Branch Processing Manager
CrossCountry Mortgage, LLC
Claims Manager
US Acute Care Solutions
full-time
Posted on:
Location Type: Remote
Location: Remote • Ohio • 🇺🇸 United States
Visit company websiteSalary
💰 $68,315 - $126,383 per year
Job Level
Mid-LevelSenior
About the role
- Oversee the day-to-day administrative management of claims and responsible for strategic oversight of medical malpractice liability claims on behalf of USACS
- Review and analyze incidents and claims forwarded to the Claims Department
- Serve as initial point of contact and support for Physicians and APPs impacted by litigation, Medical Board Complaints, and Deposition Requests
- Coordinate in-house New Claims Analysis for all incoming claims
- Collaborate with TPA or commercial adjuster for defense counsel retention, medical expert assignment
- Oversee day to day claims management of RRG Claims provided by TPA
- Keep timely and accurate claims records for USACS Risk Tracker and Legal Files document management system
- Responsible for strategic claims oversight, including damage and risk exposure valuation; chance to prevail
- Make recommendations to Director of Claims and VP, Chief Risk Officer for case management through resolution or trial and oversee execution
- Work actively with Defense Counsel to strategize and prepare for and attend mediations and trials
- Present and discuss strategic recommendations for assigned cases at regular meetings
- Respond to discovery requests and responses on behalf of corporate entity defendants
- Contribute to company risk management efforts, including working with clinical leadership to identify high risk areas and recommend education or system improvements
- Assist the Director of Claims and other department personnel as needed
- Perform and assist with other duties as needed
Requirements
- Bachelor’s degree required; JD preferred
- Paralegal certification will also be considered
- Master’s in nursing will also be considered
- Minimum of three years of experience in a law firm or liability insurer
- Must possess broad knowledge of legal principles and processes specific to professional liability litigation
- Knowledge of claims management processes
- Must possess excellent oral and written communication skills
- Ability to work autonomously
- Excellent organizational skills
- Excellent problem-solving skills and detail oriented
- Must possess computer skills and can learn Claims Management System
- Strong team-player with initiative and ability to multi-task
- Ability to manage daily workflow to ensure timely reporting and management of claims and incidents
- Committed to USACS House Rules
Benefits
- US Acute Care Solutions current and potential employees enjoy best in class benefit programs with a wide array of options. To learn more, please visit the following link: http://www.usacs.com/benefits-guide
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims managementlegal principlesprofessional liability litigationrisk exposure valuationcase managementdiscovery requestsclaims analysisstrategic oversightdamage valuationmedical malpractice liability
Soft skills
oral communicationwritten communicationorganizational skillsproblem-solving skillsattention to detailautonomyteamworkinitiativemulti-taskingworkflow management
Certifications
Bachelor's degreeJDParalegal certificationMaster's in nursing
