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Senior Claims Insurance Manager - Medical Professional Liability Claims *Remote*

Providence
United StatesRemotefull_timeVerifiedPosted 8 Mar 2024

About the role

Providence caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Providence is calling a Senior Claims Insurance Manager - Medical Professional Liability Claims Handler who will:

  • Be responsible for medical professional liability claims and complex general liability claims in accordance with the System's claims program policies and procedures and within an assigned Region or scope of responsibility
  • Analyze insurance policy documents to address coverage
  • Work with defense attorneys specializing in defense of medical negligence claims
  • Be responsible for writing insurance policy coverage letters
  • Be responsible for investigating, evaluating and managing professional and other liability claims against the organization
  • Maintain up-to-date and accurate claim files, including summaries, action plans, and claims status in the claims data management software
  • Communicate directly with patients, claimants, witnesses and families
  • Coordinate with facility leadership, risk managers, defense counsel, and others
  • Monitor and advise on disclosure and early resolution opportunities
  • Ensure compliance with relevant claims reporting procedures and required regulations
  • Provide feedback and recommendations, evaluations, litigation trends, department policies and procedures, system-wide claims and litigation processes, and appropriate System risk management issues
  • Have direct responsibility to foster teamwork, operational excellence, and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists

This role is considered to be a remote position and can be worked from the majority of States within the United States.

Please note Providence cannot hire within the following States:

  • Colorado
  • Hawaii
  • Massachusetts
  • New York
  • Ohio
  • Pennsylvania

Required qualifications for this position include:

  • Bachelor's Degree in Business Administration, Finance, or another related discipline -OR- a combination of equivalent education and experience
  • 7+ years relevant general and professional liability claims processing or management experience
  • 5+ years direct supervisory or management experience

Preferred qualifications for this position include:

  • Experience handling Medical Negligence Professional Liability Claims
  • Experience handling Complex General Liability Claims
  • Experience Investigating, evaluating and negotiating medical negligence claims
  • Experience working with defense attorneys specializing in defense of medical negligence claims
  • Experience analyzing medical professional and general liability insurance policy documents and addressing coverage
  • Experience writing medical professional and general liability insurance policy coverage letters
  • STARS / Riskonnect or similar claims management software experience
  • Certified Professional Healthcare Risk Management (CPHRM)

Salary Range by Location:

WA: (Puget Sound, Vancouver), OR: (Portland), AK: (Anchorage):

  • Min: $51.16
  • Max: $82.36

OR: (Salem, Hood River, Medford, Seaside):

  • Min: $47.70
  • Max: $76.78

E-WA: (Richland, Spokane, Walla Walla):

  • Min: $45.53
  • Max: $73.29

NorCal (Napa, Sonoma):

  • Min: $59.84
  • Max: $96.32

SoCal, NorCal (Humboldt), AK: (Kodiak, Seward, Valdez), NV:

  • Min: $53.33
  • Max: $85.85

MT:

  • Min: $41.19
  • Max: $66.31

TX, NM:

  • Min: $39.02
  • Max: $62.82

Why Join Providence?

Our best-in-class benefits are uniquely designed to suppor

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Providence

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