FREE ACCESS
5,000–10,000 jobs/day
See all jobs on JobTailor
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Claims Program Manager
Mercy HealthClaims Program Manager overseeing complex medical malpractice claims for Mercy Health. Managing defense counsel, coverage, reserves, litigation proceedings, and claims staff.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Expertise in managing complex medical malpractice claims, including effective collaboration with defense counsel and risk management. Strong leadership skills in directing staff and ensuring compliance with organizational objectives.
Highest-signal resume keywords
Professional Liability Claims ManagementClaims Analysis and EvaluationStaff Direction and OversightInsurance Coursework or CredentialsRisk Management Collaboration
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ManagementReserve SettingExpert EvaluationBilling VerificationPolicy Review
Soft Skills
CommunicationCollaborationLeadership
Certifications & Qualifications
CPCUAICARM
Industry Keywords
Medical MalpracticeDefense CounselEarly Liability Review ProgramCommercial PoliciesPre-Trial Hearings
About the role
Key responsibilities & impact- Manage complex and large exposure medical malpractice claims, including hospital, employed physician, and deductible-policy claims
- Represent BSMH at pre-trial hearings, mediations, arbitrations, and most trials
- Manage and direct staff in accordance with organizational objectives and goals
- Analyze defense counsel effectiveness annually
- Implement and track claims related to the Early Liability Review Program
- Set accurate reserves in a timely manner based on formula where possible
- Identify potential claims at reporting and conduct appropriate follow-up, including expert evaluation before suit or notice of potential suit
- Work extensively with outside defense counsel to manage claims
- Verify accurate billing of outside defense counsel
- Manage policy reviews to ensure appropriate commercial-policy coverage and congruence between commercial policies and the Captive
- Explain risks and alternatives regarding claim options to market and group senior leaders
- Work closely with employed physicians named in lawsuits
- Collaborate with Risk Management on claim management
- Manage coverage issues with insurance staff
- Provide direction and oversight of assigned staff duties and projects
Requirements
What you’ll need- Bachelor's degree required
- 7 years of experience handling Professional Liability Claims required
- Ability to work Eastern Time Zone hours
- Preferred insurance coursework or credentials: CPCU, AIC, ARM, or Insurance Institute courses
Benefits
Comp & perks- Competitive pay
- Incentives
- Referral bonuses
- 403(b) with employer contributions (when eligible)
- Medical coverage
- Dental coverage
- Vision coverage
- Prescription coverage
- HSA/FSA options
- Life insurance
- Mental health resources and discounts
- Paid time off
- Parental leave
- FMLA leave
- Short-term disability
- Long-term disability
- Backup care for children and elders
- Tuition assistance
- Professional development support
- Continuing education support