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Senior Claims Manager – Medical Negligence, Multi-Line
ProvidenceSenior Claims Manager managing professional and general liability claims as per System's policies. Leading investigations and ensuring compliance in the assigned Region's claims management.
About the role
Key responsibilities & impact- Responsible for day-to-day management of professional and general liability claims in accordance with the System's claims program policies and procedures and within an assigned Region or scope of responsibility.
- Investigating, evaluating and managing professional and other liability claims against the organization as assigned or directed by the Director of Risk & Claims.
- Maintaining up-to-date and accurate claims files, including summaries, action plans, and claims status in the claims data management software.
- Communicating directly with patients, claimants, witnesses and families.
- Coordinating with facility leadership, risk managers, defense counsel, and others.
- Monitoring and advising on disclosure and early resolution opportunities.
- Ensuring compliance with relevant claims reporting procedures and required regulations.
- Providing feedback and recommendations to the Director of Risk & Claims on evaluations, litigation trends, department policies and procedures, system-wide claims and litigation processes, and appropriate System risk management issues.
- Fostering teamwork, operational excellence, and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists.
Requirements
What you’ll need- Bachelor's Degree in Business Administration, Finance, or a related discipline or Equivalent combination of education and experience in the insurance industry; claims management; or legal handling of claims issues.
- 7 years of relevant general and professional liability claims processing or management experience.
- STARS or similar claims management software (Preferred).
- Upon hire: Certified Professional Healthcare Risk Management (CPHRM) (Preferred).
Benefits
Comp & perks- Health care benefits (medical, dental, vision)
- Life insurance
- Disability insurance
- Time off benefits (paid parental leave, vacations, holidays, health issues)
- Voluntary benefits
- Well-being resources
- 401(k) Savings Plan with employer matching
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims managementclaims processinginvestigating claimsevaluating claimsmanaging liability claimscompliance with claims reporting proceduresrisk managementlitigation trends analysisdata management
Soft Skills
communicationteamworkoperational excellenceleadershipadvisingfeedback provision
Certifications
Certified Professional Healthcare Risk Management (CPHRM)