Director, Claims

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🔥 4 minutes ago

🎸 Tennessee, Texas – Remote

🎸 Tennessee – Remote 🤠 Texas – Remote

⏰ Full Time

🔴 Lead

👔 Director

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AMSURG

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

🤝 B2B

🏢 Enterprise

Healthcare • B2B • Enterprise

AMSURG is the nationally recognized leader in the strategic and operational management of ambulatory surgery centers (ASCs), providing high-quality, high-value same-day surgical services and a superior patient experience. The company partners with physician groups and health systems to form joint ventures and manages ASC operations, including anesthesia services and specialty centers for gastrointestinal, ophthalmology and orthopedic procedures. AMSURG emphasizes quality, consensus management with physician partners, and scalable operational expertise across the U. S.

📋 Description

• Oversight of the reporting of all claims to the insurance carriers • Initiates the investigation of all Employment Practices Liability, Cyber, Property, General Liability, and Professional Liability claims • Assist in the investigation and reporting of Workers Compensation claims • Handle claims within the Corporate or Center deductibles/retentions • Responsible for the claims documentation in the RL6 Claims Management System as well as the in-house RMIS database • Prepare reports from the systems • Advise and assist Corporate and Center Staff in conducting investigations of incidents, including interviewing witnesses and procurement of relevant documentation • Establish relationships with defense attorneys and assist in discovery and investigation • Provide training on claims reporting to Corporate and Center staff • Help communicate Workers Compensation benefits and the importance of the Return-to-Work policy • Prepare reports and analyses for the VP of Insurance/Corporate Risk Management summarizing the loss data provided by insurance companies • Highlight adverse trends and their financial impact, making recommendations on how to minimize/avoid the risks • Conduct claims meetings with insurance carriers on a quarterly basis to evaluate open reserves • Obtain and track centers’ historical claims data needed for the actuarial study

🎯 Requirements

• Bachelor degree from an accredited college or university • Minimum of six (6) years’ experience as a claims handler required • Professional Liability and Workers Compensation experience highly preferred • Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, decimals and percentages • Expert in Microsoft Excel and experience with financial reporting systems required • Ability to work with web-based claims management system and prepare reports also required • Ability to understand, read, write and speak English • Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations • Ability to successfully write business correspondence • Ability to effectively present information, respond to questions and professionally interact with various stakeholders • Ability to recognize and define problems, collect data, establish facts, draw valid conclusions, and correct errors • Ability to understand and interpret basic financial data • Ability to interpret a variety of instructions in a variety of forms and deal with abstract and concrete variables • Must be detail-oriented and organized • Strong verbal and written communication skills required • High integrity, including maintenance of confidential information • Ability to work a flexible schedule, including some evenings and weekends as approved in advance.

🏖️ Benefits

• Paid Time Off • Medical • Dental • Vision • Life • Disability • Healthcare FSA • Dependent Care FSA • Limited Healthcare FSA • FSAs for Transportation and Parking & HSAs • Matching 401(K) Plan • 9 observed holidays • Paid family leave