Senior Claims Manager EPL 455795

Industry: Healthcare / Health Services

Job Category: Legal - Contracts Administration

Providence is seeking a Senior Claims Manager - Employment Practice Liability ( EPL ) for this remote position. The purpose of this position is to provide direct handling of the organization s Employment Practice Liability Claims.

Responsibilities of this position include coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims. Candidate must possess strong communication and litigation management skills to collaborate with business partners and defense counsel to direct litigation activities and claim outcomes while considering the overall impact to the company and individual stakeholders. The individual in this position will also ensure claims are processed within company policies, procedures, and within individual's prescribed authority with exceptional standards of performance. This individual should possess strategic thought process skills to effectively and efficiently manage loss exposures. Job duties will include communication and collaboration with key stakeholders and providing thought leadership where requested. The position may require travel to mediations, arbitrations, settlement conferences, trials, training or other proceedings. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.

Responsibilities:
Effectively evaluate and resolve coverage issues for Employment Practices claims.
Investigate the claims through telephone, written correspondence, and/or personal contact with attorneys, business partners, witnesses and others having pertinent information.
Effectively and efficiently present claims and claim trends to Claim and Legal Leadership to include discussion of coverage, liability assessment and ultimate exposure to the organization.
Timely analyze information in order to evaluate assigned claims to determine ultimate exposure to the organization.
Effectively evaluate, negotiate and resolve claims in collaboration with defense counsel and within provided authority utilizing the appropriate denials or releases.
Provide required reports to leadership, claims, reinsurance, and legal on significant exposure cases.
Report on all cases going to trial on a timely basis and attend portions of trials when warranted or requested by management.
Ensure proper referrals and timely updates to appropriate Reinsurer(s).

Essential for success:

Superior communication skills and strategic negotiation and claim disposition skills along with proven problem-solving skills.
Excellent presentation skills.
Moderate proficiency with standard business-related software (including Microsoft Outlook, Work Excel, and PowerPoint).
Sufficient keyboarding proficiency to enter data accurately and efficiently.
Must have valid state-issued driver s license in good standing and be able to drive an automobile

Security Clearance Required: No

Visa Candidate Considered: No

Compensation

Base Salary - USD $87,400 to $200,000

*** Never repost ***

Full-time

Benefits - Full

Relocation Assistance Available - No

Commission Compensation - No

Bonus Eligible - No

Overtime Eligible - No

Interview Travel Reimbursed - No

Candidate Details

10+ to 15 years experience

Seniority Level - Mid-Senior

Management Experience Required - No

Minimum Education - Bachelor's Degree

Willingness to Travel - Occasionally

Screening Questions
Do you have 10+ years experience in Employment Law, Risk Management or Insurance related to Employment Practices?
Do you have a background handling EPL claims as a claim professional and/or defending EPL claims as an attorney?

Why we're a great company
At Providence, our strength begins with understanding. We take time to see, hear, and welcome everyone who walks through our doors patient or caregiver, family support person or volunteer. From day one, we support you with best-in-class benefits and professional development resources to empower your growth, fostering belonging and purpose for every caregiver. As dreamers, doers and pioneers, we see healthcare not just as it is, but as it could be. Together, a healthier world starts with us.