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Integris Group · 5 months ago

Senior Claims Representative

Jacksonville, FL

Full-time

Onsite

Senior Level

5+ years exp

Integris Group is a medical professional liability insurance carrier dedicated to protecting physicians and their practices. The Senior Claims Representative will handle a caseload of medical professional liability claims, investigating and resolving issues while supporting various departments within the company.

ConsultingEducationHealth CareInsuranceRisk Management

Responsibilities

Identifying and analyzing coverage issues

Selecting defense counsel

Coordinating the initial consultation with the insured and defense counsel

Retaining and consulting with defense medical experts

Reviewing and analyzing medical records

Litigation management including ongoing communication with defense counsel, monitoring of legal status reporting, and reviewing billing practices

Attending depositions of parties and experts, court conferences, mediations, and trials

Internal reporting and documentation of claim developments

Preparing claim status reports for reinsurers

Regular communication with the insured from initial meeting to claim resolution

Formulating and executing claim resolution plans

Direct handling of settlement negotiations with plaintiffs or counsel

Maintaining current knowledge of relevant legal decisions, claim trends, and industry practices

Maximizing productivity and claim results through use of technology

Enhancing the team environment through collaboration with claims and other personnel

Assisting efforts to compile and analyze claim data

Periodic attendance at company functions including Loss Prevention and Business Development events

Providing feedback on and supporting implementation of corporate initiatives and IT projects

Informing Underwriting Department of claim developments with potential underwriting implications

Qualification

Casualty insurance claimsMedical professional liabilityClaim Adjuster's licenseMS Office proficiencyCommunication skills

Required

Bachelor of Arts or Science Degree

5+ years of experience in casualty insurance claim handling, preferably of complex claim handling or litigation experience

2-3 years of medical professional liability claim handling, in Florida, Georgia, Texas, preferred

Frequent travel to various locations is required. Must have reliable transportation

Competent at using MS Office suite of products

Ability to meet deadlines while managing an active and diverse caseload

Strong interpersonal, written, and verbal communication skills

Ability to manage work outside the office including depositions, meetings with insureds and defense counsel, court conferences, mediations, and trials

Claim Adjuster's license in applicable states or agreement to obtain after hire