OMS National Insurance (OMSNIC)

Claims Specialist

• Evaluate coverage
• Assign and collaborate with 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
• Prepare comprehensive claims reports
• Present claims to management and for internal review
• Keep policyholders informed of the status
• Timely and accurately document claims files
• Help maintain claim file data for accurate reporting
• Review and approve bills
• Participating in Risk Management and Defense Counsel Seminars
• Contributing to departmental and company goals, initiatives, and projects

Professional Liability Claims Analyst