Jobs · Information Technology · Kentucky

Claims Program Manager

Mercy Health · Covington, KY · 2 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

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