Physicians Insurance A Mutual Company
Claims Service Associate
Seattle, WA
Sponsorship not specified$71k-$106kDetected 20 days ago
RecruitingCustomer SupportCommunicationCollaborationTime ManagementMicrosoft OfficeUnderwritingClaims Management
About the role
- The Claim Services Associate is responsible for the timely and accurate intake, triage, and system setup of reported incidents, claims, and lawsuits.
- Serving as the first point of contact for insured members, brokers, and internal departments.
- This role provides professional, responsive customer experience while gathering, validating, and documenting critical claim information.
Responsibilities
- Maintain precise system data, track intake metrics, and process regulatory reporting or referrals (such as Litigation and Peer Support Programs) in collaboration with Legal and Compliance teams.
- Utilize departmental systems, tracking software (including Breezy ATS workflows where applicable), and applications to support daily intake activities, minimize processing lag, and drive process improvements.
- Gather, review, and document comprehensive First Notice of Loss (FNOL) information and supporting documentation to ensure absolute data accuracy and completeness prior to assignment.
- Provide professional, responsive, and empathetic communication to members, brokers, patients, attorneys, and internal partners regarding intake requirements, policy provisions, and next steps.
Requirements
- Three to five years of experience in administrative, customer service, claims, operations, or related analytical role.
- Strong written and verbal communication skills, with a customer-focused approach and the ability to work effectively with internal teams and external stakeholders.
- Ability to work independently and collaboratively while demonstrating professionalism, sound judgment, and integrity.
Nice to have
- Requirements / Qualifications: High school diploma or equivalent required
- Experience using workflow, claims, or case management systems preferred
- ability to learn and adapt to new tools, software, and processes required.
- Proficiency with Microsoft Word and Outlook required
- strong typing skills preferred.
- High school diploma or equivalent required
Skills
- Starting salary is determined by several factors, including job-related skills, experience, and relevant education or training.
Compensation
- $71k-$106k
Benefits
- Analyze incoming reports for severity, urgency, and coverage considerations; exercise independent judgment to escalate high-priority, complex matters to Claims Management while handling first-tier issues autonomously.
- Perform low-complexity claims handling within established authority, including managing minor medical/dental negotiations, assigning counsel for deposition requests, and coordinating disciplinary board coverage.
- Provide project support, cross-coverage, reserve data updates, and backup assistance for department staff to ensure overall service-level expectations are consistently met.
- This position is also eligible for an annual company bonus at an incentive target level of 5%.
- We also offer a comprehensive benefits program, including a generous retirement program and Paid Time Off.
Company info
- Physicians Insurance A Mutual Company is dedicated to protecting, defending, and supporting our Members.
- As a national boutique mutual insurance company, we passionately serve all our Members and partners with our suite of medical professional liability offerings.
- We help them overcome obstacles with a team providing underwriting, risk-management, claims, and stop-loss expertise-backed by strong financials and all supported by exceptional, personalized service.
- In every communication, every expert opinion, every risk assessment, and every claim, all our Members experience the positive impact of our mission on their professional lives.
- And with over 8,500 Members and growing, this experience is in evidence all over the nation.
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