Senior Claims Representative

Senior Claims Representative (Full Time)

 

Work for a company that values you! Integris Group is a medical professional liability insurance carrier. We put our talents to work protecting dedicated physicians and their practices. Headquartered in Glastonbury, Connecticut and Jacksonville, Florida, we insure health care professionals in 22 states across the New England, Mid-Atlantic, and Southeast Region. Our long history of growth and evolution has set the stage for continued success and a very exciting future. We are here to make a positive impact in the lives of our members and the medical community. We offer a challenging and rewarding environment where you can see the results of your hard work. If you thrive in a highly collaborative, mission-driven environment, we invite you to explore the following position.

 

Job Description

We are seeking a Senior Claims Representative to handle a caseload of claims and support the operations of the Claims Department and company. The primary responsibilities of the position are to investigate, evaluate and resolve medical professional liability claims brought against the company’s insureds. The position requires handling claims across varied medical specialties that present the greatest severity and complexity in the department. The position also provides support to the Underwriting, Risk Management, Finance, and Business Development departments. This position reports directly to the Director of Claims in our Glastonbury, CT home office.

 

Responsibilities

Claim Handling

• Identifying and analyzing coverage issues
• Selecting defense counsel
• Coordinating the initial consultation with the insured and defense counsel
• Retaining and consulting with defense medical experts
• Reviewing and analyzing medical records
• Litigation management including ongoing communication with defense counsel, monitoring of legal status reporting, and reviewing billing practices
• Attending depositions of parties and experts, court conferences, mediations, and trials
• Internal reporting and documentation of claim developments
• Preparing claim status reports for reinsurers
• Regular communication with the insured from initial meeting to claim resolution
• Formulating and executing claim resolution plans
• Direct handling of settlement negotiations with plaintiffs or counsel

General

• Maintaining current knowledge of relevant legal decisions, claim trends, and industry practices
• Maximizing productivity and claim results through use of technology
• Enhancing the team environment through collaboration with claims and other personnel

Support of Company Operations

• Assisting efforts to compile and analyze claim data
• Periodic attendance at company functions including Loss Prevention and Business Development events
• Providing feedback on and supporting implementation of corporate initiatives and IT projects
• Informing Underwriting Department of claim developments with potential underwriting implications

 

Qualifications and Skills

• Bachelor of Arts or Science Degree
• 7+ years of experience in casualty insurance claim handling, preferably of complex claim handling or litigation experience
• 2-3 years of medical professional liability claim handling, in CT and/or MA, preferred
• Frequent travel to various locations is required. Must have reliable transportation
• Competent at using MS Office suite of products
• Ability to meet deadlines while managing an active and diverse caseload
• Strong interpersonal, written, and verbal communication skills
• Ability to manage work outside the office including depositions, meetings with insureds and defense counsel, court conferences, mediations, and trials
• Claim Adjuster’s license in applicable states or agreement to obtain after hire

 

Location

The Company currently follows a hybrid office/remote work schedule:

• Tuesday-Thursday – In office, Glastonbury, CT
• Monday and Friday – Option to work remotely (following completion of introductory period)

The position requires attendance at claim appointments, as detailed above.

 

Benefits

As leaders in the healthcare industry, we’re passionate about the health and well-being of our employees. We want everyone at Integris Group to feel valued and energized as they work to fulfill our mission. We support employees with generous benefits including:

 

Health and Well-being

• Medical, dental, and vision insurance
• Employee Assistance Program (EAP)

Financial Rewards

• Competitive salary and bonus plan
• 401(k) with company match
• Group life insurance
• Short and long-term disability income protection
• Healthcare Savings Account
• Travel Allowance

Education Support

• Education financial assistance

Time Off

• Universal paid time off
• Company holidays

Culture

• Charitable giving opportunities
• Team-building events
• Employee recognition
• Casual dress (Fridays)

 

Integris Group provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.