Associate Claims Manager - Dental/Medical

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Job Overview

The position of Associate Claims Manager - Dental/Medical is available at Counterpart Group GmbH, an insurtech company that focuses on innovating claims management systems. This role is critical in shaping the company's claims processes, ensuring efficient investigations, and fostering productive relationships with various stakeholders. The organization aims to combine advanced AI technology with insurance expertise to enhance the traditional claims management system.

Primary Responsibilities

As an Associate Claims Manager, you will be integral in managing claims related to professional liability specifically in the dental and medical sectors. Your responsibilities will include:

• Conducting Investigations: You will perform timely and accurate investigations into coverage, liability, and damages for assigned claims.

• Managing Claims: Active management of each claim to ensure resolutions are timely and cost-effective. This involves engaging with various parties, including policyholders and brokers.

• Collaborating with Stakeholders: Working closely with Claims leadership, Data and Engineering teams, and carrier partners to provide feedback and insights on claims processes.

• Building Relationships: Establishing and maintaining positive relationships with internal and external customers while holding experts and outside counsel accountable for service standards.

• Using Data: Contributing to data collection efforts by utilizing the Counterpart claims system effectively to capture necessary details about each case.

• Identifying Trends: You are expected to observe and escalate insights concerning emerging claims trends across different sectors.

Required Skills and Qualifications

To qualify for this role, candidates need to have:

• Experience: At least 5 years of professional experience, with a minimum of 2 years in litigating or managing claims specifically in dental or medical professional liability. Previous experience with insurance carriers is a plus.

• Education: A Bachelor's degree is required; having a law degree (J.D.) along with professional designations such as RPLU or AIC is highly preferred.

• Licensure: Possession of all required state claim adjuster licenses or the ability to acquire them within 90 days of hiring.

• Skills: Proven ability to work both independently and collaboratively; strong leadership skills; excellent time management, problem-solving abilities, and communication skills are crucial. Familiarity with a paperless claims environment and knowledge of Microsoft Office Suite is required.

  

• Work Environment Adaptability: Ability to excel in a fully remote work setting, with willingness to travel approximately 10-15% as needed.

Team Structure

You will work closely with experienced professionals such as Eric Marler, the Head of Claims, who brings over 20 years of insurance industry experience, and Katherine Dowling, a Claims Manager with significant experience in professional liability claims.

Compensation and Benefits

While salary specifics are not explicitly detailed in the provided text, Counterpart Group GmbH offers a competitive benefits package, which includes:

• Stock Options: Enabling employees to participate in the company's growth through an employee stock option plan.

• Health, Dental, and Vision Insurance: Coverage that covers up to 100% of employee premiums and up to 80% for family members.

• 401(k) Retirement Plan: Support for employees’ financial futures with a 401(k) saving option.

• Parental Leave: Up to 12 weeks of paid leave for birthing parents, and 8 weeks for non-birthing parents.

• Flexible Vacation Policy: An unlimited vacation policy allowing employees to take necessary time off.

• Home Office Allowance: A $300 budget to set up a working space at home.

• Wellness Stipend: Monthly allowances for wellness-related activities at $100 per month.

• Professional Development Reimbursement: Up to $500 for skill-enhancing courses annually.

• Books Stipend: Allowance for purchasing educational materials or books relevant to personal and professional development.

• No Work on Birthdays: A unique perk allowing employees to take their birthday off to relax and celebrate.

• Charitable Contribution Matching: For employees interested in supporting charitable organizations with matched donations from the company.

Conclusion

In summary, the Associate Claims Manager - Dental/Medical position at Counterpart Group GmbH is a challenging yet rewarding opportunity for candidates with experience in claims management within the medical and dental sectors. The position comes with the flexibility of a remote work environment and an attractive benefits package, making it a highly appealing opportunity for job seekers in the insurance industry.

This job offer was originally published on himalayas.app