Claims Manager

🕒 September 25

🇺🇸 United States – Remote

💵 $132.3k - $178.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 5%

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Coverys

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2010

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Coverys is a leading provider of insurance and risk management solutions, specializing in medical professional liability insurance for healthcare professionals and organizations. With over 45 years of experience, Coverys is rated A (Excellent) and is committed to protecting healthcare providers such as doctors, surgeons, nurses, and healthcare facilities including hospitals and outpatient centers. The company offers a wide range of insurance products designed to meet the specific needs of the healthcare sector, including risk mitigation services and value-based care risk protection. Coverys is also involved in the community through the Coverys Community Healthcare Foundation, which provides charitable contributions and grant programs to support healthcare and related organizations. Driven by a mission to support and protect the healthcare community, Coverys is dedicated to innovation and improving healthcare outcomes through its suite of services.

📋 Description

• Analyze and verify insurance coverage for claims brought against policyholders • Assure timeliness and adequacy of reserves on claim files; approve or recommend adjustments • Assign losses to claim staff for disposition • Evaluate liability, damages, and causation; approve settlements within authority • Advise Claims leadership on claims status and attend Reserve & Settlement Committee Meetings • Determine work procedures, manage schedules, and expedite workflow • Maintain and develop claims policies and procedures • Coordinate services with other departments for insureds and clients • Conduct quarterly audits of consultant case files • Monitor staff, identify and implement training needs, and ensure compliance with claims handling requirements • Track results, recommend improvements, and participate in strategic planning • Manage assigned staff, including evaluations, time off, time cards, recognition, and disciplinary issues • Monitor trials as necessary • Assist in developing claims-related marketing strategies and tools for client retention and new business cultivation

🎯 Requirements

• Bachelor's degree (B. A.) from four-year college or university • 8 years’ experience in handling medical malpractice claims or heavy bodily injury claims preferred • A minimum of 3 years of supervisory/management experience • Broad knowledge of medicine and familiarity with legal concepts and trends in litigation • Knowledgeable in insurance policy contracts, particularly medical malpractice and general liability • Formal nursing and/or legal education is a plus, but not required

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