Description:
We are seeking to hire highly qualified, dynamic, and motivated professionals for vacant positions. Read all the terms and conditions carefully before applying for these jobs. The minimum qualifications and experience required for this job are given below.
We are not simply valued – We are invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Responsibility:
- Be responsible for medical professional liability claims and complex general liability claims in accordance with the System’s claims program policies and procedures and within an assigned Region or scope of responsibility
- Analyze insurance policy documents to address coverage
- Work with defense attorneys specializing in defense of medical negligence claims
- Be responsible for writing insurance policy coverage letters
- Be responsible for investigating, evaluating and managing professional and other liability claims against the organization
- Maintain up-to-date and accurate claim files, including summaries, action plans, and claims status in the claims data management software
- Communicate directly with patients, claimants, witnesses and families
- Coordinate with facility leadership, risk managers, defense counsel, and others
- Monitor and advise on disclosure and early resolution opportunities
- Ensure compliance with relevant claims reporting procedures and required regulations
- Provide feedback and recommendations, evaluations, litigation trends, department policies and procedures, system-wide claims and litigation processes, and appropriate System risk management issues
- Have direct responsibility to foster teamwork, operational excellence, and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists
This role is considered to be a remote position and can be worked from the majority of States within the United States. Please note Providence cannot hire within the following States:
- Colorado
- Hawaii
- Massachusetts
- New York
- Ohio
- Pennsylvania
Requirements:
Required qualifications for this position include:
- Bachelor’s Degree in Business Administration, Finance, or another related discipline -OR- a combination of equivalent education and experience
- 7+ years relevant general and professional liability claims processing or management experience
- 5+ years direct supervisory or management experience
Preferred qualifications for this position include:
- Experience handling Medical Negligence Professional Liability Claims
- Experience handling Complex General Liability Claims
- Experience Investigating, evaluating and negotiating medical negligence claims
- Experience working with defense attorneys specializing in defense of medical negligence claims
- Experience analyzing medical professional and general liability insurance policy documents and addressing coverage
- Experience writing medical professional and general liability insurance policy coverage letters
- STARS / Riskonnect or similar claims management software experience
- Certified Professional Healthcare Risk Management (CPHRM)
APPLY NOW!