Claims Intake Specialist - Medical Professional Liability at Proassurance in Birmingham, Alabama

Job Description:

An exciting opportunity exists to join the ProAssurance family of companies!




Our mission is powerful and simple: We protect others. Choosing a place to apply your talents is an important decision for anyone. You have plenty of options. Why choose ProAssurance?




At ProAssurance, we sell a pledge, and that pledge is delivered by our team members. We are seeking individuals who value integrity, leadership, relationships, and enthusiasm-and want to build their career with a great company where they can be their authentic self and feel valued, recognized, and rewarded for their contributions. ProAssurance specializes in healthcare professional liability, products liability for medical technology and life sciences, legal professional liability, and workers' compensation insurance. We are an industry-leading specialty insurer operating in all 50 states, with in-office, hybrid, and remote job opportunities around the country.



This position supports the segment of our medical professional liability line of business specializing in dentists, podiatrists and chiropractors, and can by hybrid or remote depending upon location of the selected candidate. Preference is for this position to be based in the Central Time Zone in order to meet the business needs of the position.


For candidates seeking a hybrid work arrangement, our CST offices are in Birmingham AL, Franklin TN and Okemos MI.


Coverage experience is highly desired. Candidates with a professional background in policy services or experience as a paralegal or attorney, have been successful in this role in the past.


The primary responsibility of the Claims Intake Specialist is to analyze whether coverage exists for newly reported claims and to identify potential coverage issues for further action. This is achieved by being the first point of contact for an insured reporting a claim, providing independent review and analysis of court documentation, insured statements, legal and/or medical records and other pertinent documentation. This position requires a thorough knowledge and understanding of policy language.



Essential Duties and Responsibilities:



35% - Coverage review/analysis which includes:

• Reviewing and analyzing all documentation to determine coverage.


• Analyzing and applying the claims allegations to the language in the policy to identify potential coverage issues for further action.


• Recommending File Type and Claims Specialist assignment.


• Performing legal and court docket research as needed.


• Creating draft reservation of rights letters with suggested language to the insured to present to the assigned Claims Specialist for approval.

30% - Conduct initial telephone interview with insured to glean important facts and pertinent details of claim exposure, which includes:

• Drafting a brief summary of the information provided by the insured during the intake process.


• Providing direction and accurate information to the insured during the intake process.


• Advising the insured on claim reporting process and explaining next steps, including discussing and explaining the claims process to the insured.


• Providing guidance to the insured as situation warrants.

20% - Management of the following Claim File Types, as needed:

• Incident, and Record Only/ no file, including communications with insureds and defense counsel and addressing any future developments.

10% - Set up all potential claims in claims management systems.


5% - Serve as trainer and mentor for new or less experienced Intake staff and provide guidance and assistance to the Claims staff.



Qualifications:

• Bachelor's degree required, with an Advanced degree or certification in the legal or insurance field preferred.


• Proficiency in legal and/or medical terminology required.


• Minimum three years' professional capacity experience in in a claims or legal office environment, including coverage review/analysis.


• Proficient with Microsoft Office Suite (Word, Excel, Outlook) required.


• Analytical skills to assess situations and potential improvements, with the ability to effectively communicate findings in person or through documentation/reporting.


• Excellent verbal and written communication skills.


• Proven leadership, with strong interpersonal and relationship management expertise.

#LI-Remote


We are committed to providing a dynamic and inclusive environment where everyone can do their best work and grow personally and professionally.


For that reason, we partner with The Predictive Index (PI) - an organization equally committed to improving the working lives of people, to help us hire the best talent by providing additional insight about one's work style.


The position you applied to requires completion of two assessments prior to being scheduled to interview with a hiring manager. Completion of the assessments is not required in order for your application to be reviewed and to speak with a Talent Acquisition team member. These assessments are Behavioral and Cognitive (internal candidates will only receive the Behavioral assessment), and each assessment takes less than 12 minutes to complete.


After submitting your application, you will receive two emails from The Predictive Index inviting you to complete each of these assessments (please check your SPAM or Junk email folder if you do not see these emails in your inbox).



Position Salary Range$47,937.00 - $79,103.00The salary range displayed represents the entirety of the pay grade for this position. Most candidates will start in the bottom half of the range. Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have, your location and comparison to other team members already in this role.




Build your career with us and enjoy access to a best-in-class benefits program. Apply Now