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

Overview

Senior Professional Liability Medical Claims Manager This position works remote. Many states eligible.

Providence caregivers are valued and the culture is patient-focused, with emphasis on understanding, commitment, and mutual respect. Your voice matters to inspire and retain the best people.

Position : Sr. Professional Liability Medical Claims Manager

Responsibilities

• Investigate, evaluate, and manage professional, general, and other liability claims under the PSJH Insurance Program, including communicating with patients, claimants, caregivers, providers, and leadership.
• Review and analyze medical records, interview witnesses, assist with discovery, and communicate with facility risk management regarding evaluation and investigation.
• Write insurance policy coverage letters and 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 as status changes.
• Review and approve statements for services and coordinate vendor payments.
• Notify Senior Manager Operations of large or complex claims and claims with potential media exposure.
• Report claims with potential excess exposure to excess insurers; ensure compliance with claims reporting procedures and required regulations.
• Work with defense attorneys specializing in defense of medical negligence claims; foster teamwork and effective communication within the claims team.

Documentation and Coordination

Risk Reduction and Improvements

Qualifications

Preferred Qualifications

Salary and Location

Why Join Providence?

Providence offers best-in-class benefits designed to support you and your family, with a mission of caring for everyone, especially the vulnerable in our communities. Benefits and eligibility may vary by employment terms and legal employer changes.

About Providence

Providence is committed to an inclusive workplace where diversity is valued and everyone is essential, heard, and respected. We serve across multiple states with a long-standing history of serving the poor and vulnerable.

The base pay range is listed; additional compensation may be available (shift differentials, on-call, overtime, bonuses, etc.).

Equal Opportunity and Compliance

Providence is an Equal Opportunity Employer. We provide a diverse and inclusive environment free from unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran status, religion, age, national origin, sexual orientation or expression, gender identity, and other protected categories.

Requisition ID : 388097. Job Category : Financial Transactions; Job Function : Health Plans Services; Job Schedule : Full time; Job Shift : Multiple shifts available; Department : 4008 SS RIS; Address : WA Renton 1801 Lind Ave SW; Work Location : Providence Valley Office Park-Renton.

J-18808-Ljbffr