Senior Medical Malpractice Claims Strategist Hybrid/Remote

Fortress; Schaumburg (IL); Híbrido; USD 100.000 - 130.000; 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

Long-term incentive plan

Educational Assistance and rewards

Paid Time Off

Paid Holidays

Paid parental leave

Home office stipend

Descripción de la vacante

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.

Formación

• 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

Conocimientos

Medical claims management

Negotiation

Analytical thinking

Communication skills

Time management

Collaboration

Microsoft Office

Educación

Bachelor’s degree

JD preferred

Herramientas

Microsoft Office

Word

Excel

PowerPoint

Descripción del empleo

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.