Sr. Professional Liability Medical Claims Manager •Remote, Many States Eligible •

Overview

Description — Senior Professional Liability Medical Claims Manager. Providence is seeking a qualified professional to manage professional, general, and other liability claims under the PSJH Insurance Program. The role supports a patient-focused culture and requires collaboration with care teams, leadership, and risk management.

Providence caregivers are valued and empowered to deliver compassionate, whole-person care. Your voice matters here.

Responsibilities

• Investigate, evaluate, and manage professional, general, and other liability claims under the PSJH Insurance Program.
• Communicate with patients, claimants, caregivers, providers, and leadership; review and analyze medical records; interview witnesses; assist with the discovery process; and communicate with facility risk management regarding evaluation and investigation.
• Draft insurance policy coverage letters; analyze policy documents to address coverage; set appropriate indemnity and expense reserves.
• Select appropriate medical experts for case review; develop a plan of action for assigned claims and update the claims file with status changes.
• Review and approve statements for services; coordinate payments to vendors; inform Senior Manager Operations of large or complex claims or claims with potential media exposure.
• Report claims with potential excess exposure to excess insurers; ensure compliance with relevant claims reporting procedures and regulations.
• Work with defense attorneys specializing in defense of medical negligence claims; foster teamwork, operational excellence, and effective communication within the claims team.

Documentation and Coordination

Compliance and Resolution

Qualifications

Preferred qualifications

Salary and Location

Why Join Providence?

Our best-in-class benefits support you and your family in staying well, growing professionally, and achieving financial security. We focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

Providence is an inclusive, equal opportunity employer with a history of serving communities across multiple states. We value diversity and strive to create equal opportunities for advancement.

The base pay range is shown in postings; additional compensation may include shift differentials, on-call, overtime, premiums, and bonus opportunities.

Providence offers a comprehensive benefits package, including retirement plans, health care benefits, life and disability insurance, paid time off, voluntary benefits, and well-being resources. Learn more at providence.jobs / benefits.

Equal Employment Opportunity Statement : Providence is an Equal Opportunity Employer committed to an inclusive workplace free from discrimination and harassment.

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