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

Overview

Description — Senior Professional Liability Medical Claims Manager. This position works remotely. Open to many states.

Providence caregivers are valued and integral to our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Providence is calling a Sr. Professional Liability Medical Claims Manager who will :

Responsibilities

• Communicate with patients, claimants, caregivers, providers, leadership
• Review and analyze medical records, interview witnesses, assist with the discovery process and communicate with facility risk manager regarding evaluation and investigation
• Be responsible for writing insurance policy coverage letters
• Analyze insurance 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 following all material changes in status
• Review and approve statements for services and take proper steps to pay vendors
• Inform Senior Manager Operations of large or complex claims and claims with potential for media exposure
• Report claims with potential excess exposure to excess insurers
• Ensure compliance with relevant claims reporting procedures and required regulations
• Work with defense attorneys specializing in defense of medical negligence claims
• Foster teamwork, operational excellence, and effective communication within the claims team

Maintain complete documentation for each matter

Coordinate with facility leadership, risk managers, defense counsel and others

Resolve claims in accordance with policies and regulations

Provide input to reduce risk

Qualifications

Required qualifications

Preferred qualifications

Salary Range by Location

Why Join Providence?

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

About Providence : Providence is a family of organizations with a shared commitment to diversity, inclusion, and equal opportunity. We serve across multiple states and care for patients and communities with excellence.

The base pay range listed is the starting point; additional compensation may be available for this role, such as shift differentials, standby / on-call, overtime, premiums, and bonuses.

Providence offers a comprehensive benefits package including a 401(k) with employer matching, health care benefits, life and disability insurance, paid time off, and more. Learn more at Providence jobs / benefits.

Applicants in the Unincorporated County of Los Angeles : Qualified applications with arrest or conviction records will be considered in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

About the Team

Providence Shared Services supports our family of organizations with functional and system services, focused on delivering the Mission and sharing specialized expertise. Providence is an Equal Opportunity Employer; we value diversity and inclusion.

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