Senior Claims Manager – EPL

🕒 3 dias atrás

🐻 Alaska, California, +7 estados a mais – Remoto

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💵 $39 - $96 / hora

⏰ Tempo Integral

🟠 Sênior

👔 Gerente

🦅 Patrocina Visto H1B

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👻 Score fantasma 0%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of Providence

Providence

10.000+ funcionários

Fundada em 1856

💼 Consultoria

🛡️ Seguros

🏥 Saúde

Consulting • Insurance • Healthcare

Providence é um sistema de saúde sem fins lucrativos comprometido em fornecer uma ampla gama de serviços médicos, incluindo cuidados primários, atendimento de urgência, pediatria, cuidados de maternidade, tratamento de câncer e serviços especializados como neurocirurgia e ortopedia. Eles oferecem atendimento presencial e virtual por meio de clínicas e um aplicativo móvel, garantindo que os pacientes possam acessar cuidados de saúde de forma conveniente. Com uma missão enraizada em compaixão, dignidade e justiça, a Providence enfatiza o atendimento aos mais vulneráveis e busca a excelência na entrega de cuidados de saúde. Eles estão envolvidos em pesquisa e inovação, incluindo perfis genômicos e ensaios clínicos para melhorar os resultados dos pacientes.

Descrição

• Provide direct handling of the organization's Employment Practice Liability claims • Evaluate and resolve coverage issues for Employment Practices claims • Investigate claims through telephone, written correspondence, and/or personal contact with attorneys, business partners, witnesses, and other relevant parties • Present claims and claim trends to Claim and Legal Leadership, including coverage, liability assessment, and ultimate exposure • Analyze information to evaluate assigned claims and determine organizational exposure • Evaluate, negotiate, and resolve claims with defense counsel within provided authority, using appropriate denials or releases • Provide required reports to leadership, claims, reinsurance, and legal on significant exposure cases • Report timely on cases proceeding to trial and attend portions of trials when warranted or requested • Ensure proper referrals and timely updates to reinsurers • Collaborate with business partners and defense counsel to direct litigation activities and claim outcomes • Provide insight and thought leadership to business partners, including HR, regarding avoidance and mitigation of EPL risks • Travel may be required to mediations, arbitrations, settlement conferences, trials, training, or other proceedings • Carry out duties in compliance with applicable legal and regulatory requirements

🎯 Requisitos

• Bachelor's Degree in Law, HR, or related field, or an equivalent combination of education and experience • 10 or more years of employment law, risk management, or insurance experience related to employment practices • Background handling EPL claims as a claim professional and/or defending EPL claims as an attorney • Superior communication, strategic negotiation, claim disposition, and problem-solving skills • Excellent presentation skills • Moderate proficiency with Microsoft Outlook, Excel, and PowerPoint • Sufficient keyboarding proficiency to enter data accurately and efficiently • Valid state-issued driver's license in good standing and ability to drive an automobile

🏖️ Benefícios

• Retirement 401(k) Savings Plan with employer matching • Medical, dental, and vision health care benefits • Life insurance • Disability insurance • Paid parental leave • Vacation time • Paid holidays • Time off for health issues • Voluntary benefits • Well-being resources • Additional compensation may be available, including shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities

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