Manager Claims - Remote
reputed company is named among the Top 150 Places to Work in Healthcare by Becker's Hospital Review. reputed company Magazine recognizes reputed company as one of the greatest workplaces for diversity, 2024 and reputed company is also ranked as The Worlds Most Admired Companies by Fortune Magazine. reputed company, an established healthcare organization is physician-led and patient focused. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join us. OVERVIEW: The Manager Claims will be responsible to investigate, evaluate, and resolve assigned professional liability and general liability claims involving reputed company regional and specialty operations in accordance with reputed company policies & procedures and industry best practices. Individual will manage the financial resources of reputed company by reputed company coordinating activity on assigned claims/ litigation and provide superior claim services to reputed company operations, claimants, claim Third Party Administrator and participating excess insurance participants. The Manager will have a detailed knowledge of reputed company Operations and Physician Professional Liability/ Commercial General Liability insurance policy coverage. This individual will report to the reputed company Director of Claims. ESSENTIAL FUNCTIONS: Directly manages assigned claim inventory to reputed company operational goals and optimal outcome on assigned cases Manages and monitors medical professional liability claims in multiple jurisdictions Recommends and sets timely and adequate indemnity and expense reserves Responsible for communication with attorneys, physicians, client hospitals, insurance carriers, and division leadership concerning the status of claims Assumes the reputed company role in coordinating litigation management along with defense counsel and Western Litigation Attends and participates in settlement conferences, arbitrations, mediations, depositions, hearings, trials, and claims review meetings as required by policy or as directed Prepares in depth case analysis and makes settlement recommendations to the Sr. Director of Claims, the Vice President of Claims and Risk Management and Claims Review Committee Monitors assigned claim files for the timely submission of status reports from defense counsel and Western Litigation Utilizes a diary system to assist in the monitoring of claims Responsible for entering claims data in reputed company on assigned claims Maintains up to date knowledge on liability laws and practices in assigned states, makes recommendations reputed company needed and participates in professional organizations Responsible for special projects as needed or directed Job Requirements: QUALFICATIONS & EDUCATION: BS/BA degree in Business, Healthcare, Risk Management or equivalent legal/insurance work experience Three (3) years medical professional liability claim management or equivalent experience Intermediate negotiation skills Intermediate knowledge of insurance coverage, concepts and claim resolution procedures Proficiency with personal computers and reputed company Office programs Excellent written and verbal communication skills Excellent organizational skills Excellent interpersonal skills https://www.reputed company.com/california-applicant-privacy-notice/ Get job alerts by email. Sign up now! Job Snapshot Employee Type Full-Time Location Remote reputed company in the U.S., TN (Remote) Job Type Health Care Experience Not Specified Date Posted 12/16/2024 Apply Job!