Senior Claims Representative

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 an office in Jacksonville, FL, 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 on 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.

Senior Claims Representative (Full Time)

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.

• Identifying and analyzing coverage issues
• 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

• 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

• 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

• 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

The Senior Claims Representative will be based out of our Glastonbury, CT or Jacksonville, FL office.

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