Professional Liability Claims Analyst at OMS National Insurance Co
Schaumburg, IL 60173, USA -
Full Time


Start Date

Immediate

Expiry Date

19 Nov, 25

Salary

70000.0

Posted On

19 Aug, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Medical Records, Excel, Powerpoint

Industry

Insurance

Description

At OMS National Insurance Co., our mission is simple. We are dedicated to serving and protecting oral and maxillofacial surgeons and dental professionals nationwide. If you wish to be part of a growing, well-respected industry leader, OMSNIC could be the right place for you.
We offer a robust array of benefits to support our employees- generous PTO, long-term incentive plan, affordable and comprehensive benefits plans, a hybrid work schedule, tuition assistance, and opportunities to advance your career. What makes us special is our collaborative culture and the impact we make as a team.
Claims Analysts have direct contact with our policyholders and are regarded as trusted partners, managing an assigned caseload of claims. This includes the investigation, evaluation, and resolution of both pre-litigation and litigated matters.

EDUCATION AND EXPERIENCE:

  • 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

WORK REQUIREMENTS & PHYSICAL DEMANDS:

  • 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

How To Apply:

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Responsibilities

ESSENTIAL DUTIES AND 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
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