Professional Liability Claims Analyst jobs in United States
cer-icon
Apply on Employer Site
company-logo

OMS National Insurance (OMSNIC) · 1 month ago

Professional Liability Claims Analyst

OMSNIC is dedicated to serving and protecting oral and maxillofacial surgeons and dental professionals nationwide. The Professional Liability Claims Analyst will manage an assigned caseload of claims, including investigation, evaluation, and resolution of both pre-litigation and litigated matters.

Insurance

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
Planning and participation in Risk Management and Defense Counsel Seminars
Contribute to departmental and company goals, initiatives and projects
May attend or participate in training and development programs
May participate in the training and development of new hires

Qualification

Claims managementMedical records analysisNegotiation skillsMicrosoft Office SuiteAnalytical skillsCustomer service skillsMediation skillsOrganizational skillsCommunication skillsInterpersonal skills

Required

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
Strong organizational and time management skills, ability to meet deadlines
Effective written and oral communication skills to provide information in a clear and concise manner and to communicate with a variety of stakeholders
Effective analytical and critical thinking skills to analyze facts and draw conclusions to make recommendations and resolve issues
Ability to prepare robust reporting yet provide a broad scope overview and summary, when appropriate
Superior customer service skills and ability to actively listen
Strong interpersonal skills with ability to interact with policyholders, legal professionals, management, co-workers, agents, committee and board members, and external vendors
Strong mediation and negotiation skills
Occasional travel will be required
Occasionally might lift, carry, or otherwise move and position objects weighing up to 10 pounds
Frequently sits for long periods of time
Performs work in an office environment (hybrid opportunity at manager's discretion)

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

Company

OMS National Insurance (OMSNIC)

twittertwittertwitter
company-logo
Founded in 1987, OMSNIC is the leading provider of professional liability insurance to oral and maxillofacial surgeons, insuring more than 85 percent of eligible OMS nationwide.

Funding

Current Stage
Growth Stage

Leadership Team

L
Luis Ugaz
Chief Information Officer
linkedin
Company data provided by crunchbase