Role Overview:

The Claim Representative is responsible for investigating, managing, and evaluating minimal to high exposure claim and suit files in accordance with Claim Department Guidelines, to include identifying coverage issues, setting adequate reserves, assessing degree of liability, and determining case value. The Claim Representative brings cases to a satisfactory close, to include negotiating settlements. The Claim Representative works closely with the assigned supervisor.

Minimum Requirements:

• High School diploma or GED; Bachelor’s degree preferred
• Minimum of 3 years, progressively complex casualty/property claims experience
• Excellent oral and written communication skills
• Able to work independently in a telecommuting environment, if appropriate
• Able to develop effective working relationships
• Must have a valid driver’s license and must be able to meet MICA’s insurability requirements
• 25% travel required


To apply for this position, please send resume with salary requirements to:


MICA
Human Resources
2602 E. Thomas Rd.
Phoenix, AZ 85016
Fax: 602-508-9487
E-mail: HR@mica-insurance.com
EOE

Role Overview:

The Risk Management Consultant educates insureds, policyholders, and their representatives, and the Underwriting, Claim, and Marketing and Corporate Communications departments to promote patient safety and reduce the potential for and fortify the defense of medical professional liability (“MPL”) claims. Education includes virtual and in-person interactive MPL risk assessments; presentations of claim data, case studies, and recommendations for improvement; and consultations about MPL risk and action plans through the department’s hotline telephone and email service. The Consultant also participates in corporate and department goals, projects, and teams.

Minimum Requirements:

• Bachelor’s degree in nursing, risk management, business, or other applicable degree and experience.
• Minimum 5 years of experience in health care, patient care, health care risk management, and/or health care or medical practice administration.
• Knowledge of state and federal law health and medical care laws, medical office/practice operations, and insurance.
• Experience with data analysis and presentation tools and techniques.
• Excellent presentation skills and experience presenting to live and online audiences.
• Proficient in Microsoft Office software such as PowerPoint, Excel, Word, Outlook.
• Maintain a valid driver’s license in Arizona.
• Travel up to 30% within or outside of state.

To apply for this position, please send resume with salary requirements to:

Role Overview:

The Customer Service Representative will be the primary contact for taking first notice information and the prompt initial entry of a claim into a data system. The Customer Service Representative will also be responsible for resolving or ensuring the timely resolution of all claim service questions from external customers. The CSR will also provide internal customer support relating to the day-to-day operation of the department as well as provide back-up support to other unit’s positions.

Minimum Requirements:

• High School diploma or equivalency; AA or higher degree preferred
• Ability to accurately type 60 wpm
• Proven experience/understanding of the claims process and prior customer service experience as normally acquired through a minimum of two years related experience
• Familiarity with medical terminology
• Must be well organized, work with minimal direction, with ability to prioritize multiple tasks
• Attention to detail is critical