Enterprise Claims Manager

About the role

The Enterprise Claims Manager leads claims strategy across the organization, accountable for developing, maintaining, and managing all claims for Fairview, including Property and Casualty, Professional Liability, and Fairview's Worker's Compensation program (which encompasses the MN Self Insured Work Comp program and the Commercially insured Outstate Work Comp program). In collaboration with leadership, Legal, and Risk departments, this role oversees claims investigations, settlements, litigations, subrogation, and recovery efforts. It also provides support for the Claims Software system and reports on metrics and trends related to causes, claims, and costs. The focus is on improving claim outcomes and managing insurance-related costs through proactive oversight of claims, litigation, insurance administration, and risk analytics.

Responsibilities

• Ensure compliance with standards and requirements by working with the applicable state's Department of Labor and Industry and Department of Commerce.
• Maintain compliance with regulated insurance industries.
• Develop claim reports for system board committees and senior management to monitor claim management performance.
• Manage subrogation and recoveries to minimize the severity of claims.
• Drive cost containment through strong claims oversight and proactive intervention.
• Develop and maintain policies and procedures for claims management.
• Participate in teams, committees, and task forces to assist in developing, implementing, and maintaining an injury prevention program.
• Oversee all claim management activities, including workers' compensation.
• Develop, create, and manage analytical tools and reports to assist with risk identification and management, in conjunction with a data analyst.
• Prepare the budget for the Self Insured Work Comp program and coordinate appropriate allocations for the system.
• Identify local and national trends and benchmarks related to claims.
• Interact with internal and external counsel representing Fairview and partner closely with the Insurance team.
• Lead a team of claims professionals.
• Process workers compensation claims and oversee all other claims.
• Assist attorneys with the management of claims.

Requirements

• B.S./B.A. in Business Administration, Risk Management, Finance, Insurance, or a related field, or five or more years of management responsibilities in workers' compensation insurance/claims management.
• 5+ years of progressive experience in: Risk management, Claims administration, Insurance operations, or Litigation Support.

Preferred Qualifications

• Juris Doctorate.
• Leadership experience in Claims Management or a related field.
• Multi-site and multi-state experience (strongly preferred).
• Litigation experience.
• Independent Adjuster Certification.

Benefits

Fairview offers a generous benefit package, including:

• Medical, dental, and vision plans.
• Life insurance, short-term and long-term disability insurance.
• Paid Time Off (PTO) and Sick and Safe Time.
• Tuition reimbursement.
• Retirement plans.
• Early access to earned wages.

For additional information, visit Fairview's benefits page.

Pay

The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on factors such as FTE, skills, knowledge, relevant education, experience, and market conditions. Hiring at the maximum of the range is not typical. The organization values pay equity and considers internal equity when making offers. If eligible, a sign-on bonus may be offered based on the approved program at the time of the offer.