Senior Claims Manager

🔥 14 minutes ago

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Logo of Providence

Providence

10,000+ employees

Founded 1856

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

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. • Investigate, evaluate and manage claims against the organization. • Maintain accurate claims files and summaries in data management software. • Communicate with patients, claimants, and facility leadership. • Monitor disclosure and early resolution opportunities. • Ensure compliance with claims reporting procedures.

🎯 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. • Certified Professional Healthcare Risk Management (CPHRM) upon hire.

🏖️ Benefits

• Health insurance • 401(k) matching • Flexible work arrangements • Paid time off • Voluntary benefits • Well-being resources

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