- Managing designated caseload
- Identifying and evaluating coverage issues
- Suggesting defense counsel
- Coordinating initial consultations with the insured and defense counsel
- Recommending defense medical experts
- Reviewing and analyzing medical records
- Managing litigation, including consistent communication with defense counsel, monitoring legal status reporting, and reviewing billing practices
- Participating in depositions, court conferences, mediations, and trials
- Internally documenting claim progress
- Preparing claim status reports for reinsurers
- Maintaining regular communication with the insured throughout the claim resolution process
- Developing and implementing claim resolution strategies
- Directly handling settlement negotiations with plaintiffs or their counsels
- Staying informed about relevant legal decisions, claim trends, and industry standards
- Enhancing productivity and claim outcomes through technological tools
- Fostering a collaborative team environment by working closely with claims and other staff members
- Assisting in compiling and analyzing claim data
- Regularly attending company events, including Loss Prevention and Business Development functions
- Providing feedback on corporate initiatives and supporting IT projects
- Updating the Underwriting Department on claim progress with potential underwriting impacts
- Obtained a Bachelor of Arts or Science Degree
- Accumulated 2-4 years of experience in insurance claim handling or relevant legal fields
- Prior experience in handling medical professional liability claims in CT and/or MA is advantageous
- Willingness to travel to different locations as required, with reliable transportation
- Proficiency in using MS Office suite
- Capability to meet deadlines while juggling a diverse caseload
- Excellent interpersonal, written, and verbal communication abilities
- Adept at managing work outside the office, including depositions, meetings, conferences, and trials
- Holding a Claim Adjuster's license in relevant states or willingness to obtain post-employment
- Tuesday-Thursday – In-office at Glastonbury, CT
- Monday and Friday – Remote work optional (after a six-month probationary period)
- Medical, dental, and vision coverage
- Employee Assistance Program (EAP)
- Competitive salary and bonus structure
- 401(k) plan with company match
- Group life insurance
- Short and long-term disability coverage
- Healthcare Savings Account
- Financial aid for educational pursuits
- Universal paid time off
- Company holidays
- Opportunities for charitable involvement
- Team-building activities
- Employee appreciation initiatives
- Casual dress code on Fridays
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Claims Representative - Glastonbury, United States - Integris Group
Description
Work for a company that appreciates you
Integris Group operates as a medical professional liability insurance carrier, serving and protecting dedicated physicians and their practices. Headquartered in Glastonbury, Connecticut, and Jacksonville, Florida, we provide coverage to healthcare professionals in 22 states across the New England, Mid-Atlantic, and Southeast Region. Our continuous growth and evolution have paved the way for ongoing success and an exciting future. Our goal is to have a positive influence on our members and the medical community. Join us in a dynamic and fulfilling environment where the fruits of your labor are visible. If you excel in a collaborative, mission-oriented setting, we encourage you to explore the following opportunity.
Job Title
Claims Representative (Full Time)
Job Description
We are in search of a Claims Representative to manage a portfolio of claims, supporting the operations of the Claims Department and the company. The main duties include investigating, assessing, and resolving medical professional liability claims filed against the insured individuals of the company. This role involves handling claims across various medical specialties with low to moderate severity and complexity. Furthermore, it entails providing assistance to the Underwriting, Risk Management, Finance, and Business Development teams. This position reports directly to the Director of Claims at our Glastonbury, CT headquarters.
Responsibilities
Claim Handling
General
Support of Company Operations
Qualifications and Skills
Career Advancement
As the incumbent excels in their responsibilities, they may be assigned more challenging tasks. These tasks can open up opportunities for advancement within Integris Group.
Location
The Company currently operates on a hybrid office/remote work schedule:
Attending claim appointments is required for this position.
Benefits
As industry leaders in healthcare, we deeply care about the well-being of our staff. We aim for all Integris Group employees to feel appreciated and motivated as they contribute to our mission. We offer comprehensive benefits, including:
Health and Well-being
Financial Rewards
Education Support
Time Off
Culture
Company Information
Established by physicians in 1984, Integris Group offers protection and assistance to help members navigate the complexities of the healthcare industry. Our Board comprises medical professionals who understand the joys and hurdles of medical practice. We stand by policyholders during challenging times. Being a mutual company, we distribute our success among all members.
Integris Group currently serves 22 states in the New England, Mid-Atlantic, and Southeastern Regions.
For more details, please visit our website.
Integris Group provides equal opportunities for employment to all candidates and employees, prohibiting any form of discrimination based on various factors.
