What are the responsibilities and job description for the Senior Claims Representative position at INTEGRIS Group?
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, CT, with offices in Jacksonville, FL and Atlanta, GA, we insure health care professionals in 22 states. 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 policyholders 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 Title
Senior Claims Representative (Full Time)
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 Vice President 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
5 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 are 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
Incentive bonus plan
401(k) with company match
Group life insurance
Short and long-term disability income protection
Healthcare Savings Account
Education Support
Education financial assistance
Time Off
Universal paid time off
Company holidays
Culture
Charitable giving opportunities
Team-building events
Employee recognition
Company Information
Founded by physicians in 1984, Integris Group provides protection and support to help policyholders navigate an increasingly complex healthcare environment. Our Board is comprised of physicians who understand the rewards and challenges of practicing medicine. We are an ally to policyholders when they need it most.
Please visit our website at for more information.
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.
