Senior Claims Analyst

Fortress; Schaumburg (IL); Híbrido; USD 100 000 - 130 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical, Dental, and Vision Insurance

401(k)

Short and Long-term disability

Life Insurance

Employee Assistance Program

Long-term incentive plan

Educational Assistance and rewards

Paid Time Off

Paid Holidays

Paid parental leave

Home office stipend

Resumo da oferta

OMS National Insurance Company (OMSNIC) in Schaumburg, IL, seeks a Senior Claims Analyst to manage medical professional liability claims with autonomy and professional judgment. The role offers a hybrid schedule for local candidates or remote work for those outside the area.

You will evaluate coverage, collaborate with defense counsel, review medical records, and work directly with insureds to move files toward resolution while maintaining balance and well‑being.

Qualificações

• Bachelor’s Degree required.
• JD preferred but not required.
• Minimum 5 years’ experience in medical professional liability claims management field.
• Hybrid or remote schedule (depending on location).
• Travel required as needed.

Responsabilidades

• Evaluate coverage
• Assign, collaborate with, and oversee outside defense counsel
• Review and analyze medical records
• Investigate and evaluate issues of liability, causation, and damages, proactively moving the files toward resolution
• Participate in the formulation of case strategy
• Negotiate claims in a settlement posture
• Evaluate indemnity and expense reserves
• Present claims to management and for internal review
• Regularly communicate with policyholders, keeping them informed of status and strategies
• Timely and accurately document claim files
• Help maintain claim file data for accurate reporting
• Review and approve invoices

Conhecimentos

Medical claims management

Negotiation

Analytical thinking

Communication skills

Time management

Collaboration

Microsoft Office

Formação académica

Bachelor’s degree

JD preferred

Ferramentas

Microsoft Office

Word

Excel

PowerPoint

Descrição da oferta de emprego

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Senior Claims Analyst

Salary Range: $100,000.00 To $130,000.00 Annually

OMS National Insurance Company (OMSNIC) is a nationally recognized medical professional liability insurer dedicated exclusively to protecting oral and maxillofacial surgeons and dental specialists. Our mission is clear and purposeful: to serve as trusted advocates for highly skilled professionals when it matters most.

We are seeking an experienced medical malpractice claims professional to join our claims team. This position is available as hybrid for local candidates or remote for those outside the area. This role is well‑suited for legal and senior claims professionals who value complex, meaningful work—without sacrificing balance, flexibility, or professional sustainability.

At OMSNIC, Claims Analysts are empowered to manage their own caseloads with a high degree of autonomy and professional judgment. You will handle sophisticated pre‑litigation and litigated matters, collaborate closely with defense counsel, and work directly with insureds as a trusted partner. Just as importantly, our claims workload, expectations, and culture are intentionally structured to support work‑life balance, allowing professionals to do their best work while maintaining personal well‑being.

This is an opportunity to practice at a high level—strategically, thoughtfully, and without the constant time pressures often associated with litigation‑adjacent roles—within a collegial, mission‑driven organization that respects both expertise and time.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Evaluate coverage
• Assign, collaborate with, and oversee outside defense counsel
• Review and analyze medical records
• Investigate and evaluate issues of liability, causation, and damages, proactively moving the files toward resolution
• Participate in the formulation of case strategy
• Negotiate claims in a settlement posture
• Evaluate indemnity and expense reserves
• Present claims to management and for internal review
• Regularly communicate with policyholders, keeping them informed of status and strategies
• Timely and accurately document claim files
• Help maintain claim file data for accurate reporting
• Review and approve invoices

General:

• Contribute to departmental and company goals, initiatives and projects
• May attend or participate in training and development programs
• Planning and participation in Risk Management and Defense Counsel Seminars
• May participate in the training and development of new hires
• May participate in planning, development, and testing of technology solutions
• Strong organizational and time management skills, ability to meet deadlines
• Effective written and oral communication skills to provide information in a clear and concise manner and to communicate with a variety of stakeholders
• Effective analytical and critical thinking skills to analyze facts and draw conclusions to make recommendations and resolve issues
• Ability to prepare robust reporting yet provide a broad scope overview and summary, when appropriate
• Superior customer service skills and ability to actively listen
• Strong interpersonal skills with ability to interact with policyholders, legal professionals, management, co-workers, agents, committee and board members, and external vendors
• Strong mediation and negotiation skills
• Microsoft Office Suite proficiency with emphasis on Word, Excel, and PowerPoint

Education and Experience:

• Bachelor’s Degree required
• JD preferred but not required
• Minimum 5 years’ experience in medical professional liability claims management field
• Hybrid or remote schedule (depending on location)
• Travel required as needed

The salary range represents the entirety of the pay grade for this role. Specific salaries will be determined using a variety of factors, including specific skills, years of experience, location, and comparison to team members already in this role

• Medical, Dental, and Vision Insurance
• 401(k)
• Short and Long-term disability
• Life Insurance
• Employee Assistance Program
• Long-term incentive plan
• Educational Assistance and rewards program
• Paid Time Off
• Paid Holidays
• Paid parental leave
• Home office stipend

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.