Senior Claims Manager

🕒 Outubro 26

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🟠 Sênior

👔 Gerente

👻 Score fantasma 10%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 16 dias.
• As vagas desta empresa costumam ser preenchidas em 21 dias.
• Sem salário divulgado.

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AMSURG

SiteLinkedInTodas as Vagas

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

• Provide strategic leadership, operational oversight, and hands-on management for AMSURG’s comprehensive claims portfolio • Manage the end-to-end claims lifecycle within the Risk Management department • Evaluate and investigate reported incidents, allegations, and claims • Assess liability, determine compensability, verify coverages, and manage carrier notifications • Partner with external insurance adjusters and defense counsel on defense strategies and claim outcomes • Execute releases or payments within designated authority • Lead the strategic vision for the claims function and promote continuous improvement, operational excellence, high performance, and compliance • Advise Corporate and Center staff on claims-related issues • Optimize Return-to-Work programs • Manage subpoenas and medical record requests • Analyze complex claims data and third-party loss runs to identify risk trends • Translate data into actionable strategic insights and prepare ad-hoc leadership reports • Collaborate with Finance, Legal, IT, Real Estate, and Operations to integrate risk management best practices

🎯 Requisitos

• Bachelor’s degree from an accredited college or university • Minimum of eight (8) years’ experience as a claims handler • Basic knowledge of claims processes for litigated and non-litigated matters • Understanding of reserve setting, claim finances, and loss run data analytics • Strong knowledge of state or federal regulations and/or statutes regarding insured claims preferred • Professional Liability, Workers Compensation, and Property experience highly preferred • Ability to independently assess liability, determine compensability, verify coverages, and manage carrier notifications • Ability to manage a diverse claims portfolio consisting of Workers’ Compensation, Property, General Liability, and Professional Liability • Ability to perform each essential responsibility satisfactorily • Ability to collaborate with executive leadership, internal teams, external insurance adjusters, defense counsel, Finance, Legal, IT, Real Estate, and Operations

🏖️ Benefícios

• Paid Time Off • 9 observed holidays • Paid family leave • Medical insurance • Dental insurance • Vision insurance • Life insurance • Disability insurance • Healthcare FSA • Dependent Care FSA • Limited Healthcare FSA • Transportation and Parking FSAs • Health Savings Account (HSA) • Matching 401(k) plan • Training and professional growth opportunities • Recognition and employee benefits

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