OMS National Insurance (OMSNIC) · 1 month ago
Senior Claims Analyst
Schaumburg, IL, US
Full-time
Hybrid
Senior Level
$100K/yr - $140K/yr
5+ years expOMS National Insurance Co. is a nationwide company dedicated to serving and protecting oral and maxillofacial surgeons and dental professionals. The Senior 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, collaborate with, and oversee outside 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
Regularly communicate with policyholders, keeping them informed of status and strategies
Timely and accurately document claim files
Help maintain claim file data for accurate reporting
Review and approve invoices
Contribute to departmental and company goals, initiatives and projects
May attend or participate in training and development programs
Planning and participation in Risk Management and Defense Counsel Seminars
May participate in the training and development of new hires
May participate in planning, development, and testing of technology solutions
Qualification
Required
Bachelor's Degree required
Minimum 5 years' experience in medical professional liability claims management field
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
Microsoft Office Suite proficiency with emphasis on Word, Excel, and PowerPoint
Preferred
JD preferred but not required
Benefits
Medical, Dental, and Vision Insurance
401(k)
Short and Long-term disability
Life Insurance
Employee Assistance Program
Long-term incentive plan
Educational Assistance and rewards program
Paid Time Off
Paid Holidays
Paid parental leave
Home office stipend
Company
OMS National Insurance (OMSNIC)
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.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
L
Luis Ugaz
Chief Information Officer
Company data provided by crunchbase