Associate Claims Analyst
OMS NATIONAL INSURANCE CO
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.
POSITION SUMMARY:
The Associate Claims Analyst plays a crucial role within the Claims department by responding to insureds after an incident has been reported, providing timely and clear communication regarding their potential claim. Additionally, the analyst is responsible for the investigation, evaluation, and resolution of claims, with a primary focus on pre-litigation claims.
ESSENTIAL DUTIES AND RESPONSIBILITIES :
Conduct claim investigations including, but not limited to, assessment of policy coverage and evaluation of liability, causation, and damages, moving claims towards resolution
Communication with insureds, claimants, and attorneys, including, but not limited to, timely communication regarding claim status and resolution
Assist insureds with inquiries prior to/in lieu of formal claim handling
Timely and accurate claim file documentation
Review medical and dental records and supporting documentation to evaluate claims
Prepare case summaries and present claims for committee meetings
Set timely and reasonable indemnity and expense reserves
Prepare settlement authority requests and conduct settlement negotiations, when appropriate
QUALIFICATIONS:
Bachelor’s Degree required; might consider a demonstrated equivalent professional experience
1-2 years’ experience in the legal, insurance, medical, or claims management field, preferred. May consider educational background in lieu of related work experience
Proven relationship management expertise
Working understanding of medical records
Microsoft Office Suite proficiency with emphasis on Word, Excel and PowerPoint
COMPETENCIES:
Ability to productively interact with policyholders, legal professionals, external vendors, management, and board members
Effective written and oral communication skills to provide information in a clear and concise manner and to communicate with variety of stakeholders
Ability to multi-task in a fast-paced environment
Strong critical thinking/problem solving skills
Ability to assert position while communicating with empathy
Effective analytical skills to gather information, analyze facts and make recommendations
Ability to prepare robust reporting, as well as provide broad scope overview and summary
Strong negotiation skills
PHYSICAL DEMANDS:
Occasionally (several times a week) lifts, carries, or otherwise moves and positions objects weighing up to 10 pounds while fulfilling responsibilities
Frequently sits for long periods at a time
WORK ENVIRONMENT:
Performs work in an office environment (hybrid opportunity at manager’s discretion)
Salary : $ 58,000 to $70,000
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
Vacancy posted more than 2 months ago
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