Claims analyst Jobs in Virginia Beach, VA

City / State

Virginia Beach, VA

Overview

Work Shift

First (Days) (United States of America)

Sentara Health is hiring for a Liability Claims Manager!

Status : Full-Time,permanent position (40 hours)

Standard working hours : 8 am to 5 pm EST, M-F

Location :

ON SITE

Will report to 1330 Sentara Park in Virginia Beach, VA daily.

Job responsibilities :

The Liability Claims Manager's primary responsibility is the administration of Sentara Healthcare's Automobile, Professional and General Liability (AL / PL / GL) program. This includes consulting about Incidents, setting up Events / Claims / Lawsuits in the Claims Management System, assigning and adjusting case Indemnity and Expense Reserves, negotiating settlements, assigning defense counsel, managing litigation, maintaining claim files, communicating with insurance carriers and brokers, and ensuring that State and Federal reporting requirements are met. The Claims Manager is also responsible for analyzing and presenting program information for, or at the direction of, Sentara's Director of Risk Management. In addition to the PL / GL program, the Claims Manager will supervise or support the claims handling of other assigned lines of insurance maintained by Sentara Healthcare. The objective of the Claims Manager position is to control losses incurred by Sentara Healthcare and to provide feedback to Sentara's Risk Managers to assist in the prevention of future losses.

Required qualifications :

5 years handling HEALTH CARE liability claims (not insurance) REQUIRED

BLD - Bachelor's Level Degree REQUIRED

Preferred qualifications :

Masters degree preferred.

Benefits : As the third-largest employer in Virginia, Sentara Healthcare was named by Forbes Magazine as one of America's best large employers. Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k / 403B, 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more. Please click link for more info : https : / / www.sentaracareers.com / explore-sentara / benefits /

Diversity and Inclusion at Sentara

Our vision is that everyone brings the strengths that come with diversity to work with them every day. When we are achieving our vision, we have team members that feel they belong and can be their authentic selves, and our workforce is reflective of the communities we serve.

Please visit the link below to learn more about Sentara's commitment to diversity and inclusion : https : / / www.sentara.com / aboutus / diversity

SentaraOverview

Sentara Health , an integrated, not-for-profit health care delivery system, with more than 30,000 employees, celebrates more than 130 years in pursuit of its mission - "we improve health every day."

Sentara is one of the largest health systems in the U.S. Mid-Atlantic and Southeast, and among the top 20 largest not-for-profit integrated health systems in the country

Sentara hospital system has 12 hospitals in Virginia and Northeastern North Carolina.

Sentara Medical Group has more than 1,500 quality physicians and advanced practice providers completing more than 2.8 million patient visits each year .

Sentara Health Plans division which serves more than 1.2 million commercial, Medicaid, and Medicare health plan members in Virginia and Florida

Sentara is recognized nationally for clinical quality and safety, and is strategically focused on innovation and creating an extraordinary health care experience for our patients and members.

Sentara was named to IBM Watson Health's "Top 15 Health Systems" (2021, 2018), and was recognized by Forbes as a "Best Employer for New Grads" (2022), "Best Employer for Veterans" (2022), and "Best Employer for Women" (2020).

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!

To apply, please go to www.sentaracareers.com and use the following as your Keyword Search : JR-59673

LI-PM1

Indeed

Monster

Talroo - IT

Health plan, Healthcare, Managed Care, MCO, Virginia, Claims, Onsite, Liability, Automobile, Professional, General Liability, Risk Management, Lawsuits, Incidents, Settlement, Negotiation, Litigation

Job Summary

The Claims Manager's primary responsibility is the administration of Sentara Healthcare's Automobile, Professional and General Liability (AL / PL / GL) program. This includes consulting about Incidents, setting up Events / Claims / Lawsuits in the Claims Management System, assigning and adjusting case Indemnity and Expense Reserves, negotiating settlements, assigning defense counsel, managing litigation, maintaining claim files, communicating with insurance carriers and brokers, and ensuring that State and Federal reporting requirements are met. The Claims Manager is also responsible for analyzing and presenting program information for, or at the direction of, Sentara's Director of Risk Management. In addition to the PL / GL program, the Claims Manager will supervise or support the claims handling of other assigned lines of insurance maintained by Sentara Healthcare. The objective of the Claims Manager position is to control losses incurred by Sentara Healthcare and to provide feedback to Sentara's Risk Managers to assist in the prevention of future losses.

5 years handling liability claims required. Masters degree preferred.

Qualifications :

BLD - Bachelor's Level Degree (Required)

Insurance

Skills

Active Learning, Active Learning, Active Listening, Communication, Complex Problem Solving, Coordination, Critical Thinking, Judgment and Decision Making, Leadership, Learning Strategies, Mathematics, Mgmt of Financial Resources, Mgmt of Material Resources, Mgmt of Staff Resources, Microsoft Excel, Microsoft Office, Microsoft Word, Monitoring, Persuasion, Project Management, Quality Control Analysis, Reading Comprehension, Science, Service Orientation, Social Perceptiveness {+ 6 more}

Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.

In support of our mission "to improve health every day," this is a tobacco-free environment.