Senior Claims Analyst

OMS NATIONAL INSURANCE CO•Schaumburg, IL

37d•$100,000 - $140,000•Remote

About The Position

OMS National Insurance Co. is a nationwide company in search of nationwide talent. We have one simple mission at OMSNIC - We are dedicated to serving and protecting oral and maxillofacial surgeons and dental professionals nationwide. If you are an experienced medical malpractice claims professional based in the U.S, and would like to join us in our mission, we invite you to apply for this remote opportunity. Our 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.

Requirements

Bachelor’s Degree required
Minimum 5 years’ experience in medical professional liability claims management field
Strong organizational and time management skills, ability to meet deadlines
Effective written and oral communication skills to provide information in a clear and concise manner and to communicate with a variety of stakeholders
Effective analytical and critical thinking skills to analyze facts and draw conclusions to make recommendations and resolve issues
Ability to prepare robust reporting yet provide a broad scope overview and summary, when appropriate
Superior customer service skills and ability to actively listen
Strong interpersonal skills with ability to interact with policyholders, legal professionals, management, co-workers, agents, committee and board members, and external vendors
Strong mediation and negotiation skills
Microsoft Office Suite proficiency with emphasis on Word, Excel, and PowerPoint

Nice To Haves

JD preferred but not required

Responsibilities

Evaluate coverage
Assign, collaborate with, and oversee outside 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
Regularly communicate with policyholders, keeping them informed of status and strategies
Timely and accurately document claim files
Help maintain claim file data for accurate reporting
Review and approve invoices
Contribute to departmental and company goals, initiatives and projects
May attend or participate in training and development programs
Planning and participation in Risk Management and Defense Counsel Seminars
May participate in the training and development of new hires
May participate in planning, development, and testing of technology solutions