Senior Claims Manager – Medical Negligence, Multi-Line

🔥 8 minutes ago

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Logo of Providence

Providence

10,000+ employees

Founded 1856

⚕️ Healthcare Insurance

Healthcare Insurance

Providence is a not-for-profit health system committed to providing a wide range of medical services, including primary care, urgent care, pediatrics, maternity care, cancer treatment, and specialized services like neurosurgery and orthopedics. They offer both in-person and virtual care through clinics and a mobile app, ensuring patients can access healthcare conveniently. With a mission rooted in compassion, dignity, and justice, Providence emphasizes serving those who are vulnerable and strives for excellence in healthcare delivery. They are involved in research and innovation, including genomic profiling and clinical trials to improve patient outcomes.

📋 Description

• Responsible for day-to-day management of professional and general liability claims in accordance with the System's claims program policies and procedures and within an assigned Region or scope of responsibility. • Investigating, evaluating and managing professional and other liability claims against the organization. • Maintaining up-to-date and accurate claims files, including summaries, action plans, and claims status in claims data management software. • Communicating directly with patients, claimants, witnesses and families. • Coordinating with facility leadership, risk managers, defense counsel, and others.

🎯 Requirements

• Bachelor's Degree in Business Administration, Finance, or a related discipline or Equivalent combination of education and experience in the insurance industry; claims management; or legal handling of claims issues. • 7 years of relevant general and professional liability claims processing or management experience. • STARS or similar claims management software. • Upon hire: Certified Professional Healthcare Risk Management (CPHRM)

🏖️ Benefits

• Health care benefits (medical, dental, vision) • Life insurance • Disability insurance • Time off benefits (paid parental leave, vacations, holidays, health issues) • 401(k) Savings Plan with employer matching • Voluntary benefits • Well-being resources

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