Claims Manager

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🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Bon Secours

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🤝 Non-profit

Healthcare • Non-profit

Bon Secours is a mission-driven, not-for-profit health care organization that emphasizes compassionate, community-focused clinical care and support services. The organization recruits and trains staff for bedside care, patient support, community service, and administration, and highlights workforce development, flexible benefits, and a culture centered on dignity, unity, and service. Bon Secours presents itself as a faith-based/ministry-oriented health system focused on serving patients and communities with an emphasis on employee growth and total rewards.

📋 Description

• Manage liability claims, including hospital and employed physician claims and claims covered by deductible policies such as Cyber Liability, D&O/EPL, Regulatory, and Property/ADP • Resolve claims within available insurance coverage parameters to protect ministry assets • Represent BSMH at pre-trial hearings, mediations, arbitrations, and trials • Manage and direct defense counsel in accordance with organizational objectives and goals • Independently evaluate, reserve, and resolve claims and litigated matters within designated authority • Use risk investigations and expert reviews to evaluate liability and causation, set reserves, assess claim values, negotiate resolutions, or determine whether to litigate • Assign defense counsel based on venue, claim type, and potential claim value • Work with defense counsel to manage claims, select medical experts, and determine whether to proceed to trial • Review outside defense counsel bills using bill review software and department guidelines • Conduct insurance coverage analysis and collaborate with insurance staff on coverage issues • Coordinate with Loss Prevention on claims qualifying for the Early Liability Review Program • Explain risk evaluations and resolution or litigation alternatives to market and group senior leaders • Explain the claims and litigation process and expert-review analyses to employed physicians • Collaborate with Risk Management on investigations, discovery, claim valuation, litigation, and resolution • Maintain a diary system tracking claims from report through investigation, evaluation, discovery, and analysis • Obtain defense counsel reports promptly and direct litigation efforts according to department guidelines

🎯 Requirements

• Bachelor’s Degree in Finance, Accounting, Business, or similar field (required) • 3 years handling Professional Liability Claims or equivalent experience (required) • 5 years Claims Processing (preferred) • Associate in Claims (AIC) Certification or Associate in Risk Management (ARM) preferred • Ability to quickly learn and adapt to modern technologies as needed • Mediation training or demonstrable experience in negotiation of high value complex claims

🏖️ Benefits

• Competitive pay • Incentives • Referral bonuses • 403(b) with employer contributions (when eligible) • Medical, dental, vision, and prescription coverage • HSA/FSA options • Life insurance • Mental health resources and discounts • Paid time off • Parental and FMLA leave • Short- and long-term disability • Backup care for children and elders • Tuition assistance • Professional development and continuing education support

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