Director, Claims

🕒 6 dias atrás

🗣️🇺🇸🇬🇧 Inglês obrigatório

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AMSURG

1001 - 5000 funcionários

🏥 Saúde

🤝 B2B

🏢 Corporativo

Healthcare • B2B • Enterprise

A AMSURG é reconhecida nacionalmente como líder na gestão estratégica e operacional de centros cirúrgicos ambulatoriais (ASCs), oferecendo serviços cirúrgicos de alto valor e qualidade no mesmo dia, além de uma experiência superior para o paciente. A empresa faz parcerias com grupos de médicos e sistemas de saúde para formar joint ventures e gerencia operações de ASC, incluindo serviços de anestesia e centros especializados para procedimentos gastrointestinais, oftalmológicos e ortopédicos. A AMSURG enfatiza a qualidade, gestão consensual com parceiros médicos e expertise operacional escalável em todo os EUA.

Descrição

• Responsible for the investigation and handling of claims related to General Liability / Professional Liability, Employment Practices Liability, Cyber, and Property lines of coverage. • Educates claims management philosophy and strategy to Corporate and Center staff. • Builds, maintains, and manages relationships with claims adjusters and outside legal counsel. • Designs, analyzes and delivers claim information to influence risk management behavior through performance metrics and benchmarking. • Management of claims staff. • Oversight of the reporting of all claims to the insurance carriers. • Assist in the investigation and reporting of Workers Compensation claims. • Handle claims within the Corporate or Center deductibles/retentions. • Responsible for the claims documentation in the RL6 Claims Management System as well as the in-house RMIS database, and produce reports from the systems. • Advises and assists Corporate and Center Staff in conducting investigations of incidents. • Establish relationships with defense attorneys and assist in discovery and investigation. • Provides training on claims reporting to Corporate and Center staff. • Prepares reports and analyses for the VP of Insurance/Corporate Risk Management.

🎯 Requisitos

• Bachelor degree from an accredited college or university • Minimum of six (6) years’ experience as a claims handler required • Professional Liability and Workers Compensation experience highly preferred. • Ability to add, subtract, multiply and divide in all units of measure • Expert in Microsoft Excel • Experience with financial reporting systems • Ability to work with web-based claims management system and prepare reports • Ability to understand, read, write and speak English • Ability to read, analyze and interpret general business periodicals • Ability to successfully write business correspondence • Ability to recognize and define problems • Ability to interpret a variety of instructions in a variety of forms

🏖️ Benefícios

• Paid Time Off • Medical • Dental • Vision • Life • Disability • Healthcare FSA • Dependent Care FSA • Limited Healthcare FSA • FSAs for Transportation and Parking • HSAs • Matching 401(K) Plan • 9 observed holidays • Paid family leave

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