Senior Claims Manager - RIS - Full time, Day, Remote

About the role

The Senior Claims Manager is responsible for day-to-day management of professional and general liability claims in accordance with the System's claims program policies and procedures and within an assigned Region or scope of responsibility.

Responsibilities

• Investigating, evaluating and managing professional and other liability claims against the organization as assigned or directed by the Director of Risk & Claims
• Maintaining up-to-date and accurate claims files, including summaries, action plans, and claims status in the claims data management software
• Communicating directly with patients, claimants, witnesses and families
• Coordinating with facility leadership, risk managers, defense counsel, and others
• Monitoring and advising on disclosure and early resolution opportunities
• Ensuring compliance with relevant claims reporting procedures and required regulations
• Providing feedback and recommendations to the Director of Risk & Claims on evaluations, litigation trends, department policies and procedures, system-wide claims and litigation processes, and appropriate System risk management issues
• Fostering teamwork, operational excellence, and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists

Required qualifications

• Bachelor's Degree in Business Administration, Finance, or a related discipline or Equivalent combination of education and experience in the insurance industry; claims management; or legal handling of claims issues
• 7 years of relevant general and professional liability claims processing or management experience

Preferred qualifications

• STARS or similar claims management software
• Upon hire: Certified Professional Healthcare Risk Management (CPHRM)

Pay

• AK: Anchorage: Min $52.19, Max $82.39
• AK: Kodiak, Seward, Valdez: Min $54.40, Max $85.88
• California: Humboldt: Min $54.40, Max $85.88
• California: All Northern California - Except Humboldt: Min $61.04, Max $96.35
• California: All Southern California - Except Bakersfield: Min $54.40, Max $85.88
• California: Bakersfield: Min $52.19, Max $82.39
• Idaho: Min $46.44, Max $73.31
• Montana: Except Great Falls: Min $42.02, Max $66.33
• Montana: Great Falls: Min $39.81, Max $62.84
• New Mexico: Min $42.02, Max $66.33
• Nevada: Min $54.40, Max $85.88
• Oregon: Non-Portland Service Area: Min $48.65, Max $76.80
• Oregon: Portland Service Area: Min $52.19, Max $82.39
• Texas: Min $39.81, Max $62.84
• Washington: Western - Except Tukwila: Min $54.40, Max $85.88
• Washington: Southwest - Olympia, Centralia & Below: Min $52.19, Max $82.39
• Washington: Tukwila: Min $54.40, Max $85.88
• Washington: Eastern: Min $46.44, Max $73.31
• Washington: Southeastern: Min $48.65, Max $76.80

Benefits

• Retirement 401(k) Savings Plan with employer matching
• Health care benefits (medical, dental, vision)
• Life insurance
• Disability insurance
• Time off benefits (paid parental leave, vacations, holidays, health issues)
• Voluntary benefits
• Well-being resources