviewPosition: Senior Gutter Installation SpecialistCompany: Turner Home Improvement Contractors, LLCLocation: Connecticut (Daily commute required) – company vehicle provided for travel between headquarters and job sites.Employment Type: Full-time, Monday - FridaySalary: Competitive, commensurate with experience and skill levelPosition Summary:We...


  • Glastonbury, Connecticut, United States USI Insurance Services, Inc. Full time

    Position OverviewThe HR Generalist will oversee the essential human resources activities for a designated business segment. This role is pivotal in delivering proactive and efficient HR support, offering strategic advice and assistance to management.Key ResponsibilitiesTalent Acquisition: Manage the recruitment process to attract and secure top...


  • Glastonbury, Connecticut, United States A & H School Holdings LLC Full time

    Position OverviewA & H School Holdings LLC is dedicated to delivering exceptional early childhood education. Our institution focuses on providing a nurturing and enriching environment for infants, toddlers, preschool, and pre-kindergarten children. We operate year-round, including a vibrant summer camp program. The role of an Educational Support Specialist...


  • Glastonbury, Connecticut, United States Accounting Resources Full time

    Join Our Team as a Talent Acquisition SpecialistAbout Us: Accounting Resources, Inc. (ARI) is a dynamic consulting firm dedicated to delivering exceptional Human Resources solutions to small and medium-sized enterprises. Our clients rely on us as their HR allies, offering operational, tactical, and strategic support.What We Offer: At ARI, our employees...


  • Glastonbury, Connecticut, United States HallKeen Assisted Living Communities LLC Full time

    Job OverviewPosition Title: Transportation Specialist (requires passenger endorsement on driver's license)Work Schedule: Part TimePosition Summary: The Transportation Specialist is responsible for delivering safe and courteous transportation services while providing support to the Activity Director. This role includes overseeing vehicle pre-maintenance,...

  • Clinical Psychologist

    14 hours ago


    Glastonbury, Connecticut, United States The Center for Children Full time

    Job OpportunityJob Title: Clinical Psychologist - Assessment and Intervention SpecialistJob Summary:The Center for Children with Special Needs is seeking a highly skilled Clinical Psychologist to join our Evaluation team. As a Clinical Psychologist, you will be responsible for providing comprehensive assessments and evidence-based interventions for...


  • Glastonbury, Connecticut, United States Jobot Full time

    Orthopedic Sports Medicine - Comprehensive Benefits - Flexible Work HoursThis opportunity is presented by Jobot.A brief overview of our organization:We are a reputable orthopedic sports medicine practice that fosters a friendly and supportive family-oriented environment.We are looking for a dedicated full-time Physical Therapist to become a part of our...

  • IT Product Manager

    2 weeks ago


    Glastonbury, Connecticut, United States Crum and Forster Full time

    IT Product Manager - RemoteJob OverviewCrum & Forster (C&F) has a rich legacy since 1822, offering specialized and standard commercial lines insurance products through our admitted and surplus lines insurance companies. With an 'A' (Excellent) financial strength rating from AM Best, C&F is recognized for its exceptional customer service. Our claims and risk...


  • Glastonbury, Connecticut, United States AdviceOne LLC Careers Full time

    About the Role:As a Client Service & Marketing Operations Associate at AdviceOne LLC Careers, you will be a key member of our detail-oriented team in an ever-evolving environment. This is not your typical marketing position. Your main responsibilities will focus on ensuring incomparable client service while balancing the operational needs of the...


  • Glastonbury, Connecticut, United States Paul Davis Restoration of Central Connecticut Full time

    Job Cost Accountant (JCA) at Paul Davis Restoration of Central ConnecticutRole Overview:The Job Cost Accountant (JCA) plays a vital role in managing financial aspects of projects at Paul Davis Restoration. This position is essential for ensuring accurate job costing and maintaining financial integrity within the organization.Key Responsibilities:Oversee job...


  • Glastonbury, Connecticut, United States Paul Davis Restoration of Central Connecticut Full time

    Job Cost Accountant (JCA) at Paul Davis Restoration of Central ConnecticutRole Overview:The Job Cost Accountant (JCA) plays a vital role in managing financial aspects of projects at Paul Davis Restoration. This position is essential for ensuring accurate job costing and maintaining financial integrity within the organization.Key Responsibilities:Oversee job...