Claims Manager

🕒 il y a 2 jours

🇺🇸 États-Unis – Télétravail

💵 $100 000 - $125 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🦅 Parrain de Visa H1B

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👻 Score fantôme 0%

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🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Aya Healthcare

Aya Healthcare

5001 - 10000 employés

Fondée en 2001

🏥 Santé

💼 Conseil

📦 Logistique

Healthcare • Consulting • Logistics

Aya Healthcare est un fournisseur de premier plan de services de recrutement dans le domaine de la santé, reliant des professionnels tels que des infirmières et des travailleurs de la santé auxiliaire avec des établissements de santé à travers les États-Unis. Ils proposent des services de placement pour des missions temporaires, à la journée et à titre permanent, garantissant que les hôpitaux et les systèmes de soins de santé disposent du personnel nécessaire pour offrir des soins de haute qualité aux patients. Aya Healthcare se concentre sur l'amélioration de l'industrie du recrutement grâce à une technologie innovante et un service client exceptionnel.

Description

• Manage active and litigated Professional Liability claims, including tracking, reviewing, analyzing, and updating Corporate Counsel on open matters • Assist with claim investigations and monitor compensability determinations • Review matters with outside counsel when necessary • Evaluate claim action plans and overall file quality to achieve optimal claim outcomes • Work with outside counsel and insurance representatives to obtain current claim information • Analyze and approve investigation and reserve requests • Ensure compliance with state regulatory rules and requirements • Collaborate with medical and legal specialty resources to pursue claim resolutions • Analyze settlement authority requests • Attend mediations and trials • Meet regularly with Corporate Counsel to review claims and discuss claim strategy

🎯 Exigences

• 3+ years prior experience in Professional Liability claims adjusting • JD preferred • Ability to work in fast-paced environment with large volume of matters • Strong knowledge of claim handling policies and procedures • Knowledge of medical terminology • Familiarity with claims in multiple jurisdictions • Experience working with a TPA • Experience in litigation and settlement negotiations • Intermediate knowledge of PL products • Ability to apply available resources and technology to resolve claims and streamline the claim process

🏖️ Avantages

• Free premium medical, dental, life and vision insurance • Generous 401(k) match • Other benefits for eligible employees and where required by applicable law, including reimbursements and discretionary bonuses • Paid sick leave in accordance with applicable state, federal, and local laws • Celebrations and rewards for hitting goals • Company-sponsored virtual events, happy hours and team-building activities • Special birthday treat • Unlimited DTO (time off) • Virtual yoga, meditation or boot camp classes offered daily

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