What are the responsibilities and job description for the Claims Specialist position at Curi Insurance?
Location
About Us
Curi is a full-service advisory firm that serves physicians and medical practices. Equal parts fierce physician advocates, smart business leaders, and thoughtful partners, Curi’s advisory, capital, and insurance offerings deliver valued advice that is grounded in client priorities and elevated by their outcomes. From data-driven advisory services to private wealth offerings, to tailored insurance solutions and beyond, we deliver performance that is time-tested and trusted—in medicine, business, and life.
The Role
We’re looking for an individual with strong customer service skills and organizational skills to work in our Claims Department as a Broad Regulatory Specialist. Reporting to the Manager, Broad Regulatory Claims you will be responsible for supporting the Broad Regulatory Claims Manager including, but not limited to, speaking with insureds, performing coverage analysis, setting up files and approving bills. You will assist with setting up files for the Claims Examiners, scheduling meetings, handling reporting requirements, bill processing, administrative functions and internet research as needed.
- Act as first point of contact for insureds for claim reports and inquiries related to Broad Regulatory and Network Security and Privacy Coverages
- Set up Broad Regulatory Protection Endorsement and Medical Professional Liability claim files ensuring that BAAs are in place
- Perform coverage analysis and prepare formal coverage letter; and Reservation of Rights/declination letters when appropriate for Broad Regulatory files
- Maintain Broad Regulatory cases on diary to ensure proper file management with timely reserving and oversight of expenses
- Coordinate claims handling for Network Security and Privacy matters, including direct claim reporting to appropriate carrier, archiving documents, and maintaining claim report log
- Scheduling meetings and ensuring all participants receive meeting materials
- Preparing reports for various agencies
- Processing invoices ensuring compliance with established guidelines
- Data entry to ensure data is accurate and complete
- Research and reporting from various sites such as expert witness databases, medical associations and boards, social media profiles, Center for Medicare Services, background check databases, etc.
Skills
Strong organizational skills and ability to manage multiple tasks simultaneously- Effective written and oral communication skills
- Ability to think critically and resolve problems of varying complexity
- Ability to perform with moderate levels of supervision
- Strong work ethic and self-motivated
- Excellent customer service skills
- Strong computer skills (experience with eOasis and OnBase and Power Point is a plus)
- Proficiency with MS Office Suite
- Alignment with Company's core values: accountability, curiosity, inclusivity, service heart and teamwork
- Ability to continually analyze process, identify areas of inefficiencies and propose ways to improve them.
Qualifications
Required Education and Experience
- High school diploma or equivalent
- Two to three years of related work experience
Preferred Education and Experience
- College degree
- Experience with OnBase or other document storage systems
- Knowledge of Delphi/Oasis software
- Prior insurance experience