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Jobs at OMS National Insurance (OMSNIC) (Now Hiring) — 1 open

OMS National Insurance (OMSNIC) logoOMS National Insurance (OMSNIC)

Associate Claims Analyst

Schaumburg, Illinois, United States · Hybrid

$58k–$73k/yr

Entry level

At OMS National Insurance Co., our mission is simple. We are dedicated to serving and protecting oral and maxillofacial surgeons and dental professionals nationwide. If you wish to be part of a growing, well-respected in…

Skills: Claim Investigation, Policy Coverage Assessment, Liability Evaluation, Relationship Management, Medical Records Analysis

OMS National Insurance (OMSNIC) logo

Associate Claims Analyst

OMS National Insurance (OMSNIC)

Schaumburg, Illinois, United States • Hybrid

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Entry level

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  • $58k–$73k/yr
  • Full-time
  • bachelor degree
  • Medical Insurance, Dental Insurance, Vision Insurance, 401(k), Short-term Disability, Long-term Disability
  • Posted 26d ago
  • ~40 hrs/week

Responsibilities

The Associate Claims Analyst investigates, evaluates, and resolves pre-litigation claims while maintaining clear communication with insureds and attorneys. Responsibilities include reviewing medical records, setting indemnity reserves, and preparing case summaries for committee meetings.

Requirements

A Bachelor's degree is required, and 1-2 years of experience in legal, insurance, or medical claims management is preferred. Proficiency in Microsoft Office and a working understanding of medical records are essential.

Full job description

At OMS National Insurance Co., our mission is simple.  We are dedicated to serving and protecting oral and maxillofacial surgeons and dental professionals nationwide.  If you wish to be part of a growing, well-respected industry leader, OMSNIC could be the right place for you.

We offer a robust array of benefits to support our employees- generous PTO, long-term incentive plan, affordable and comprehensive benefits plans, a hybrid work schedule, tuition assistance, and opportunities to advance your career.  What makes us special is our collaborative culture and the impact we make as a team.

POSITION SUMMARY:

The Associate Claims Analyst plays a crucial role within the Claims department by responding to insureds after an incident has been reported, providing timely and clear communication regarding their potential claim. Additionally, the analyst is responsible for the investigation, evaluation, and resolution of claims, with a primary focus on pre-litigation claims. 

  

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Conduct claim investigations including, but not limited to, assessment of policy coverage and evaluation of liability, causation, and damages, moving claims towards resolution
  • Communication with insureds, claimants, and attorneys, including, but not limited to, timely communication regarding claim status and resolution
  • Assist insureds with inquiries prior to/in lieu of formal claim handling
  • Timely and accurate claim file documentation
  • Review medical and dental records and supporting documentation to evaluate claims
  • Prepare case summaries and present claims for committee meetings
  • Set timely and reasonable indemnity and expense reserves
  • Prepare settlement authority requests and conduct settlement negotiations, when appropriate

 

QUALIFICATIONS:

  • Bachelor’s Degree required; might consider a demonstrated equivalent professional experience
  • 1-2 years’ experience in the legal, insurance, medical, or claims management field, preferred. May consider educational background in lieu of related work experience
  • Proven relationship management expertise
  • Working understanding of medical records
  • Microsoft Office Suite proficiency with emphasis on Word, Excel and PowerPoint

 

COMPETENCIES:

  • Ability to productively interact with policyholders, legal professionals, external vendors, management, and board members
  • Effective written and oral communication skills to provide information in a clear and concise manner and to communicate with variety of stakeholders
  • Ability to multi-task in a fast-paced environment
  • Strong critical thinking/problem solving skills
  • Ability to assert position while communicating with empathy
  • Effective analytical skills to gather information, analyze facts and make recommendations
  • Ability to prepare robust reporting, as well as provide broad scope overview and summary
  • Strong negotiation skills

 

PHYSICAL DEMANDS:

  • Occasionally (several times a week) lifts, carries, or otherwise moves and positions objects weighing up to 10 pounds while fulfilling responsibilities
  • Frequently sits for long periods at a time

 

WORK ENVIRONMENT:

  • Performs work in an office environment (hybrid opportunity at manager’s discretion)

 

Salary: $ 58,000 to $73,000

Benefits:

  • Medical, Dental, and Vision Insurance
  • 401(k)
  • Short and Long-term disability
  • Life Insurance
  • Employee Assistance Program
  • Free onsite fitness center membership
  • Long-term incentive plan
  • Educational Assistance and rewards program
  • Paid Time Off
  • Paid Holidays
  • Paid parental leave

Related keywords

Claims AnalysisPre-litigationIndemnity ReservesLiabilityCausationMedical RecordsDental RecordsSettlement NegotiationsInsuranceCase ManagementPolicy CoverageRelationship ManagementMicrosoft Office Suite

About OMS National Insurance (OMSNIC)

LinkedInVisit site

OMS National Insurance Company, Risk Retention Group, is the No. 1 provider of professional liability insurance for OMS.

Industry
Insurance
Company size
51-200 employees
Founded
1987
Headquarters
Schaumburg, Illinois
LinkedIn followers
3,371

Founded in 1987, OMSNIC is the leading provider of professional liability insurance to oral and maxillofacial surgeons, insuring more than 85 percent of eligible OMS nationwide. OMSNIC’s financial strength is rated A (Excellent) by A.M. Best, and provides an array of training and education resources for oral and maxillofacial surgeons and their staff.

Offices: 425 N Martingale Rd, 900, Schaumburg, Illinois 60173, US

Oral & Maxillofacial Surgery and InsuranceInsurance
View all jobs at OMS National Insurance (OMSNIC)

About OMS National Insurance (OMSNIC)

LinkedInVisit site

OMS National Insurance Company, Risk Retention Group, is the No. 1 provider of professional liability insurance for OMS.

Industry
Insurance
Company size
51-200 employees
Founded
1987
Headquarters
Schaumburg, Illinois
LinkedIn followers
3,371

Founded in 1987, OMSNIC is the leading provider of professional liability insurance to oral and maxillofacial surgeons, insuring more than 85 percent of eligible OMS nationwide. OMSNIC’s financial strength is rated A (Excellent) by A.M. Best, and provides an array of training and education resources for oral and maxillofacial surgeons and their staff.

Offices: 425 N Martingale Rd, 900, Schaumburg, Illinois 60173, US

Oral & Maxillofacial Surgery and InsuranceInsurance
View all jobs at OMS National Insurance (OMSNIC)

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