Claims Analyst handling professional liability claims at OMS National Insurance Co. Evaluating coverage, collaborating with counsel, and managing a caseload of claims.
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
Participating in Risk Management and Defense Counsel Seminars
Contributing to departmental and company goals, initiatives, and projects
Requirements
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
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