Senior Claims Program Manager- Medical Malpractice

Universal Health Services, Inc. - Corporate Office
KING OF PRUSSIA, Pennsylvania
Full-time

Job Description

Responsibilities

This role has a hybrid schedule with 3 days in office and 2 days flex-remote)

Join a dynamic organization driven by our passion for healthcare. UHS is seeking talented individuals who are eager to contribute their expertise and pursue rewarding careers.

As a leader in acute care and behavioral health, UHS provides high-quality care to over 3 million patients annually, across our national network of facilities.

Position Summary :

The Corporate Insurance team at UHS is looking for motivated Senior Program Manager- Claims to join our innovative team and contribute to the maintaining of a rolling diary of claims.

Essential Job Duties :

  • Maintain a rolling diary of - claims at any given time.
  • Work with Risk and Defense counsel will be available to assist with ongoing investigation and litigation needs.
  • Must develop a successful rapport with facility Risk Managers and work to resolve all claims in a timely manner with them.
  • The daily diary maintains a record of claims, reserves coverage, insurance, medical and legal issues related to any pending claims.
  • Investigation and the management of these claims in the incident, patient complaint, litigation (which will require attorney retention and direction), negotiation and settlement stages.
  • Evaluation of the financial exposure for each high exposure professional and general liability claim ensuring cost control of the attorney expenses is an integral component as well.
  • Defense counsel preparation and direction for the handling of claims is required.

Qualifications

  • Bachelor’s degree required.
  • Minimum of 8- years’ experience in professional or general liability claims handling within the insurance industry.
  • Critical thinking skills and independent analysis of potential and actual exposures.
  • Comprehensive knowledge of insurance and legal issues.
  • Knowledge of insurance, medicine, and the law (different in each of the states and Puerto Rico) is required.
  • Familiarization with the use of excess commercial carrier coverage is required as the coverage can change on a year over year basis.
  • Ability to investigate potential liabilities.
  • Ability to effectively analyze exposure and reserves on an ongoing basis.
  • Ability to effectively manage an individual case load of claims and supervise and monitor one claims adjuster.
  • Skills in development of negotiation strategies.
  • Ability to direct and control defense counsel in the most cost-effective manner.
  • Minimal travel is required for attendance at mediations and trials.

About Universal Health Services

UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly owned subsidiary of Universal Health Services, Inc.

Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc.

All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware.

Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware.

Any employment referenced on this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc.

UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails.

All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and / or method without a valid written search agreement in place for this position will be deemed the sole property of UHS.

No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

30+ days ago
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