Claims Representative

Work for a company that values you!

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 offices in Jacksonville, FL and Atlanta, GA, 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 in 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: Claims Representative (Full Time)    

Job Description

We are seeking a 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 low to moderate severity and complexity. 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:

Claim Handling

·        Managing assigned inventory

·        Identifying and analyzing coverage issues

·        Recommend defense counsel

·        Coordinating the initial consultation with the insured and defense counsel

·        Recommend 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

·        2-4 years of experience in insurance claim handling or relevant legal experience

·        Medical professional liability claim handling in Florida, Georgia, Texas, and/or Oklahoma preferred

·        Travel to various locations as necessary.  Must have reliable transportation and be willing to travel.

·        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

Career Advancement

As the incumbent proves that they excel at the assigned responsibilities, they may be assigned additional, more complex tasks. These more complex tasks can lead to new roles and advancement throughout Integris Group.

Location

The Claims Representative will either 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)

Financial Rewards

·        Competitive salary

·        Incentive bonus plan

·        401(k) with company match

·        Group life insurance

·        Short and long-term disability income protection

·        Healthcare Savings Account

Education Support

·        Education financial assistance

Time Off

·        Universal paid time off

·        Company holidays

Culture

·        Charitable giving opportunities

·        Team-building events

·        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.