Claims Manager

Job not on LinkedIn

🔥 6 minutes ago

🇺🇸 United States – Remote

💵 $100k - $125k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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Logo of Aya Healthcare

Aya Healthcare

5001 - 10000 employees

Founded 2001

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Aya Healthcare is a prominent provider of healthcare staffing services, connecting healthcare professionals such as nurses and allied health workers with healthcare facilities across the United States. They offer travel nursing, per diem, and permanent placement services, ensuring that hospitals and healthcare systems have the necessary staff to provide high-quality patient care. Aya Healthcare focuses on improving the staffing industry through innovative technology and exceptional customer service.

📋 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

🎯 Requirements

• 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

🏖️ Benefits

• 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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