Senior Claims Manager - RIS - Full time, Day, Remote
Providence · Washington, United States · Today
RemoteRemoteFinance$52.19/hrFull-time
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