Claims Manager – Risk and Insurance
Bon Secours Mercy Health
full-time
Posted on:
Location Type: Remote
Location: United States
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About the role
- Effectively and efficiently manages liability claims, including hospital and employed physician claims
- Acts as BSMH representative at pre-trial hearings, mediations, arbitrations, and trials
- Manages and directs defense counsel in accordance with organizational objectives and goals
- Independently evaluates, reserves, and resolves claims and litigated matters within designated authority
- Utilizes risk investigations and expert reviews to evaluate legal liability and causation
- Assigns appropriate defense counsel depending on venue, claim type, and potential claim value
- Works closely with insurance staff when coverage issues arise
- Sets accurate financial reserves based on experience and reserving formula in a timely manner
- Works closely with market and group senior leaders to explain the evaluation of risks and alternatives
Requirements
- Bachelors Degree in Finance, Accounting, Business, or similar field (required)
- 3 years handling Professional Liability Claims or equivalent experience (required)
- 5 years Claims Processing (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 and 403(b) with employer contributions (when eligible)
- Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts
- Paid time off, parental and FMLA leave, shot- and long-term disability, backup care for children and elders
- Tuition assistance, professional development and continuing education support
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
liability claims managementclaims processingfinancial reservingrisk investigationslegal liability evaluationexpert reviewsnegotiationmediation
Soft Skills
independent evaluationcommunicationleadershipadaptability
Certifications
Bachelors Degree in FinanceBachelors Degree in AccountingBachelors Degree in Business