Claims Intake Specialist
Proassurance Corporation

Franklin, Tennessee

Posted in Insurance


This job has expired.

Job Info


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

We are a specialty writer of professional liability, products liability and workers' compensation insurance. With approximately 1000 employees operating in all 50 states, we are well positioned to offer career opportunities to individuals interested in professional growth.

This position supports the PICA Group, which provides professional liability coverage for lawyers, dentists, podiatrists and chiropractors.

Our next Claims Intake Specialist can be hybrid and based in one of our regional offices, or can be fully remote.

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.
  • 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.


This job has expired.

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