Claims Program Manager
Mercy Health · Covington, KY · 1 mo ago
On-siteInformation Technology$46.76/hrFull-time
Essential Job Functions
- Manages the analysis of defense counsel effectiveness on an annual basis
- Implements and tracks claims related to the Early Liability Review Program
- Timely setting of accurate reserves based on formula (where possible)
- Identification of potential claims at the time of reporting and appropriate follow up such as expert evaluation prior to suit or notice of potential suit
- Works extensively with outside defense counsel to manage the claims
- Verifies accurate billing of outside defense counsel
- Manages policy reviews to assure appropriate scope of coverage within commercial policies and assure congruence of coverage between commercial policies and the Captive
- Works closely with market and group senior leaders to explain the risks and alternatives regarding various claim options
- Works closely with employed physicians when the physicians are named in a lawsuit
- Works closely with the Risk management related to claim management
- Manages closely with the insurance staff regarding coverage issues
- Manages staff to meet organizational objectives. Provides direction and oversight of assigned duties and projects
Employment Qualifications
- Required Minimum Education: Bachelors
- PREFERRED Education: Insurance Courses - CPCU/AIC/ARM/INS Institute
- Minimum Qualifications: 7 years handling Professional Liability Claims
Pay
Range Minimum: $46.76
Range Maximum: $74.81