Senior Claims Analyst

OMS NATIONAL INSURANCE CO•Schaumburg, IL

7d•$100,000 - $130,000

About The Position

OMS National Insurance Company (OMSNIC) is a nationally recognized medical professional liability insurer dedicated exclusively to protecting oral and maxillofacial surgeons and dental specialists. The Senior Claims Analyst joins the claims team to manage sophisticated pre-litigation and litigated medical malpractice matters. Analysts manage their own caseloads with substantial autonomy and professional judgment, collaborate with defense counsel, and work directly with insureds as trusted partners. The role is designed to support work-life balance and professional sustainability while handling complex, meaningful claims work. The position may be hybrid for local candidates or remote for candidates outside the area. Travel is required as needed. The salary range is $100,000–$130,000, with the specific salary determined by factors including skills, experience, location, and comparison to current team members.

Requirements

Bachelor’s degree.
At least 5 years of experience in medical professional liability claims management.
Strong organizational and time-management skills, including the ability to meet deadlines.
Effective written and oral communication skills, including the ability to communicate clearly and concisely with varied stakeholders.
Effective analytical and critical-thinking skills to analyze facts, draw conclusions, make recommendations, and resolve issues.
Ability to prepare robust reports and provide broad-scope overviews and summaries when appropriate.
Strong customer service skills and active listening ability.
Strong interpersonal skills and ability to interact with policyholders, legal professionals, management, coworkers, agents, committee and board members, and external vendors.
Strong mediation and negotiation skills.
Proficiency with Microsoft Office, particularly Word, Excel, and PowerPoint.

Nice To Haves

Juris Doctor (JD).

Responsibilities

Evaluate coverage.
Assign, collaborate with, and oversee outside defense counsel.
Review and analyze medical records.
Investigate and evaluate liability, causation, and damages, and proactively move files toward resolution.
Participate in formulating case strategy.
Negotiate claims when they are 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 about claim status and strategies.
Document claim files accurately and in a timely manner.
Help maintain claim file data for accurate reporting.
Review and approve invoices.
Contribute to departmental and company goals, initiatives, and projects.
Attend or participate in training and development programs as needed.
Plan and participate in Risk Management and Defense Counsel Seminars.
Participate in the training and development of new hires as needed.
Participate in planning, developing, and testing technology solutions as needed.