Claims Manager
$68.32k - $126.38kUS Acute Care Solutions
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Job Posting Closing Date: Open until Filled Where do you belong? Your career is more than just a job, its part of your life. Whether you’re a clinician, or non-clinical professional, at USACS youll feel a sense of connection working with clinicians and office staff who share your interests and values. We want you to love coming to work each day because you believe in what you do and the people with whom you work. We care about your success. USACS also understands that location is important. We offer career opportunities for clinicians and non-clinical support staff from New York to Hawaii and numerous points in between. Our supportive culture, outstanding benefits and competitive compensation package is best in class. Job Description The Claims Manager is responsible for strategic oversight of medical professional liability claims on behalf of USACS. Provides an initial point of contact and support for Providers impacted by Deposition Request, Medical Board Complaints, and Professional Liability claims/litigation. Coordinates with Defense Counsel to evaluate and value potential exposures. Responsible for making strategy recommendations to Director of Claims based on same. Responsible for updating various claims management systems and reports in data driven environment. Reports to Director of Claims. Essential Job Functions Serve as initial point of contact and support for Physicians and APPs.
Oversee day to day claims management of RRG Claims provided by TPA.
Respond to discovery requests and responses on behalf of corporate entity defendants.
Responsible for keeping 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.
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. Under direction of Director of Claims and VP, Chief Risk Office, oversees execution of same.
Assist the Director of Claims and other department personnel as needed.
Perform and assist with other duties as needed. Knowledge, Skills And Abilities 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. Education And Experience Bachelor’s degree required; Paralegal and medical malpractice experience 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. Physical Demands While performing the duties of this job, the employee is regularly required to sit for prolonged periods and occasionally walk, stand, bend, stoop, and lift up to 15 pounds.
Required to have close visual acuity to perform the job. Salary Rate $68,315 - $126,382 Salary Range $68,315.00 - $126,383.00 Salary may be determined on several factors including but not limited to knowledge, skills, experience, education, geographical location and requirements stated in job description. 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: Click the red apply button to submit an application and resume. If you are an USACS employee, please apply via the Jobs Hub in the Workday system.
Seniority level Seniority level Mid-Senior level
Employment type Employment type Full-time
Job function Job function Finance and Sales
Industries Hospitals and Health Care
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