Associate Claims Analyst

OMS National Insurance (OMSNIC); Schaumburg (IL); Híbrido; USD 58.000 - 70.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, Dental, and Vision Insurance

401(k)

Short and Long-term disability

Life Insurance

Employee Assistance Program

Onsite fitness center membership

Long-term incentive plan

Educational Assistance

Paid Time Off

Paid Holidays

Parental leave

Descripción de la vacante

OMS National Insurance Co. seeks an Associate Claims Analyst to handle post-incident communications and claim evaluations, with a focus on pre-litigation claims. You will investigate coverage, liability, and damages while maintaining timely documentation and professional communication with insureds, claimants, and attorneys.

Responsibilities include preparing case summaries, setting reserves, and assisting with settlement negotiations in a collaborative, hybrid-work environment.

Formación

• Bachelor’s degree required; equivalent professional experience may be considered.
• 1–2 years of experience in the legal, insurance, medical, or claims management field.
• Working knowledge of medical records and MS Office (Word/Excel/PowerPoint).

Responsabilidades

• Investigate claims including coverage, liability, causation, and damages.
• Communicate with insureds, claimants, and attorneys about claim status.
• Document claim files timely and accurately.
• Review medical and dental records to evaluate claims.
• Prepare case summaries and present to committee.
• Set indemnity and expense reserves; assist settlement negotiations.

Conocimientos

Communication skills

Multi-tasking

Critical thinking

Analytical skills

Empathy

Educación

Bachelor’s Degree

Herramientas

Microsoft Office

Descripción del empleo

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 accurately document claim files
• 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

• 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
• 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 yet provide broad scope overview and summary

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 $70,000

• 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

OMSNIC is proud to be an equal employment opportunity employer. We evaluate applicants without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, transgender status, sexual stereotypes, age, status as a protected veteran, status as an individual with a disability, or any other legally protected characteristics.