Liability Claims Manager

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

• Paid Time Off from Day One

• 403-B Retirement Plan

• 4 Weeks 100% Paid Parental Leave

• Career Development

• Whole Person Well-being Resources

• Mental Health Resources and Support

• Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America)

Address:

900 HOPE WAY

City:

ALTAMONTE SPRINGS

State:

Florida

Postal Code:

32714

Job Description:

Responsible for the management of assigned potential compensable claims, asserted claims, and suits. This position encompasses investigation, evaluation, negotiation, and settlement activities, attorney supervision, and trial support. Additionally, this role handles professional and general liability claims and is knowledgeable about relevant case law in multiple jurisdictions as assigned. In addition, this position ensures compliance with legal and regulatory requirements throughout the claims process. Contributes to the overall effectiveness of the risk management department through diligent performance of assigned duties.

• Manages complex professional and general liability claims from inception to resolution.

• Directs and coordinates investigations to determine legal liability and assess damages.

• Evaluates claims to set and maintain appropriate reserves.

• Negotiates settlements or positions matters for trial.

• Supervises and directs outside counsel's litigation activities, including case strategy and trial preparation.

• Reviews and analyzes relevant case law and regulatory requirements in multiple jurisdictions.

• Communicates with claimants, insureds, and legal representatives throughout the claims process.

• Prepares detailed reports and documentation for claims management and regulatory compliance.

• Travels to healthcare facilities, depositions, mediations, and trials as necessary. Ensures compliance with legal and regulatory requirements throughout the claims process.

• Provides trial support and assists in the preparation of defense strategies. Performs other duties as assigned.

Knowledge, Skills, and Abilities:

• RiskMaster, MS Word, MS Excel [Required]

Education:

• Bachelor's [Required]

Field of Study:

• in Nursing, Business Administration, insurance claims management, sociology, psychology, or human behavior studies background beneficial

• additional study and or professional designation

Work Experience:

• 10+ claims handling experience in the industry [Required]

• 5+ experience handling professional and general liability claims [Required]

Licenses and Certifications:

• 6-20 All-Lines Adjuster License [Required]

Physical Requirements: (Please click the link below to view work requirements)

Physical Requirements -

Pay Range:

$83,699.48 - $155,693.55

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Category: Risk Management, Quality, & Clinical Effectiveness

Organization: AdventHealth Corporate

Schedule: Full time

Shift: Day

Req ID: 152045064