Senior Claims Representative

Integris Group; Glastonbury (CT); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical benefits

Dental & Vision insurance

Employee Assistance Program

401(k) with match

Disability insurance

Health Savings Account

Bi-Weekly auto allowance

Universal PTO

Volunteer time off

Charitable giving

Employee recognition

Job summary

Integris Group seeks a Senior Claims Representative to manage a high-severity caseload in medical professional liability from our Glastonbury, CT or Jacksonville, FL offices. You will investigate, evaluate, and resolve claims, coordinating with insureds, defense counsel, and experts across specialties while supporting underwriting and risk management.

The ideal candidate has a BA/BS, 5+ years in casualty claims, 2–3 years in medical liability claims (CT/MA preferred), and strong MS Office

Qualifications

• Bachelor of Arts or Science Degree.
• 5+ years of casualty insurance claim handling experience.
• 2-3 years of medical professional liability claim handling in CT/MA preferred.
• Travel to various locations required; reliable transportation.
• Proficient with MS Office; strong deadlines discipline.
• Excellent interpersonal, written and verbal communication.
• Ability to manage multiple complex cases and schedules.
• License to adjust claims in applicable states or willingness to obtain after hire.

Responsibilities

• Identify and analyze coverage issues.
• Coordinate initial consultation with insured and defense counsel.
• Consult with defense medical experts as needed.
• Review and analyze medical records.
• Manage litigation activities, including status reporting and billing reviews.
• Attend depositions, court conferences, mediations, and trials.
• Prepare claim status reports for reinsurers.
• Maintain regular communication with insured from start to resolution.
• Formulate and execute claim resolution plans.
• Direct settlement negotiations with plaintiffs or counsel.

Skills

Casualty claims handling

Litigation experience

MS Office

Communication skills

Time management

Education

BA/BS Degree

Tools

MS Office Suite

Job description

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.

Job Title

Senior Claims Representative (Full Time)

Job Description

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.

Responsibilities and Competencies

• 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

General

• 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

Support of Company Operations

• 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

Qualifications and Skills

• 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

Location

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

Benefits

As leaders in the healthcare industry, we’re passionate about the health and well-being of our employees. We want everyone at Integris Group to feel valued and energized as they work to fulfill our mission. We support employees with generous benefits including:

Health and Well-being

• Medical, dental, and vision insurance
• Employee Assistance Program (EAP)
• Competitive salary
• 401(k) with company match
• Short and long-term disability
• Income protection
• Healthcare Savings Account

Education Support

• Bi-Weekly Auto Allowance

Time Off

• Universal paid time off
• Company holidays
• Volunteer time off

Culture

• Charitable giving opportunities
• Employee recognition

Company Information

Founded by physicians in 1984, Integris Group provides protection and support to help policyholders navigate an increasingly complex healthcare environment. Our Board is comprised of physicians who understand the rewards and challenges of practicing medicine. We are an ally to policyholders when they need it most.

Please visit our website at www.integrisgrp.com for more information.

Integris Group provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.