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Physicians Insurance A Mutual Company logoPhysicians Insurance A Mutual Company

Claims Service Associate

Seattle, Washington, United States · Remote OK

$71k–$106k/yr

Mid level

Physicians Insurance A Mutual Company is dedicated to protecting, defending, and supporting our Members. As a national boutique mutual insurance company, we passionately serve all our Members and partners with our suite …

Skills: Claims Intake, Triage, First Notice of Loss, Customer Service, Medical Malpractice Knowledge

Physicians Insurance A Mutual Company logo

Claims Service Associate

Physicians Insurance A Mutual Company

Seattle, Washington, United States • Remote OK

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Mid level

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  • $71k–$106k/yr
  • Full-time
  • high school
  • Annual Company Bonus, Retirement Program, Paid Time Off
  • Posted 32d ago
  • ~40 hrs/week
  • Remote in United States

Responsibilities

Responsible for the intake, triage, and system setup of reported incidents, claims, and lawsuits while serving as the primary contact for members and brokers. Performs low-complexity claims handling and ensures accurate documentation of First Notice of Loss information.

Requirements

Requires a high school diploma and three to five years of experience in administrative, customer service, or claims roles. Preference is given to candidates with insurance experience in medical malpractice or professional liability and proficiency in Microsoft Office.

Full job description

Physicians Insurance A Mutual Company is dedicated to protecting, defending, and supporting our Members. As a national boutique mutual insurance company, we passionately serve all our Members and partners with our suite of medical professional liability offerings. We help them overcome obstacles with a team providing underwriting, risk-management, claims, and stop-loss expertise—backed by strong financials and all supported by exceptional, personalized service. In every communication, every expert opinion, every risk assessment, and every claim, all our Members experience the positive impact of our mission on their professional lives. And with over 8,500 Members and growing, this experience is in evidence all over the nation.

Position Summary:

The Claim Services Associate is responsible for the timely and accurate intake, triage, and system setup of reported incidents, claims, and lawsuits. Serving as the first point of contact for insured members, brokers, and internal departments. This role provides professional, responsive customer experience while gathering, validating, and documenting critical claim information. The position also performs limited claim handling within established authority and supports efficient claims assignment and workflow coordination across the Claims Department.

Key Functions:

Key responsibilities include:

  • Serve as the primary point of contact for reported incidents, claims, lawsuits, and precautionary events submitted via phone, email, or online channels.
  • Gather, review, and document comprehensive First Notice of Loss (FNOL) information and supporting documentation to ensure absolute data accuracy and completeness prior to assignment.
  • Analyze incoming reports for severity, urgency, and coverage considerations; exercise independent judgment to escalate high-priority, complex matters to Claims Management while handling first-tier issues autonomously.
  • Provide professional, responsive, and empathetic communication to members, brokers, patients, attorneys, and internal partners regarding intake requirements, policy provisions, and next steps.
  • Complete accurate claim setup by verifying applicable coverages, tail endorsements, and policy limitations within the system, and generate formal acknowledgment correspondence.
  • Perform low-complexity claims handling within established authority, including managing minor medical/dental negotiations, assigning counsel for deposition requests, and coordinating disciplinary board coverage.
  • Maintain precise system data, track intake metrics, and process regulatory reporting or referrals (such as Litigation and Peer Support Programs) in collaboration with Legal and Compliance teams.
  • Utilize departmental systems, tracking software (including Breezy ATS workflows where applicable), and applications to support daily intake activities, minimize processing lag, and drive process improvements.
  • Provide project support, cross-coverage, reserve data updates, and backup assistance for department staff to ensure overall service-level expectations are consistently met.

Requirements / Qualifications:

  • High school diploma or equivalent required; additional education, insurance coursework, or industry training preferred.
  • Three to five years of experience in administrative, customer service, claims, operations, or related analytical role.
  • Insurance experience preferred, especially in medical malpractice, professional liability, or related coverage areas.
  • Strong attention to detail with the ability to enter, review, and maintain accurate claim information and documentation.
  • Ability to review information, assess urgency or complexity, manage shifting priorities, and escalate issues appropriately.
  • Excellent organizational, time management, and coordination skills, with the ability to manage competing priorities in a fast-paced environment.
  • Strong written and verbal communication skills, with a customer-focused approach and the ability to work effectively with internal teams and external stakeholders.
  • Knowledge of basic coverage principles, claim processes, and medical terminology preferred.
  • Experience using workflow, claims, or case management systems preferred; ability to learn and adapt to new tools, software, and processes required.
  • Proficiency with Microsoft Word and Outlook required; strong typing skills preferred.
  • Ability to work independently and collaboratively while demonstrating professionalism, sound judgment, and integrity.
  • This position may be hired as Senior Claims Associate based on qualifications and experience.

The salary range for this position is $70,800 to $105,800. The range displayed on each job posting reflects the minimum and maximum for new hire salaries for the position. Starting salary is determined by several factors, including job-related skills, experience, and relevant education or training. This position is also eligible for an annual company bonus at an incentive target level of 5%.

We also offer a comprehensive benefits program, including a generous retirement program and Paid Time Off. Please visit Physicians Insurance - A Mutual Company for detailed benefit descriptions.

At Physicians Insurance, you’ll find an exceptional hybrid work environment, and the opportunity to work for an industry leader whose programs have a positive impact on insurance and healthcare.

OUR PURPOSE

To protect, defend, and support our Members.

OUR VALUES

People-First - we treat everyone with respect and empathy.
Expertise - we strive to be the best at what we do.
Commitment - as a mutual company, we are accountable and dedicated to our Members and to each other.

    Related keywords

    Medical Professional LiabilityFNOLClaims ManagementBreezy ATSTail EndorsementsMedical MalpracticeProfessional LiabilityCase Management SystemsRegulatory ReportingRisk ManagementUnderwritingStop-lossInsurance CourseworkMedical TerminologyClaims Setup

    About Physicians Insurance A Mutual Company

    LinkedInVisit site

    Protecting, defending, and supporting our Members with expertise, commitment, and a people-first approach.

    Industry
    Insurance
    Company size
    51-200 employees
    Founded
    1982
    Headquarters
    SEATTLE, Washington
    LinkedIn followers
    2,116

    We stake our reputation on protecting yours. Physicians Insurance was founded in 1981 under the auspices of the Washington State Medical Association. Physicians believed then, as they do now, that they would get better service and outcomes from a company that they owned. This idea launched our mutual company – and 40 purpose-driven years of protecting, defending, and supporting our Members with excellence and personalized service. Since then, other insurance carriers have entered and left the market, but Physicians Insurance A Mutual Company has remained as a stable and committed insurer for physicians, clinics, facilities, and hospitals. The company has cultivated steady growth and built a strong financial base by providing broad policy coverage, claims and risk management expertise, and exceptional customer service, all at competitive rates. It’s one thing to offer insurance, and quite another to see it through. In every communication, every expert opinion, every risk assessment, and every claim, all our Members experience the positive impact of our mission on their professional lives. And with over 8,500 Members and an AM Best* rating of A- (Excellent), this experience is now in evidence all over the nation. Especially in the most trying times, you want a partner who not only listens, but understands. Who not only understands, but who acts in your best interest. Who not only acts on your behalf, but who gets results for your practice, your healthcare organization, your business, and your life’s work. That’s Physicians Insurance. OUR PURPOSE To protect, defend, and support our Members. OUR VALUES People-First - we treat everyone with respect and empathy. Expertise - we strive to be the best at what we do. Commitment - as a mutual company, we are accountable and dedicated to our Members and to each other. ADDRESS: 601 Union Street, Suite 500, Seattle, WA 98101-2328

    Offices: Physicians Insurance A Mutual Company, 601 Union Street, Suite 500, SEATTLE, Washington 98101, US · Physicians Insurance Risk Retention Group, Inc., 1 Lawson Lane, Suite 340, Burlington, VT 05401, US

    medical professional liabilityalternative risk financinghospital liability protectionmedical facility liability protectionrisk managementpatient safetyTPA claims servicecyber liabilitybilling errors and omissionsand medical excess reinsurance
    View all jobs at Physicians Insurance A Mutual Company

    About Physicians Insurance A Mutual Company

    LinkedInVisit site

    Protecting, defending, and supporting our Members with expertise, commitment, and a people-first approach.

    Industry
    Insurance
    Company size
    51-200 employees
    Founded
    1982
    Headquarters
    SEATTLE, Washington
    LinkedIn followers
    2,116

    We stake our reputation on protecting yours. Physicians Insurance was founded in 1981 under the auspices of the Washington State Medical Association. Physicians believed then, as they do now, that they would get better service and outcomes from a company that they owned. This idea launched our mutual company – and 40 purpose-driven years of protecting, defending, and supporting our Members with excellence and personalized service. Since then, other insurance carriers have entered and left the market, but Physicians Insurance A Mutual Company has remained as a stable and committed insurer for physicians, clinics, facilities, and hospitals. The company has cultivated steady growth and built a strong financial base by providing broad policy coverage, claims and risk management expertise, and exceptional customer service, all at competitive rates. It’s one thing to offer insurance, and quite another to see it through. In every communication, every expert opinion, every risk assessment, and every claim, all our Members experience the positive impact of our mission on their professional lives. And with over 8,500 Members and an AM Best* rating of A- (Excellent), this experience is now in evidence all over the nation. Especially in the most trying times, you want a partner who not only listens, but understands. Who not only understands, but who acts in your best interest. Who not only acts on your behalf, but who gets results for your practice, your healthcare organization, your business, and your life’s work. That’s Physicians Insurance. OUR PURPOSE To protect, defend, and support our Members. OUR VALUES People-First - we treat everyone with respect and empathy. Expertise - we strive to be the best at what we do. Commitment - as a mutual company, we are accountable and dedicated to our Members and to each other. ADDRESS: 601 Union Street, Suite 500, Seattle, WA 98101-2328

    Offices: Physicians Insurance A Mutual Company, 601 Union Street, Suite 500, SEATTLE, Washington 98101, US · Physicians Insurance Risk Retention Group, Inc., 1 Lawson Lane, Suite 340, Burlington, VT 05401, US

    medical professional liabilityalternative risk financinghospital liability protectionmedical facility liability protectionrisk managementpatient safetyTPA claims servicecyber liabilitybilling errors and omissionsand medical excess reinsurance
    View all jobs at Physicians Insurance A Mutual Company

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