MICA remains committed to creating an inclusive environment that values and respects the diverse talents, skills, and backgrounds of everyone. We celebrate both our differences and our similarities as we focus on service to our members and foster shared opportunities in furtherance of MICA's mission.
MICA features a challenging and professional work environment characterized by open communication, business casual working attire and flexible work schedules. We always welcome inquiries regarding employment opportunities with the company.
We offer a competitive compensation package and a comprehensive benefits program that supplements our pro-active employee focus. We also support professional growth opportunities to ensure employees are equipped with the knowledge, skills and abilities to provide exemplary client service.
Role Overview
This position is responsible for activities that support the effective day-to-day operation of the Claim Department and Risk Team. This includes a wide range of tasks involving OASIS, OnBase, Outlook and manual tasks. This position will also perform other responsibilities as needed or directed by the Claim Operations Supervisor and/or VP, Risk.
Responsibilities
- In the interest of cybersecurity, the Claim Support Technician (CST) is responsible for being cautious and vigilant when opening emails, attachments etc. on MICA’s equipment, and smartphones that are connected to MICA’s email systems. Likewise, it is the CST’s responsibility to complete cybersecurity training modules that are periodically distributed by MICA’s IT department.
- Accurate and timely opening (as applicable), date stamping, and sorting of all incoming claim and risk correspondence received via mail or facsimile.
- Accurate decision-making skills relating to the scanning, and indexing of all incoming documents.
- Thorough understanding of the overall Claim Department’s EDMS workflow tasks and correction processes.
- Initiating and over-seeing the timely entry of new vendors into the OASIS client sub-system.
- Process through OASIS and OnBase data entry of payment transactions, claim change and closing requests generated by claims technical.
- Prepare and enter into EXCEL daily monetary activity logs for the purpose of balancing weekly/monthly reports.
- Maintain communications with Finance & Accounting to ensure timely and accurate payment processing.
- Maintain and provide claim and risk team management with various reports.
- Responsible for maintaining accurate vendor information in OASIS by communicating issues and problems to a Claims Customer Service Representative.
- Responsible for obtaining, administering, and storing of electronic communication consent.
- Assist Claim Department with Regulatory Defense administrative functions.
- Accurately prepare a wide variety of applicable work requests which include such items as dictated materials and referenced templates and/or forms.
- Complete work product by printing, mailing and electronically transferring and/or noting documents in claims database, Risk Management Software, Medical Interactive database, or other applicable software applications according to established guidelines.
- Responsible for backup in completing time-sensitive reporting requirements, i.e. databank reports, board reports, reinsurance reports, etc.
- Process confidential information.
- Operate and maintain basic office equipment including, but not limited to personal computer, laser printer, photocopy machine and transcription equipment. Ability to troubleshoot equipment problems.
- Proofread all prepared documents and correctly apply English grammar, spelling, and punctuation guidelines according to accepted rules.
- Provide customer assistance for questions from internal and external customers.
- Upon request, organize and schedule Claim Department and Risk Team meetings and appointments and update appropriate Outlook calendars as needed.
- Listens to and transcribes insureds’ outgoing voice messages before medical practice risk assessments.
Requirements
- High School diploma or equivalency; AA or higher degree preferred.
- Three years office experience; experience with EDMS systems preferred.
- Ability to be self-directed, work with minimal direction, problem solve and prioritize multiple tasks.
- Ability to accurately type 40 wpm.
- Excellent computer skills; familiar with windows environment, experience with different software packages; EXCEL, WORD, MS OFFICE, etc.
- Strong verbal and written communication skills; ability to interact with all levels; team player.
- Strong organizational and proof-reading skills.
- Attention to detail critical.
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.
Responsibilities
- In the interest of cybersecurity, the Customer Service Representative (CSR) is responsible for being cautious and vigilant when opening emails, attachments etc. on MICA’s equipment, and smartphones that are connected to MICA’s email systems. Likewise, it is the CSR’s responsibility to complete cybersecurity training modules that are periodically distributed by MICA’s IT department.
- Using strong customer service skills processes incoming calls for taking first notice reports requesting and coordinating follow-up activity.
- Provide excellent service to all customers – internal and external.
- Provide prompt and accurate documentation into company data systems.
- Researches and answers a variety of calls pertaining to non-technical questions. Questions referred to claim representatives are monitored to ensure timely resolution and to maintain the highest possible level of customer service.
- Performs, per rotation, month-end duties that include generating of reports, data clean-up and balancing duties.
- Generates, communicates, or completes required data that is compliant with state and federal regulations and company policies.
- Assists in maintaining vendor information within reporting systems.
- Coordinates Authority Committee Meetings as directed.
- Compiles month-end data into monthly reports for claim management.
Cover for other teammates as assigned/needed. - Stay current on all policies and procedures with an ongoing effort to improve efficiencies and workflow.
- Other duties/projects as assigned.
Requirements
- High School diploma or equivalency; AA or higher degree preferred.
- Ability to communicate interpersonally, via the telephone, and in writing.
- Ability to deal with customers effectively and courteously on a regular basis.
- Ability to efficiently complete data entry tasks.
- Good telephone personality characterized by a well-modulated tone of voice and courteous manner to communicate clearly and tactfully.
• Proven experience/understanding of the claims process and prior customer service experience as normally acquired through a minimum of two years related experience. - Excellent PC usage including Windows, MS Office, and internet/intranet usage.
- Knowledge of conflict management/resolution preferred.
- Familiarity with medical terminology.
- Must be well organized, work with minimal direction, with ability to prioritize multiple tasks.
- Attention to detail critical.
Role Overview:
The Receptionist will coordinate all front desk functions to ensure proper handling of communications between internal and external customers. Maintains and organizes information for efficient and professional processing of Administrative Services.
Responsibilities:
Telephone:
- Accept and route incoming calls.
- Answer phones in a professional and courteous manner.
- Maintain proper procedures for handling different types of phone calls (i.e. first notices, certificates of insurance).
- Train relief receptionists and keep them informed of proper procedures and any changes to them.
- Develop an understanding of MICA’s product and services to ensure efficient call routing.
Mail:
- Sort received mail by departments and distribute accordingly.
- Collect outgoing mail and apply postage.
- Manage urgent incoming/outgoing mail appropriately, which may include occasional trips to the local post office.
- Coordinate FedEx and UPS pickups.
Administrative Duties:
- Greet visitors in a professional and courteous manner and maintain the Visitor Log.
- Maintain security of front desk – explain security processes to visitors.
- Receive hand deliveries, such as packages and lunches, and route to appropriate employees.
- Coordinate and schedule department meetings and appointments as requested.
- Order office supplies and maintain inventory of supply closet.
- Assist with administrative projects such as proxy voting and assembling of marketing or other meeting materials.
- Assist in the planning of company events.
- Maintain Organizational Charts and Phone Lists.
Minimum Requirements:
- 2-3 years receptionist experience in a professional environment (one year of which must be in a customer service capacity) with a multi-line phone system.
- Word processing skills of 34-45 wpm, general computer knowledge preferred.
- Ability to greet internal/external customers in a courteous and professional manner.
- Must be able to prioritize incoming phone calls and work assignments, utilizing discernment in the process.
- Must be well organized and detail oriented.
- Professional appearance and behavior.
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.
Responsibilities
- In the interest of cybersecurity, the Claim Representative is responsible for being cautious and vigilant when opening emails, attachments etc. on MICA’s equipment, and smartphones that are connected to MICA’s email systems. Likewise, it is the Claim Representative’s responsibility to complete cybersecurity training modules that are periodically distributed by MICA’s IT department.
Initial Claim Handling:
- Take first notices.
- Review first notice and instructions (and Summons & Complaint when applicable).
- Review claim for potential coverage issues.
- Discuss questions on claim handling and coverage with supervisor, as necessary.
- Select defense counsel with appropriate supervisory input and after discussion with Insured.
- Make service provider and reserve recommendations.
- Prepare correspondence to Insured and counsel.
- Report claims to NAS and/or regulatory Boards, if appropriate.
Claim File Work-up:
- Obtain and appropriately organize medical records.
- Review medical records and appropriate literature.
- Interview Insured and prepare interview summary.
- Interview unrepresented claimants and prepare summary.
- Obtain/review pertinent records of subsequent treating physicians, as necessary.
- Select and approve standard of care and causation consultants.
- Attend key depositions.
- Discuss defense strategy with assigned counsel.
- Prepare file for 90-day supervisory review by identifying liability issues and damages, considering reserves, and act on requests for follow up.
- Obtain information on liens and Medicare Right of Recovery.
- Monitor reserves.
- Prepare timely reports to management and/or reinsurers.
- Evaluate defensibility, verdict range and settlement value.
- Prepare and present appropriate cases to management for settlement authority.
- Make timely and accurate claim file entries documenting developments.
- Enter pertinent information into the data-capture systems.
- Promptly review, code and pay bills.
Claim Resolution:
- Discuss settlement with Insured and obtain proper written consent.
- Log all trial and mediation dates into the data capture system.
- Prepare Request for Authority and present at the appropriate management level.
- Attend MICA Authority Committee Meeting, if necessary.
- Prepare strategy for negotiations.
- Attend mediations or negotiate directly with the claimant or claimant’s attorney.
- Prepare and present pre-trial report.
- Monitor trial and notify management of pertinent developments.
- Prepare check request for trial reimbursement to insured.
- Prepare indemnity check request and routing instructions.
- Enter settlement, verdict and/or expert information into the data capture system.
- Prepare accurate report to the National Practitioner Data Bank, for supervisory review.
- Report settlement to appropriate regulatory entity and/or Medicare, if appropriate.
- Obtain copy of Release, Dismissal and final bills.
- Send closing letter to Insured.
- Timely close file after final payments, reports and closing documents are received.
Requirements
- High School diploma or GED; Bachelor’s degree preferred.
- Minimum of 3 years, progressively complex casualty/property claims experience.
- Must demonstrate good judgment.
- Excellent oral and written communication skills.
- Well organized and detail oriented.
- Able to work independently in a telecommuting environment, if appropriate.
- Able to develop effective working relationships.
- Able to keep sensitive information confidential.
- Working knowledge of personal computers and computer applications.
- Must have a valid driver’s license, and must be able to meet MICA’s insurability requirements.
- Field experience preferred.
- 25% travel required.
Role Overview
Based in Phoenix, Arizona, the VP of Underwriting provides the leadership necessary to ensure the overall operation of the Underwriting Department. The Vice President is responsible for promoting a desired book of business by recommending and maintaining appropriate underwriting standards, managing client and broker relationships, and providing technical support to attract and retain business. The Vice President will ensure the appropriate staff, skills and capabilities are in place to ensure effective, consistent, and efficient underwriting operations and is responsible for developing underwriting personnel. Oversees the customer service function and ensures the quality of service to all customers is meeting or exceeding MICA’s standards.
Additionally, as a member of the leadership team, the Vice President works to ensure the organization achieves its strategic direction, i.e., implementing team goals, supporting the company’s strategies, exemplifying MICA’s core values, etc. The VP is responsible for related goal setting, planning, problem solving, leading, and fostering interdepartmental communication and collaboration.
Responsibilities
Executive Leadership:
- Leads and manages the Underwriting operations consistent with MICA’s strategic initiatives, core values and business philosophies.
- Acts as a strategic partner on the leadership team and collaborates with team members to develop Strategic Plans for the organization.
- Works with leadership team members to execute tactical plans aligned with strategic objectives, budgets, and timelines.
- Ensure key execution targets are met and lead teams to develop sophisticated solutions to challenges along the way.
- Making recommendations and/or reporting to the Board and Board Committee(s) on various matters including underwriting decisions, rate analyses, and business development.
- Represent MICA with policyholder members and business partners.
- Be an engaged ambassador of MICA and build strong relationships at all levels, internally and externally.
- Works closely with the CEO and COO to define underwriting strategy and recommend business plans that will generate profitable, sustainable business in current and future markets.
- Attend MICA Board meetings as requested by CEO and make appropriate presentations or recommendations for action.
- Acts as a voting member of the Underwriting Management Review Committee and supports the Committee Chair in fulfilling its charter.
Management:
- Ensures appropriate staff, skills and capabilities are in place.
- Develop and manage underwriting revenue and expense budgets.
- Identify, design, and implement processes to improve policyholder satisfaction, quality, efficiency, and productivity.
- Works closely with IT to ensure operating systems are effective and efficient. Spearheads system improvement initiatives for underwriting and customer service. Influences billing system initiatives.
- Helps ensure rate adequacy, pricing practices, and regulatory compliance in each jurisdiction. Oversees the development and use of various pricing models for complex or large accounts. Works closely with third-party actuaries.
- Develops and enhances policy forms, including operational aspects.
- Develops underwriting rules and assures appropriate application thereof.
- Demonstrate/model the company’s organizational philosophy and Code of Conduct
- Encourage successful team development by actively involving team members in planning, decision- making and solving team conflicts.
- Act as company representative for state regulators and rating Responsible for rate, rule, and form filings with regulators.
- Review and negotiate contracts, including broker contracts and considerations. Ensures compliance with terms and conditions.
- Demonstrate advanced knowledge of the various healthcare product lines.
- Maintain and foster relationships with MICA appointed brokers and direct insureds.
Engagement:
- Attend and engage in MPL and other member organizations as well as participate in community events as a MICA leader.
- Engage in various industry meetings, actively representing MICA and providing leadership to various initiatives as appropriate.
- Monitors and analyzes competitor landscape, market trends, and regulatory changes. Proactively develops and implements underwriting strategies accordingly.
- Make presentations stating the case for support, engagement, or objectives of MICA, articulating the underwriting strategy and outcomes to various constituencies.
- Manage and cultivate existing relationships with strategic stakeholders, including our actuaries, trade associations, regulatory authorities, and reinsurance partners.
Requirements
- Undergraduate and/or advanced degree in business or a related field strongly preferred.
- CPCU and/or RPLU designation preferred.
- Ten (10) or more years of progressively responsible experience managing Underwriting
- Experience working effectively with a board of trustees or directors.
- In-depth understanding of the industry including insurance operations, preferably MPL, regulatory requirements, risk management, and compliance.
- Demonstrated strategic leadership ability, executive skills, and process improvement.
- Strong business development oversight skills
- Excellent presentation and communication skills
- Strong analytical, organizational and process skills
- Strong decision-making and critical thinking skills
- Medical, Dental, and Vision Insurance
- Flexible Spending Accounts
- Basic Employee Life Insurance - paid 100% by MICA
- Optional Life Insurance
- Personal Accident Insurance
- Short- and Long-term Disability
- Self-directed 401(k) with a generous company matching program
- Defined benefit retirement plan
- Paid vacations and holidays
- Tuition Reimbursement for approved educational courses
- Employee Assistance Program
- Relocation Assistance for certain positions
- Insurance coverage is offered for employees, family members, and partners.
Bring your talents to MICA. We recognize that the best-qualified individuals, contributing their ideas and expertise, will enable us to continue our successful support of the healthcare community.
Disclaimer: The benefits identified herein and the eligibility of employees, family members, and partners are governed by the applicable plans. The company, in its sole discretion, and in accordance with applicable law, reserves the right to change and/or delete any or all of the above-listed benefits at any time.
This link leads to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to access and analyze data more easily.
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Note to applicants and employment agencies: General letters of intent without a detailed resume will not be considered. MICA will also not consider unsolicited letters of intent with or without resumes.
MICA is an Equal Opportunity Employer.