Senior Claims Manager – EPL

🔥 12 hours ago

🐻 Alaska, California, +7 more states – Remote

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💵 $39 - $96 / hour

⏰ Full Time

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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Logo of Providence

Providence

10,000+ employees

Founded 1856

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

Providence is a not-for-profit health system committed to providing a wide range of medical services, including primary care, urgent care, pediatrics, maternity care, cancer treatment, and specialized services like neurosurgery and orthopedics. They offer both in-person and virtual care through clinics and a mobile app, ensuring patients can access healthcare conveniently. With a mission rooted in compassion, dignity, and justice, Providence emphasizes serving those who are vulnerable and strives for excellence in healthcare delivery. They are involved in research and innovation, including genomic profiling and clinical trials to improve patient outcomes.

📋 Description

• Provide direct handling of the organization's Employment Practice Liability claims • Evaluate and resolve coverage issues for Employment Practices claims • Investigate claims through telephone, written correspondence, and/or personal contact with attorneys, business partners, witnesses, and other relevant parties • Present claims and claim trends to Claim and Legal Leadership, including coverage, liability assessment, and ultimate exposure • Analyze information to evaluate assigned claims and determine organizational exposure • Evaluate, negotiate, and resolve claims with defense counsel within provided authority, using appropriate denials or releases • Provide required reports to leadership, claims, reinsurance, and legal on significant exposure cases • Report timely on cases proceeding to trial and attend portions of trials when warranted or requested • Ensure proper referrals and timely updates to reinsurers • Collaborate with business partners and defense counsel to direct litigation activities and claim outcomes • Provide insight and thought leadership to business partners, including HR, regarding avoidance and mitigation of EPL risks • Travel may be required to mediations, arbitrations, settlement conferences, trials, training, or other proceedings • Carry out duties in compliance with applicable legal and regulatory requirements

🎯 Requirements

• Bachelor's Degree in Law, HR, or related field, or an equivalent combination of education and experience • 10 or more years of employment law, risk management, or insurance experience related to employment practices • Background handling EPL claims as a claim professional and/or defending EPL claims as an attorney • Superior communication, strategic negotiation, claim disposition, and problem-solving skills • Excellent presentation skills • Moderate proficiency with Microsoft Outlook, Excel, and PowerPoint • Sufficient keyboarding proficiency to enter data accurately and efficiently • Valid state-issued driver's license in good standing and ability to drive an automobile

🏖️ Benefits

• Retirement 401(k) Savings Plan with employer matching • Medical, dental, and vision health care benefits • Life insurance • Disability insurance • Paid parental leave • Vacation time • Paid holidays • Time off for health issues • Voluntary benefits • Well-being resources • Additional compensation may be available, including shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities

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